"Billing Code"|"Service Description"|"Revenue Code"|"Gross Charge"|"De-identified Minimum Negotiated Charge"|"De-identified Maximum Negotiated Charge"|"Discounted Cash Price"|"Negotiated Charge: MRH AETNA _544_"|"Negotiated Charge: MRH AETNA NM EMPLOYEES _558_"|"Negotiated Charge: MRH CIGNA _546_"|"Negotiated Charge: MRH HUMANA DREYER - IPA _540_"|"Negotiated Charge: MRH HUMANA DUPAGE MEDICAL GROUP (DPMG) - IPA "|"Negotiated Charge: MRH HUMANA FOX VALLEY - IPA _541_"|"Negotiated Charge: MRH HUMANA _547_"|"Negotiated Charge: MRH UNITED HEALTH CARE _555_"|"Negotiated Charge: MRH HUMANA UNIVERSITY OF ILL MED CENTER - IPA"|"Negotiated Charge: BCBS PPO"|"Negotiated Charge: BCBS HMO"|"Negotiated Charge: BCBS Blue Choice"
"MS-DRG V37 (FY 2020) 001"|"Heart Transplant Or Implant Of Heart Assist System With McC"|0.00|$1189002.00|$0.00|$0.00|$832301.00||||||||||||
"MS-DRG V37 (FY 2020) 003"|"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures"|0.00|$791961.00|$34652.80|$222474.00|$554373.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$40768.00|$40857.60|$34652.80
"MS-DRG V37 (FY 2020) 004"|"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures"|0.00|$477335.00|$7173.00|$335909.72|$334134.00|$14787.57|$335909.72|$15449.70|$15449.70|$145341.00|$145341.00|$7173.00|$145341.00|$145341.00|$36218.00|$36297.60|$30785.30
"MS-DRG V37 (FY 2020) 005"|"Liver Transplant With McC Or Intestinal Transplant"|0.00|$405433.00|$0.00|$0.00|$283803.00||||||||||||
"MS-DRG V37 (FY 2020) 006"|"Liver Transplant Without McC"|0.00|$543331.00|$0.00|$0.00|$380332.00||||||||||||
"MS-DRG V37 (FY 2020) 007"|"Lung Transplant"|0.00|$711905.00|$0.00|$0.00|$498334.00||||||||||||
"MS-DRG V37 (FY 2020) 008"|"Simultaneous Pancreas And Kidney Transplant"|0.00|$491431.00|$0.00|$0.00|$344002.00||||||||||||
"MS-DRG V37 (FY 2020) 011"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC"|0.00|$268025.00|$16862.30|$90436.19|$187618.00|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$19838.00|$19881.60|$16862.30
"MS-DRG V37 (FY 2020) 012"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc"|0.00|$218514.00|$12840.10|$147717.45|$152960.00|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$15106.00|$15139.20|$12840.10
"MS-DRG V37 (FY 2020) 013"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC"|0.00|$86078.00|$663.65|$43789.82|$60255.00|$663.65|$43789.82|$693.35|$693.35|$17376.91|$17376.91|$17376.91|$17376.91|$17376.91|$10920.00|$10944.00|$9282.00
"MS-DRG V37 (FY 2020) 014"|"Allogeneic Bone Marrow Transplant"|0.00|$293441.00|$1001.16|$61101.00|$205409.00|$1001.16|$33599.93|$1045.98|$1045.98|$61101.00|$61101.00|$61101.00|$61101.00|$61101.00|$43862.00|$43958.40|$37282.70
"MS-DRG V37 (FY 2020) 016"|"Autologous Bone Marrow Transplant With Cc/McC"|0.00|$145334.00|$1332.12|$69296.74|$101734.00|$6960.78|$34925.51|$7272.47|$7272.47|$69296.74|$69296.74|$1332.12|$69296.74|$69296.74|$31122.00|$31190.40|$26453.70
"MS-DRG V37 (FY 2020) 020"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC"|0.00|$531421.00|$19646.90|$163094.11|$371995.00|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$23114.00|$23164.80|$19646.90
"MS-DRG V37 (FY 2020) 021"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc"|0.00|$301364.00|$0.00|$0.00|$210955.00||||||||||||
"MS-DRG V37 (FY 2020) 022"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC"|0.00|$351515.00|$0.00|$0.00|$246060.00||||||||||||
"MS-DRG V37 (FY 2020) 023"|"Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator"|0.00|$271844.00|$10983.70|$111802.19|$190291.00|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$12922.00|$12950.40|$10983.70
"MS-DRG V37 (FY 2020) 024"|"Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC"|0.00|$236071.00|$6342.70|$122605.51|$165250.00|$59073.20|$122605.51|$59073.20|$59073.20|$59073.20|$59073.20|$59073.20|$59073.20|$59073.20|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 025"|"Craniotomy And Endovascular Intracranial Procedures With McC"|0.00|$213675.00|$662.46|$106318.15|$149572.00|$662.46|$106318.15|$692.13|$692.13|$67698.90|$67698.90|$67698.90|$67698.90|$67698.90|$12012.00|$12038.40|$10210.20
"MS-DRG V37 (FY 2020) 026"|"Craniotomy And Endovascular Intracranial Procedures With Cc"|0.00|$174434.00|$828.45|$83367.34|$122104.00|$828.45|$83367.34|$865.57|$865.57|$45906.30|$45906.30|$45906.30|$45906.30|$45906.30|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 027"|"Craniotomy And Endovascular Intracranial Procedures Without Cc/McC"|0.00|$169882.00|$716.39|$86503.34|$118917.00|$716.39|$86503.34|$748.49|$748.49|$37857.85|$37857.85|$37857.85|$37857.85|$37857.85|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 028"|"Spinal Procedures With McC"|0.00|$245743.00|$195.67|$66947.09|$172020.00|$195.67|$34747.01|$204.42|$204.42|$66947.09|$66947.09|$66947.09|$66947.09|$66947.09|$16926.00|$16963.20|$14387.10
"MS-DRG V37 (FY 2020) 029"|"Spinal Procedures With Cc Or Spinal Neurostimulators"|0.00|$152016.00|$2653.70|$100922.17|$106411.00|$2653.70|$100922.17|$2772.53|$2772.53|$48832.90|$48832.90|$48832.90|$48335.90|$48832.90|$8190.00|$8208.00|$6961.50
"MS-DRG V37 (FY 2020) 030"|"Spinal Procedures Without Cc/McC"|0.00|$81225.00|$90.46|$27106.65|$56858.00|$90.46|$24414.35|$94.50|$94.50|$27106.65|$27106.65|$27106.65|$27106.65|$27106.65|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 031"|"Ventricular Shunt Procedures With McC"|0.00|$140072.00|$542.37|$70596.18|$98050.00|$542.37|$70596.18|$566.68|$566.68|$31376.07|$31376.07|$31376.07|$31376.07|$31376.07|$13104.00|$13132.80|$11138.40
"MS-DRG V37 (FY 2020) 032"|"Ventricular Shunt Procedures With Cc"|0.00|$112828.00|$600.49|$64341.49|$78980.00|$600.49|$64341.49|$627.41|$627.41|$28596.21|$28596.21|$28596.21|$28596.21|$28596.21|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 033"|"Ventricular Shunt Procedures Without Cc/McC"|0.00|$98944.00|$531.32|$44654.41|$69261.00|$531.32|$44654.41|$555.14|$555.14|$15021.21|$15021.21|$15021.21|$15021.21|$15021.21|$3094.00|$3100.80|$2629.90
"MS-DRG V37 (FY 2020) 034"|"Carotid Artery Stent Procedures With McC"|0.00|$134271.00|$2715.51|$81887.22|$93990.00|$2715.51|$81887.22|$2837.12|$2837.12|$63125.17|$63125.17|$63125.17|$63125.17|$63125.17|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 035"|"Carotid Artery Stent Procedures With Cc"|0.00|$134642.00|$577.20|$35324.43|$94249.00|$577.20|$25425.58|$603.05|$603.05|$35324.43|$35324.43|$35324.43|$35324.43|$35324.43|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 036"|"Carotid Artery Stent Procedures Without Cc/McC"|0.00|$128939.00|$0.00|$0.00|$90257.00||||||||||||
"MS-DRG V37 (FY 2020) 037"|"Extracranial Procedures With McC"|0.00|$182724.00|$0.00|$0.00|$127907.00||||||||||||
"MS-DRG V37 (FY 2020) 038"|"Extracranial Procedures With Cc"|0.00|$113341.00|$96.65|$28354.47|$79339.00|$96.65|$28354.47|$101.00|$101.00|$21173.66|$21173.66|$21173.66|$21173.66|$21173.66|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 039"|"Extracranial Procedures Without Cc/McC"|0.00|$76473.00|$278.53|$36584.00|$53531.00|$278.53|$36584.00|$291.03|$291.03|$20491.00|$20491.00|$20491.00|$20491.00|$20491.00|$2184.00|$2188.80|$1856.40
"MS-DRG V37 (FY 2020) 040"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With McC"|0.00|$186486.00|$10983.70|$63255.16|$130540.00|$53025.00|$61836.26|$63255.16|$45825.16|$30004.70|$30004.70|$50050.00|$60830.00|$30004.70|$12922.00|$12950.40|$10983.70
"MS-DRG V37 (FY 2020) 041"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator"|0.00|$121118.00|$149.59|$43270.26|$84783.00|$149.59|$43270.26|$156.27|$156.27|$35431.26|$35431.26|$35431.26|$35431.26|$35431.26|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 042"|"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC"|0.00|$89215.00|$2692.91|$78323.55|$62450.00|$2692.91|$78323.55|$2813.48|$2813.48|$52671.65|$52671.65|$52671.65|$52671.65|$52671.65|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 052"|"Spinal Disorders And Injuries With Cc/McC"|0.00|$42839.00|$2039.47|$37960.27|$29987.00|$2039.47|$37960.27|$2130.80|$2130.80|$12362.70|$12362.70|$12362.70|$12362.70|$12362.70|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 053"|"Spinal Disorders And Injuries Without Cc/McC"|0.00|$54826.00|$4331.60|$33022.00|$38378.00|$28785.00|$27590.73|$31597.00|$22135.00|$14561.06|$14561.06|$27170.00|$33022.00|$14561.06|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 054"|"Nervous System Neoplasms With McC"|0.00|$41182.00|$1815.04|$22343.85|$28827.00|$1815.04|$22343.85|$1896.30|$1896.30|$20585.34|$20585.34|$20585.34|$20585.34|$20585.34|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 055"|"Nervous System Neoplasms Without McC"|0.00|$61157.00|$152.77|$29990.19|$42810.00|$152.77|$29990.19|$159.60|$159.60|$15726.12|$15726.12|$15726.12|$15726.12|$15726.12|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 056"|"Degenerative Nervous System Disorders With McC"|0.00|$52922.00|$8508.50|$20856.00|$37045.00|$18180.00|$20238.87|$20731.08|$14755.08|$20856.00|$20856.00|$17160.00|$20856.00|$20856.00|$10010.00|$10032.00|$8508.50
"MS-DRG V37 (FY 2020) 057"|"Degenerative Nervous System Disorders Without McC"|0.00|$47683.00|$6033.30|$26070.00|$33378.00|$22725.00|$23621.05|$25421.35|$17951.35|$25526.08|$22594.00|$21450.00|$26070.00|$22594.00|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 058"|"Multiple Sclerosis And Cerebellar Ataxia With McC"|0.00|$55290.00|$226.75|$24549.84|$38703.00|$5479.60|$24549.84|$5724.95|$5724.95|$24240.00|$24240.00|$226.75|$24240.00|$24240.00|$8918.00|$8937.60|$7580.30
"MS-DRG V37 (FY 2020) 059"|"Multiple Sclerosis And Cerebellar Ataxia With Cc"|0.00|$49308.00|$5569.20|$22594.00|$34516.00|$19695.00|$19589.09|$21957.10|$15483.10|$14724.50|$14724.50|$18590.00|$22594.00|$14724.50|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 060"|"Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC"|0.00|$42733.00|$241.20|$14823.65|$29913.00|$241.20|$14823.65|$252.01|$252.01|$10167.67|$10167.67|$10167.67|$10167.67|$10167.67|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 061"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC"|0.00|$103440.00|$0.00|$0.00|$72408.00||||||||||||
"MS-DRG V37 (FY 2020) 062"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc"|0.00|$94756.00|$4950.40|$45756.14|$66329.00|$24617.14|$45756.14|$25719.42|$25719.42|$29951.08|$29951.08|$14508.51|$29951.08|$29951.08|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 063"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC"|0.00|$86794.00|$0.00|$0.00|$60756.00||||||||||||
"MS-DRG V37 (FY 2020) 064"|"Intracranial Hemorrhage Or Cerebral Infarction With McC"|0.00|$77713.00|$1182.04|$37319.34|$54399.00|$1182.04|$37319.34|$1234.97|$1234.97|$25725.00|$25725.00|$25725.00|$28832.74|$25725.00|$8008.00|$8025.60|$6806.80
"MS-DRG V37 (FY 2020) 065"|"Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours"|0.00|$47722.00|$4275.60|$26139.60|$33405.00|$4275.60|$26139.60|$4467.07|$4467.07|$15346.31|$15346.31|$15346.31|$15346.31|$15346.31|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 066"|"Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC"|0.00|$44674.00|$1106.51|$24314.21|$31272.00|$1106.51|$24314.21|$1156.03|$1156.03|$14052.57|$14052.57|$14052.57|$17417.05|$14052.57|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 067"|"Nonspecific Cva And Precerebral Occlusion Without Infarction With McC"|0.00|$51686.00|$0.00|$0.00|$36180.00||||||||||||
"MS-DRG V37 (FY 2020) 068"|"Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC"|0.00|$47291.00|$233.66|$13359.40|$33104.00|$233.66|$13359.40|$244.12|$244.12|$8220.97|$8220.97|$8220.97|$8220.97|$8220.97|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 069"|"Transient Ischemia Without Thrombolytic"|0.00|$41215.00|$3063.07|$20094.36|$28850.00|$3063.07|$20094.36|$11848.10|$4594.98|$11848.10|$11848.10|$11848.10|$11848.10|$11848.10|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 070"|"Nonspecific Cerebrovascular Disorders With McC"|0.00|$48424.00|$627.62|$25947.30|$33897.00|$627.62|$25947.30|$655.72|$655.72|$25266.70|$25266.70|$25266.70|$25266.70|$25266.70|$8190.00|$8208.00|$6961.50
"MS-DRG V37 (FY 2020) 071"|"Nonspecific Cerebrovascular Disorders With Cc"|0.00|$45320.00|$394.63|$18506.91|$31724.00|$394.63|$18506.91|$412.29|$412.29|$12913.98|$12913.98|$12913.98|$12913.98|$12913.98|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 072"|"Nonspecific Cerebrovascular Disorders Without Cc/McC"|0.00|$38418.00|$46.73|$11623.53|$26893.00|$46.73|$6908.20|$48.82|$48.82|$11623.53|$11623.53|$11623.53|$11623.53|$11623.53|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 073"|"Cranial And Peripheral Nerve Disorders With McC"|0.00|$57330.00|$3107.96|$69449.75|$40131.00|$3107.96|$35002.69|$3247.13|$3247.13|$69449.75|$69449.75|$69449.75|$69449.75|$69449.75|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 074"|"Cranial And Peripheral Nerve Disorders Without McC"|0.00|$47699.00|$444.37|$16560.57|$33389.00|$444.37|$16560.57|$464.28|$464.28|$14870.68|$14870.68|$14870.68|$15349.32|$14870.68|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 075"|"Viral Meningitis With Cc/McC"|0.00|$45525.00|$294.50|$34436.70|$31868.00|$5570.41|$34436.70|$5819.81|$5819.81|$24238.79|$24238.79|$294.50|$24238.79|$24238.79|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 076"|"Viral Meningitis Without Cc/McC"|0.00|$29145.00|$4390.34|$22197.18|$20402.00|$4390.34|$22197.18|$9211.43|$8163.59|$9211.43|$9211.43|$9211.43|$9211.43|$9211.43|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 077"|"Hypertensive Encephalopathy With McC"|0.00|$41875.00|$3231.77|$37531.55|$29312.00|$3231.77|$23679.31|$3376.49|$3376.49|$37531.55|$37531.55|$37531.55|$37531.55|$37531.55|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 078"|"Hypertensive Encephalopathy With Cc"|0.00|$44294.00|$0.00|$0.00|$31006.00||||||||||||
"MS-DRG V37 (FY 2020) 079"|"Hypertensive Encephalopathy Without Cc/McC"|0.00|$39400.00|$0.00|$0.00|$27580.00||||||||||||
"MS-DRG V37 (FY 2020) 080"|"Nontraumatic Stupor And Coma With McC"|0.00|$51361.00|$0.00|$0.00|$35953.00||||||||||||
"MS-DRG V37 (FY 2020) 081"|"Nontraumatic Stupor And Coma Without McC"|0.00|$24342.00|$138.02|$9357.76|$17039.00|$138.02|$9357.76|$144.20|$144.20|$4159.00|$4159.00|$4159.00|$4159.00|$4159.00|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 082"|"Traumatic Stupor And Coma >1 Hour With McC"|0.00|$67437.00|$652.59|$29042.01|$47206.00|$652.59|$29042.01|$681.81|$681.81|$12907.56|$12907.56|$12907.56|$12907.56|$12907.56|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 083"|"Traumatic Stupor And Coma >1 Hour With Cc"|0.00|$54351.00|$5105.10|$20222.10|$38046.00|$20222.10|$16749.68|$20222.10|$20222.10|$20222.10|$20222.10|$20222.10|$20222.10|$20222.10|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 084"|"Traumatic Stupor And Coma >1 Hour Without Cc/McC"|0.00|$34596.00|$1370.16|$15291.88|$24217.00|$1370.16|$15291.88|$1431.51|$1431.51|$10398.30|$10398.30|$10398.30|$10398.30|$10398.30|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 085"|"Traumatic Stupor And Coma <1 Hour With McC"|0.00|$89632.00|$389.26|$30050.35|$62742.00|$389.26|$30050.35|$406.69|$406.69|$15453.54|$15453.54|$15453.54|$15453.54|$15453.54|$8372.00|$8390.40|$7116.20
"MS-DRG V37 (FY 2020) 086"|"Traumatic Stupor And Coma <1 Hour With Cc"|0.00|$45824.00|$770.00|$40593.30|$32077.00|$770.00|$40593.30|$804.48|$804.48|$31186.05|$31186.05|$31186.05|$31186.05|$31186.05|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 087"|"Traumatic Stupor And Coma <1 Hour Without Cc/McC"|0.00|$33292.00|$1790.74|$15877.65|$23304.00|$1790.74|$15877.65|$1870.93|$1870.93|$12034.99|$12034.99|$12034.99|$12034.99|$12034.99|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 088"|"Concussion With McC"|0.00|$58505.00|$0.00|$0.00|$40954.00||||||||||||
"MS-DRG V37 (FY 2020) 089"|"Concussion With Cc"|0.00|$49941.00|$3248.16|$84475.00|$34959.00|$3248.16|$42575.39|$3393.62|$3393.62|$84475.00|$84475.00|$84475.00|$84475.00|$84475.00|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 090"|"Concussion Without Cc/McC"|0.00|$31514.00|$0.00|$0.00|$22060.00||||||||||||
"MS-DRG V37 (FY 2020) 091"|"Other Disorders Of Nervous System With McC"|0.00|$52908.00|$6497.40|$22594.00|$37036.00|$19695.00|$21064.78|$21619.00|$15145.00|$22594.00|$22594.00|$18590.00|$22594.00|$22594.00|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 092"|"Other Disorders Of Nervous System With Cc"|0.00|$44672.00|$4641.00|$35973.76|$31270.00|$30300.00|$35917.69|$33778.00|$23818.00|$35973.76|$35973.76|$28600.00|$34760.00|$35973.76|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 093"|"Other Disorders Of Nervous System Without Cc/McC"|0.00|$38368.00|$377.03|$17323.89|$26858.00|$377.03|$17323.89|$393.93|$393.93|$8984.95|$8984.95|$8984.95|$8984.95|$8984.95|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 094"|"Bacterial And Tuberculous Infections Of Nervous System With McC"|0.00|$60228.00|$47190.00|$99357.75|$42160.00|||||$99357.75||$47190.00|||||
"MS-DRG V37 (FY 2020) 095"|"Bacterial And Tuberculous Infections Of Nervous System With Cc"|0.00|$52752.00|$8972.60|$31824.09|$36926.00|$26304.37|$31824.09|$27482.19|$27482.19|$28215.00|$28215.00|$15767.63|$28215.00|$28215.00|$10556.00|$10579.20|$8972.60
"MS-DRG V37 (FY 2020) 096"|"Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC"|0.00|$27877.00|$6497.40|$45020.88|$19514.00|$36728.57|$45020.88|$38373.10|$38373.10|$35140.37|$35140.37|$23546.87|$35140.37|$35140.37|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 097"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC"|0.00|$99402.00|$13458.90|$85162.00|$69581.00|$74235.00|$76494.69|$82776.05|$58374.05|$63818.42|$63818.42|$70070.00|$85162.00|$63818.42|$15834.00|$15868.80|$13458.90
"MS-DRG V37 (FY 2020) 098"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc"|0.00|$50843.00|$8663.20|$56456.76|$35590.00|$54037.18|$49186.61|$56456.76|$56456.76|$27239.02|$27239.02|$36463.76|$27239.02|$27239.02|$10192.00|$10214.40|$8663.20
"MS-DRG V37 (FY 2020) 099"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC"|0.00|$61005.00|$905.50|$29837.40|$42704.00|$905.50|$29837.40|$946.05|$946.05|$17237.61|$17237.61|$17237.61|$17237.61|$17237.61|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 100"|"Seizures With McC"|0.00|$62130.00|$843.86|$28314.11|$43491.00|$843.86|$28314.11|$881.65|$881.65|$27678.00|$27678.00|$27678.00|$28238.90|$27678.00|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 101"|"Seizures Without McC"|0.00|$41708.00|$506.53|$20006.02|$29196.00|$506.53|$20006.02|$529.19|$529.19|$13368.86|$13368.86|$13368.86|$13368.86|$13368.86|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 102"|"Headaches With McC"|0.00|$58949.00|$448.89|$29754.43|$41264.00|$448.89|$29754.43|$468.98|$468.98|$13244.55|$13244.55|$13244.55|$13244.55|$13244.55|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 103"|"Headaches Without McC"|0.00|$39599.00|$3558.10|$19751.00|$27719.00|$16728.63|$19751.00|$13711.05|$13711.05|$13711.05|$13711.05|$13711.05|$12482.63|$13711.05|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 113"|"Orbital Procedures With Cc/McC"|0.00|$138990.00|$0.00|$0.00|$97293.00||||||||||||
"MS-DRG V37 (FY 2020) 114"|"Orbital Procedures Without Cc/McC"|0.00|$209185.00|$2064.88|$110449.81|$146430.00|$7942.70|$105429.36|$8298.34|$8298.34|$110449.81|$110449.81|$2064.88|$110449.81|$110449.81|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 115"|"Extraocular Procedures Except Orbit"|0.00|$70793.00|$3631.04|$21904.14|$49555.00|$3631.04|$20262.75|$3793.66|$3793.66|$21904.14|$21904.14|$21904.14|$21904.14|$21904.14|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 116"|"Intraocular Procedures With Cc/McC"|0.00|$141704.00|$2176.16|$101518.09|$99193.00|$2176.16|$71517.31|$2273.64|$2273.64|$101518.09|$101518.09|$101518.09|$101518.09|$101518.09|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 117"|"Intraocular Procedures Without Cc/McC"|0.00|$46853.00|$104.01|$23712.88|$32797.00|$104.01|$23712.88|$108.69|$108.69|$16529.46|$16529.46|$16529.46|$16529.46|$16529.46|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 121"|"Acute Major Eye Infections With Cc/McC"|0.00|$33283.00|$4011.13|$29123.15|$23298.00|$4011.13|$16774.74|$4190.73|$4190.73|$29123.15|$29123.15|$29123.15|$29123.15|$29123.15|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 123"|"Neurological Eye Disorders"|0.00|$45182.00|$519.59|$27300.69|$31627.00|$519.59|$27300.69|$542.85|$542.85|$11639.60|$11639.60|$11639.60|$11639.60|$11639.60|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 124"|"Other Disorders Of The Eye With McC"|0.00|$35479.00|$0.00|$0.00|$24835.00||||||||||||
"MS-DRG V37 (FY 2020) 125"|"Other Disorders Of The Eye Without McC"|0.00|$34098.00|$473.19|$12551.49|$23869.00|$473.19|$12551.49|$494.39|$494.39|$8286.63|$8286.63|$8286.63|$8286.63|$8286.63|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 129"|"Major Head & Neck Procedures W Cc/McC Or Major Device"|0.00|$190272.00|$656.62|$100680.83|$133190.00|$656.62|$100680.83|$686.05|$686.05|$29760.90|$29760.90|$29760.90|$29760.90|$29760.90|||
"MS-DRG V37 (FY 2020) 130"|"Major Head & Neck Procedures W/O Cc/McC"|0.00|$122970.00|$0.00|$0.00|$86079.00||||||||||||
"MS-DRG V37 (FY 2020) 131"|"Cranial/Facial Procedures W Cc/McC"|0.00|$160125.00|$0.00|$0.00|$112088.00||||||||||||
"MS-DRG V37 (FY 2020) 132"|"Cranial/Facial Procedures W/O Cc/McC"|0.00|$111648.00|$155.11|$51846.62|$78154.00|$155.11|$51846.62|$162.06|$162.06|$17578.90|$17578.90|$17578.90|$17578.90|$17578.90|||
"MS-DRG V37 (FY 2020) 133"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/McC"|0.00|$93272.00|$3370.94|$31630.10|$65290.00|$3370.94|$29988.63|$3521.87|$3521.87|$31630.10|$31630.10|$31630.10|$31630.10|$31630.10|||
"MS-DRG V37 (FY 2020) 134"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/McC"|0.00|$55946.00|$2565.42|$22014.26|$39162.00|$2565.42|$22014.26|$2680.31|$2680.31|$11512.31|$11512.31|$11512.31|$11512.31|$11512.31|||
"MS-DRG V37 (FY 2020) 135"|"Sinus And Mastoid Procedures With Cc/McC"|0.00|$97225.00|$0.00|$0.00|$68058.00||||||||||||
"MS-DRG V37 (FY 2020) 136"|"Sinus And Mastoid Procedures Without Cc/McC"|0.00|$56986.00|$0.00|$0.00|$39890.00||||||||||||
"MS-DRG V37 (FY 2020) 137"|"Mouth Procedures With Cc/McC"|0.00|$52514.00|$0.00|$0.00|$36760.00||||||||||||
"MS-DRG V37 (FY 2020) 138"|"Mouth Procedures Without Cc/McC"|0.00|$47313.00|$107.03|$18920.75|$33119.00|$107.03|$9536.07|$111.83|$111.83|$18920.75|$18920.75|$18920.75|$18920.75|$18920.75|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 139"|"Salivary Gland Procedures"|0.00|$85263.00|$0.00|$0.00|$59684.00||||||||||||
"MS-DRG V37 (FY 2020) 146"|"Ear, Nose, Mouth And Throat Malignancy With McC"|0.00|$52762.00|$1630.28|$23569.61|$36933.00|$1630.28|$19241.71|$1703.27|$1703.27|$23569.61|$23569.61|$23569.61|$23569.61|$23569.61|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 147"|"Ear, Nose, Mouth And Throat Malignancy With Cc"|0.00|$55800.00|$1103.33|$15593.39|$39060.00|$1103.33|$15593.39|$1152.73|$1152.73|$5533.02|$5533.02|$5533.02|$5533.02|$5533.02|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 148"|"Ear, Nose, Mouth And Throat Malignancy Without Cc/McC"|0.00|$64160.00|$0.00|$0.00|$44912.00||||||||||||
"MS-DRG V37 (FY 2020) 149"|"Dysequilibrium"|0.00|$37827.00|$803.00|$12692.86|$26479.00|$1338.49|$12692.86|$1398.43|$1398.43|$803.00|$803.00|$803.00|$803.00|$803.00|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 150"|"Epistaxis With McC"|0.00|$29119.00|$0.00|$0.00|$20383.00||||||||||||
"MS-DRG V37 (FY 2020) 151"|"Epistaxis Without McC"|0.00|$35070.00|$609.52|$17782.25|$24549.00|$609.52|$17782.25|$636.82|$636.82|$7078.15|$7078.15|$7078.15|$7078.15|$7078.15|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 152"|"Otitis Media And Uri With McC"|0.00|$34125.00|$4795.70|$16231.04|$23888.00|$16231.04|$9799.77|$16231.04|$16231.04|$16231.04|$16231.04|$16231.04|$16231.04|$16231.04|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 153"|"Otitis Media And Uri Without McC"|0.00|$25354.00|$31.99|$12159.63|$17748.00|$31.99|$12159.63|$33.43|$33.43|$9237.80|$9237.80|$9237.80|$9078.63|$9237.80|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 154"|"Other Ear, Nose, Mouth And Throat Diagnoses With McC"|0.00|$40941.00|$1614.03|$43662.41|$28659.00|$1614.03|$31213.98|$1686.31|$1686.31|$43662.41|$43662.41|$43662.41|$43662.41|$43662.41|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 155"|"Other Ear, Nose, Mouth And Throat Diagnoses With Cc"|0.00|$36950.00|$4272.77|$24093.85|$25865.00|$4272.77|$24093.85|$4464.09|$4464.09|$14580.64|$14580.64|$14580.64|$14580.64|$14580.64|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 156"|"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC"|0.00|$23086.00|$562.47|$10224.08|$16160.00|$562.47|$10224.08|$587.66|$587.66|$9911.35|$9911.35|$9911.35|$9911.35|$9911.35|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 157"|"Dental And Oral Diseases With McC"|0.00|$46635.00|$691.94|$22053.91|$32644.00|$691.94|$22053.91|$722.93|$722.93|$16627.95|$16627.95|$16627.95|$16627.95|$16627.95|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 158"|"Dental And Oral Diseases With Cc"|0.00|$30640.00|$1332.47|$13815.77|$21448.00|$1332.47|$13815.77|$9694.48|$3132.70|$9694.48|$9694.48|$9694.48|$9694.48|$9694.48|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 159"|"Dental And Oral Diseases Without Cc/McC"|0.00|$21394.00|$1732.63|$9226.00|$14976.00|$1732.63|$8627.60|$1810.21|$1810.21|$9226.00|$9226.00|$9226.00|$9226.00|$9226.00|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 163"|"Major Chest Procedures With McC"|0.00|$190604.00|$793.61|$106737.89|$133423.00|$793.61|$106737.89|$829.16|$829.16|$73456.41|$73456.41|$73456.41|$73456.41|$73456.41|$16562.00|$16598.40|$14077.70
"MS-DRG V37 (FY 2020) 164"|"Major Chest Procedures With Cc"|0.00|$147036.00|$1113.37|$86807.10|$102925.00|$1113.37|$86807.10|$1163.26|$1163.26|$39726.78|$39726.78|$39726.78|$58708.00|$39726.78|$8008.00|$8025.60|$6806.80
"MS-DRG V37 (FY 2020) 165"|"Major Chest Procedures Without Cc/McC"|0.00|$113762.00|$364.34|$60507.97|$79633.00|$364.34|$60507.97|$380.65|$380.65|$26592.52|$26592.52|$26592.52|$28766.42|$26592.52|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 166"|"Other Respiratory System O.R. Procedures With McC"|0.00|$128422.00|$3194.40|$58960.40|$89895.00|$3194.40|$58960.40|$3337.42|$3337.42|$48414.00|$48414.00|$48414.00|$48414.00|$48414.00|$14560.00|$14592.00|$12376.00
"MS-DRG V37 (FY 2020) 167"|"Other Respiratory System O.R. Procedures With Cc"|0.00|$102445.00|$5723.90|$31270.12|$71712.00|$28048.99|$31270.12|$28048.99|$28048.99|$28048.99|$28048.99|$28048.99|$28048.99|$28048.99|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 168"|"Other Respiratory System O.R. Procedures Without Cc/McC"|0.00|$83490.00|$229.97|$35671.95|$58443.00|$229.97|$35671.95|$240.29|$240.29|$15063.40|$15063.40|$15063.40|$15063.40|$15063.40|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 175"|"Pulmonary Embolism With McC Or Acute Cor Pulmonale"|0.00|$32104.00|$6342.70|$43725.35|$22473.00|$17758.30|$17758.30|$43725.35|$19925.76|$19925.76|$19925.76|$19925.76|$21770.00|$19925.76|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 176"|"Pulmonary Embolism Without McC"|0.00|$46998.00|$4022.20|$15726.17|$32899.00|$10197.05|$15726.17|$11619.31|$11328.48|$11328.48|$11328.48|$11328.48|$11547.48|$11328.48|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 177"|"Respiratory Infections And Inflammations With McC"|0.00|$50199.00|$96.99|$27812.36|$35139.00|$96.99|$21200.88|$101.33|$101.33|$27812.36|$27812.36|$27812.36|$27812.36|$27812.36|$9828.00|$9849.60|$8353.80
"MS-DRG V37 (FY 2020) 178"|"Respiratory Infections And Inflammations With Cc"|0.00|$38622.00|$162.47|$21437.02|$27035.00|$162.47|$21437.02|$169.74|$169.74|$18175.32|$18175.32|$18175.32|$20233.81|$18175.32|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 179"|"Respiratory Infections And Inflammations Without Cc/McC"|0.00|$27389.00|$4641.00|$24760.38|$19172.00|$10517.58|$24760.38|$10517.58|$10517.58|$10517.58|$10517.58|$10517.58|$10517.58|$10517.58|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 180"|"Respiratory Neoplasms With McC"|0.00|$69193.00|$7580.30|$33523.00|$48435.00|$22202.13|$29420.88|$33523.00|$22202.13|$22202.13|$22202.13|$22202.13|$24212.77|$22202.13|$8918.00|$8937.60|$7580.30
"MS-DRG V37 (FY 2020) 181"|"Respiratory Neoplasms With Cc"|0.00|$48353.00|$276.71|$15353.86|$33847.00|$276.71|$15353.86|$289.10|$289.10|$9740.58|$9740.58|$9740.58|$9740.58|$9740.58|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 182"|"Respiratory Neoplasms Without Cc/McC"|0.00|$33303.00|$131.49|$4012.80|$23312.00|$131.49|$1889.87|$137.38|$137.38|$1047.72|$1047.72|$1047.72|$1047.72|$1047.72|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 183"|"Major Chest Trauma With McC"|0.00|$54153.00|$0.00|$0.00|$37907.00||||||||||||
"MS-DRG V37 (FY 2020) 184"|"Major Chest Trauma With Cc"|0.00|$42898.00|$4795.70|$18171.09|$30029.00|$11953.10|$18171.09|$11953.10|$11953.10|$11953.10|$11953.10|$11953.10|$11953.10|$11953.10|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 185"|"Major Chest Trauma Without Cc/McC"|0.00|$28648.00|$247.23|$7790.57|$20054.00|$247.23|$7790.57|$258.30|$258.30|$7163.54|$7163.54|$7163.54|$7163.54|$7163.54|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 186"|"Pleural Effusion With McC"|0.00|$57251.00|$4364.55|$41242.07|$40076.00|$4364.55|$41242.07|$4559.98|$4559.98|$16423.64|$16423.64|$16423.64|$16423.64|$16423.64|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 187"|"Pleural Effusion With Cc"|0.00|$47189.00|$370.01|$27078.16|$33032.00|$370.01|$27078.16|$386.58|$386.58|$11612.25|$11612.25|$11612.25|$11612.25|$11612.25|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 188"|"Pleural Effusion Without Cc/McC"|0.00|$38373.00|$0.00|$0.00|$26861.00||||||||||||
"MS-DRG V37 (FY 2020) 189"|"Pulmonary Edema And Respiratory Failure"|0.00|$50747.00|$185.77|$20362.47|$35523.00|$185.77|$20362.47|$194.09|$194.09|$18460.19|$18460.19|$18460.19|$18460.19|$18460.19|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 190"|"Chronic Obstructive Pulmonary Disease With McC"|0.00|$39588.00|$1683.88|$21100.33|$27712.00|$1683.88|$21100.33|$1759.27|$1759.27|$18573.57|$18573.57|$18573.57|$18573.57|$18573.57|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 191"|"Chronic Obstructive Pulmonary Disease With Cc"|0.00|$34911.00|$4486.30|$15009.12|$24438.00|$10155.65|$15009.12|$10155.65|$10155.65|$10155.65|$10155.65|$10155.65|$10155.65|$10155.65|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 192"|"Chronic Obstructive Pulmonary Disease Without Cc/McC"|0.00|$27178.00|$47.24|$9592.13|$19025.00|$47.24|$9592.13|$49.35|$49.35|$6577.63|$6577.63|$6577.63|$6577.63|$6577.63|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 193"|"Simple Pneumonia And Pleurisy With McC"|0.00|$46278.00|$6342.70|$21000.03|$32395.00|$15073.05|$21000.03|$19754.87|$19754.87|$19754.87|$19754.87|$19754.87|$19754.87|$19754.87|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 194"|"Simple Pneumonia And Pleurisy With Cc"|0.00|$32097.00|$4795.70|$17912.42|$22468.00|$8436.17|$15416.70|$17912.42|$14274.05|$14274.05|$14274.05|$14274.05|$14274.05|$14274.05|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 195"|"Simple Pneumonia And Pleurisy Without Cc/McC"|0.00|$26590.00|$278.88|$12183.82|$18613.00|$278.88|$12183.82|$291.38|$291.38|$8496.04|$8496.04|$8496.04|$11242.15|$8496.04|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 196"|"Interstitial Lung Disease With McC"|0.00|$57632.00|$198.99|$25475.93|$40342.00|$198.99|$25475.93|$207.90|$207.90|$22180.41|$22180.41|$22180.41|$22180.41|$22180.41|$8736.00|$8755.20|$7425.60
"MS-DRG V37 (FY 2020) 197"|"Interstitial Lung Disease With Cc"|0.00|$47172.00|$1784.38|$50186.36|$33020.00|$1784.38|$50186.36|$1864.27|$1864.27|$24637.20|$24637.20|$24637.20|$24637.20|$24637.20|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 198"|"Interstitial Lung Disease Without Cc/McC"|0.00|$33106.00|$0.00|$0.00|$23174.00||||||||||||
"MS-DRG V37 (FY 2020) 199"|"Pneumothorax With McC"|0.00|$51090.00|$1427.94|$33263.02|$35763.00|$1427.94|$23227.09|$1491.88|$1491.88|$33263.02|$33263.02|$33263.02|$33263.02|$33263.02|$9282.00|$9302.40|$7889.70
"MS-DRG V37 (FY 2020) 200"|"Pneumothorax With Cc"|0.00|$39954.00|$398.97|$18193.77|$27968.00|$398.97|$18193.77|$416.84|$416.84|$12362.50|$12362.50|$12362.50|$12362.50|$12362.50|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 201"|"Pneumothorax Without Cc/McC"|0.00|$23884.00|$36.02|$12032.87|$16719.00|$36.02|$12032.87|$37.63|$37.63|$11725.20|$11725.20|$11725.20|$11725.20|$11725.20|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 202"|"Bronchitis And Asthma With Cc/McC"|0.00|$39249.00|$231.31|$17427.81|$27474.00|$231.31|$17427.81|$241.68|$241.68|$12552.80|$12552.80|$12552.80|$15969.62|$12552.80|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 203"|"Bronchitis And Asthma Without Cc/McC"|0.00|$26560.00|$66.34|$17284.75|$18592.00|$66.34|$12745.92|$69.30|$69.30|$10633.30|$10633.30|$10633.30|$17284.75|$10633.30|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 204"|"Respiratory Signs And Symptoms"|0.00|$37782.00|$1212.53|$17778.72|$26447.00|$1212.53|$17778.72|$1266.82|$1266.82|$11944.56|$11944.56|$11944.56|$11944.56|$11944.56|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 205"|"Other Respiratory System Diagnoses With McC"|0.00|$68245.00|$738.35|$16949.90|$47772.00|$738.35|$16949.90|$771.39|$771.39|$13669.45|$13669.45|$13669.45|$13669.45|$13669.45|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 206"|"Other Respiratory System Diagnoses Without McC"|0.00|$37290.00|$3867.50|$20336.75|$26103.00|$14913.00|$20336.75|$14913.00|$14913.00|$14913.00|$14913.00|$14913.00|$14913.00|$14913.00|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 207"|"Respiratory System Diagnosis With Ventilator Support >96 Hours"|0.00|$261018.00|$18409.30|$113085.03|$182713.00|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$113085.03|$86446.96|$21658.00|$21705.60|$18409.30
"MS-DRG V37 (FY 2020) 208"|"Respiratory System Diagnosis With Ventilator Support <=96 Hours"|0.00|$110617.00|$1982.71|$48505.33|$77432.00|$1982.71|$48505.33|$28567.15|$9381.22|$28567.15|$28567.15|$28567.15|$26694.14|$28567.15|$8918.00|$8937.60|$7580.30
"MS-DRG V37 (FY 2020) 215"|"Other Heart Assist System Implant"|0.00|$430455.00|$7270.90|$194219.30|$301318.00|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 216"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC"|0.00|$390637.00|$21967.40|$113912.47|$273446.00|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$25844.00|$25900.80|$21967.40
"MS-DRG V37 (FY 2020) 217"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc"|0.00|$57209.00|$0.00|$0.00|$40046.00||||||||||||
"MS-DRG V37 (FY 2020) 219"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC"|0.00|$280698.00|$13768.30|$118165.99|$196489.00|$85530.27|$42557.40|$107452.17|$116870.53|$116870.53|$116870.53|$116870.53|$118165.99|$116870.53|$16198.00|$16233.60|$13768.30
"MS-DRG V37 (FY 2020) 220"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc"|0.00|$272195.00|$9127.30|$138388.09|$190536.00|$90380.70|$90380.70|$138388.09|$90380.70|$90380.70|$90380.70|$90380.70|$79970.52|$90380.70|$10738.00|$10761.60|$9127.30
"MS-DRG V37 (FY 2020) 221"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC"|0.00|$211554.00|$6033.30|$264838.14|$148088.00|$264838.14|$244070.54|$264838.14|$264838.14|$264838.14|$264838.14|$264838.14|$264838.14|$264838.14|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 222"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With McC"|0.00|$337250.00|$14541.80|$272942.70|$236075.00|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$17108.00|$17145.60|$14541.80
"MS-DRG V37 (FY 2020) 223"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without McC"|0.00|$217300.00|$0.00|$0.00|$152110.00||||||||||||
"MS-DRG V37 (FY 2020) 224"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With McC"|0.00|$331853.00|$11602.50|$124831.93|$232297.00|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$13650.00|$13680.00|$11602.50
"MS-DRG V37 (FY 2020) 225"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without McC"|0.00|$255482.00|$780.22|$101353.55|$178837.00|$780.22|$101353.55|$815.15|$815.15|$84807.13|$84807.13|$84807.13|$84807.13|$84807.13|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 226"|"Cardiac Defibrillator Implant Without Cardiac Catheterization With McC"|0.00|$323047.00|$973.03|$136131.33|$226133.00|$973.03|$136131.33|$1016.58|$1016.58|$100797.01|$100797.01|$100797.01|$100797.01|$100797.01|$11466.00|$11491.20|$9746.10
"MS-DRG V37 (FY 2020) 227"|"Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC"|0.00|$193081.00|$470.16|$94042.08|$135157.00|$470.16|$94042.08|$491.21|$491.21|$93659.53|$93659.53|$93659.53|$93659.53|$93659.53|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 228"|"Other Cardiothoracic Procedures With McC"|0.00|$277720.00|$12840.10|$94747.11|$194404.00|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$15106.00|$15139.20|$12840.10
"MS-DRG V37 (FY 2020) 229"|"Other Cardiothoracic Procedures Without McC"|0.00|$216354.00|$0.00|$0.00|$151448.00||||||||||||
"MS-DRG V37 (FY 2020) 231"|"Coronary Bypass With Ptca With McC"|0.00|$422275.00|$16552.90|$201620.75|$295592.00|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$19474.00|$19516.80|$16552.90
"MS-DRG V37 (FY 2020) 232"|"Coronary Bypass With Ptca Without McC"|0.00|$228278.00|$0.00|$0.00|$159795.00||||||||||||
"MS-DRG V37 (FY 2020) 233"|"Coronary Bypass With Cardiac Catheterization With McC"|0.00|$337882.00|$17635.80|$158232.17|$236517.00|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$20748.00|$20793.60|$17635.80
"MS-DRG V37 (FY 2020) 234"|"Coronary Bypass With Cardiac Catheterization Without McC"|0.00|$317636.00|$12530.70|$127554.35|$222345.00|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$14742.00|$14774.40|$12530.70
"MS-DRG V37 (FY 2020) 235"|"Coronary Bypass Without Cardiac Catheterization With McC"|0.00|$262182.00|$13304.20|$88692.69|$183527.00|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$15652.00|$15686.40|$13304.20
"MS-DRG V37 (FY 2020) 236"|"Coronary Bypass Without Cardiac Catheterization Without McC"|0.00|$252612.00|$2401.86|$132543.10|$176828.00|$8394.22|$132543.10|$8770.12|$8770.12|$114052.08|$114052.08|$2401.86|$114052.08|$114052.08|$10920.00|$10944.00|$9282.00
"MS-DRG V37 (FY 2020) 239"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC"|0.00|$140377.00|$3305.29|$45548.77|$98264.00|$3305.29|$45548.77|$3453.27|$3453.27|$14661.00|$14661.00|$14661.00|$14661.00|$14661.00|$18928.00|$18969.60|$16088.80
"MS-DRG V37 (FY 2020) 240"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc"|0.00|$105750.00|$10829.00|$66123.00|$74025.00|$20768.85|$42761.94|$21698.78|$21698.78|$66123.00|$66123.00|$11636.63|$66123.00|$66123.00|$12740.00|$12768.00|$10829.00
"MS-DRG V37 (FY 2020) 241"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC"|0.00|$64451.00|$0.00|$0.00|$45116.00||||||||||||
"MS-DRG V37 (FY 2020) 242"|"Permanent Cardiac Pacemaker Implant With McC"|0.00|$134967.00|$2007.51|$105123.67|$94477.00|$2007.51|$105123.67|$2097.37|$2097.37|$56106.32|$56106.32|$56106.32|$56106.32|$56106.32|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 243"|"Permanent Cardiac Pacemaker Implant With Cc"|0.00|$103278.00|$462.63|$49967.98|$72295.00|$462.63|$49967.98|$483.38|$483.38|$32923.80|$32923.80|$32923.80|$32923.80|$32923.80|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 244"|"Permanent Cardiac Pacemaker Implant Without Cc/McC"|0.00|$102164.00|$881.88|$52229.36|$71515.00|$881.88|$52229.36|$921.38|$921.38|$33987.38|$33987.38|$33987.38|$33987.38|$33987.38|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 245"|"Aicd Generator Procedures"|0.00|$310899.00|$1241.53|$150108.22|$217629.00|$1241.53|$150108.22|$1297.11|$1297.11|$145341.00|$145341.00|$145341.00|$145341.00|$145341.00|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 246"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With McC Or 4+ Arteries Or Stents"|0.00|$124411.00|$418.00|$62197.35|$87088.00|$5735.88|$62197.35|$5992.72|$5992.72|$45869.47|$45869.47|$418.00|$39933.94|$45869.47|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 247"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without McC"|0.00|$102513.00|$3248.70|$58502.17|$71759.00|$22864.30|$52003.53|$58502.17|$28254.17|$28254.17|$28254.17|$28254.17|$29966.15|$28254.17|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 248"|"Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With McC Or 4+ Arteries Or Stents"|0.00|$107714.00|$0.00|$0.00|$75400.00||||||||||||
"MS-DRG V37 (FY 2020) 249"|"Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without McC"|0.00|$81921.00|$0.00|$0.00|$57345.00||||||||||||
"MS-DRG V37 (FY 2020) 250"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With McC"|0.00|$94342.00|$1287.74|$42160.03|$66039.00|$1287.74|$42160.03|$1345.40|$1345.40|$21832.31|$21832.31|$21832.31|$21832.31|$21832.31|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 251"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without McC"|0.00|$79134.00|$542.37|$41678.72|$55394.00|$542.37|$41678.72|$566.67|$566.67|$16120.64|$16120.64|$16120.64|$16120.64|$16120.64|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 252"|"Other Vascular Procedures With McC"|0.00|$137025.00|$1569.15|$62704.40|$95918.00|$1569.15|$62704.40|$1639.43|$1639.43|$50124.08|$50124.08|$50124.08|$49442.19|$50124.08|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 253"|"Other Vascular Procedures With Cc"|0.00|$125614.00|$349.90|$64618.14|$87930.00|$349.90|$64618.14|$365.57|$365.57|$39286.68|$39286.68|$39286.68|$39996.57|$39286.68|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 254"|"Other Vascular Procedures Without Cc/McC"|0.00|$94532.00|$3248.70|$61620.95|$66172.00|$27272.78|$61620.95|$27272.78|$27272.78|$27272.78|$27272.78|$27272.78|$27272.78|$27272.78|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 255"|"Upper Limb And Toe Amputation For Circulatory System Disorders With McC"|0.00|$60956.00|$5194.00|$53234.52|$42669.00|$5194.00|$53234.52|$6483.60|$23170.20|$35431.62|$35431.62|$35431.62|$35431.62|$35431.62|$11830.00|$11856.00|$10055.50
"MS-DRG V37 (FY 2020) 256"|"Upper Limb And Toe Amputation For Circulatory System Disorders With Cc"|0.00|$69243.00|$181.74|$15133.14|$48470.00|$181.74|$15133.14|$189.88|$189.88|$14835.05|$14835.05|$14835.05|$14835.05|$14835.05|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 257"|"Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC"|0.00|$29814.00|$0.00|$0.00|$20870.00||||||||||||
"MS-DRG V37 (FY 2020) 258"|"Cardiac Pacemaker Device Replacement With McC"|0.00|$73655.00|$7735.00|$32868.79|$51558.00|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 259"|"Cardiac Pacemaker Device Replacement Without McC"|0.00|$133038.00|$0.00|$0.00|$93127.00||||||||||||
"MS-DRG V37 (FY 2020) 260"|"Cardiac Pacemaker Revision Except Device Replacement With McC"|0.00|$165748.00|$0.00|$0.00|$116024.00||||||||||||
"MS-DRG V37 (FY 2020) 261"|"Cardiac Pacemaker Revision Except Device Replacement With Cc"|0.00|$86431.00|$1021.92|$39399.20|$60502.00|$1021.92|$39399.20|$1067.68|$1067.68|$30013.76|$30013.76|$30013.76|$30013.76|$30013.76|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 262"|"Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC"|0.00|$45387.00|$0.00|$0.00|$31771.00||||||||||||
"MS-DRG V37 (FY 2020) 263"|"Vein Ligation And Stripping"|0.00|$70281.00|$3297.41|$46946.77|$49197.00|$3297.41|$46946.77|$3445.06|$3445.06|$34745.48|$34745.48|$34745.48|$34745.48|$34745.48|$8008.00|$8025.60|$6806.80
"MS-DRG V37 (FY 2020) 264"|"Other Circulatory System O.R. Procedures"|0.00|$139681.00|$10055.50|$48803.14|$97777.00|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$11830.00|$11856.00|$10055.50
"MS-DRG V37 (FY 2020) 265"|"Aicd Lead Procedures"|0.00|$150948.00|$0.00|$0.00|$105664.00||||||||||||
"MS-DRG V37 (FY 2020) 266"|"Endovascular Cardiac Valve Replacement And Supplement Procedures With McC"|0.00|$275818.00|$1103.47|$136791.04|$193073.00|$1103.47|$136791.04|$1152.89|$1152.89|$107333.74|$107333.74|$107333.74|$107333.74|$107333.74|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 267"|"Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC"|0.00|$263942.00|$852.07|$131837.05|$184759.00|$852.07|$131837.05|$890.24|$890.24|$84416.76|$84416.76|$84416.76|$84416.76|$84416.76|$3094.00|$3100.80|$2629.90
"MS-DRG V37 (FY 2020) 268"|"Aortic And Heart Assist Procedures Except Pulsation Balloon With McC"|0.00|$324451.00|$293.30|$87148.10|$227116.00|$293.30|$78262.69|$306.46|$306.46|$87148.10|$87148.10|$87148.10|$87148.10|$87148.10|$11466.00|$11491.20|$9746.10
"MS-DRG V37 (FY 2020) 269"|"Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC"|0.00|$219519.00|$462.12|$102387.87|$153663.00|$462.12|$102387.87|$482.83|$482.83|$49693.90|$49693.90|$49693.90|$49693.90|$49693.90|$2912.00|$2918.40|$2475.20
"MS-DRG V37 (FY 2020) 270"|"Other Major Cardiovascular Procedures With McC"|0.00|$209732.00|$890.42|$77020.93|$146812.00|$890.42|$72303.98|$930.31|$930.31|$54914.21|$54914.21|$54914.21|$77020.93|$54914.21|$12012.00|$12038.40|$10210.20
"MS-DRG V37 (FY 2020) 271"|"Other Major Cardiovascular Procedures With Cc"|0.00|$154281.00|$6652.10|$62946.46|$107997.00|$40992.90|$40992.90|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 272"|"Other Major Cardiovascular Procedures Without Cc/McC"|0.00|$120377.00|$1192.61|$76315.94|$84264.00|$1192.61|$76315.94|$1246.01|$1246.01|$39206.79|$39206.79|$39206.79|$39206.79|$39206.79|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 273"|"Percutaneous And Other Intracardiac Procedures With McC"|0.00|$169057.00|$851.73|$79007.87|$118340.00|$851.73|$79007.87|$889.90|$889.90|$55921.64|$55921.64|$55921.64|$55921.64|$55921.64|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 274"|"Percutaneous And Other Intracardiac Procedures Without McC"|0.00|$149060.00|$256.77|$69272.11|$104342.00|$256.77|$69272.11|$268.26|$268.26|$37782.10|$37782.10|$37782.10|$37782.10|$37782.10|$2912.00|$2918.40|$2475.20
"MS-DRG V37 (FY 2020) 280"|"Acute Myocardial Infarction, Discharged Alive With McC"|0.00|$44208.00|$6342.70|$24510.09|$30946.00|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$24510.09|$18701.30|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 281"|"Acute Myocardial Infarction, Discharged Alive With Cc"|0.00|$35115.00|$1462.95|$23487.15|$24580.00|$1462.95|$23487.15|$1528.45|$1528.45|$10719.15|$10719.15|$10719.15|$10719.15|$10719.15|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 282"|"Acute Myocardial Infarction, Discharged Alive Without Cc/McC"|0.00|$51911.00|$2784.60|$28126.69|$36338.00|$10803.76|$28126.69|$10803.76|$10803.76|$10803.76|$10803.76|$10803.76|$10934.74|$10803.76|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 283"|"Acute Myocardial Infarction, Expired With McC"|0.00|$67914.00|$4486.30|$19339.58|$47540.00|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 284"|"Acute Myocardial Infarction, Expired With Cc"|0.00|$45835.00|$0.00|$0.00|$32084.00||||||||||||
"MS-DRG V37 (FY 2020) 286"|"Circulatory Disorders Except Ami, With Cardiac Catheterization With McC"|0.00|$93481.00|$3044.14|$47270.92|$65437.00|$3044.14|$47270.92|$3180.46|$3180.46|$28287.34|$28287.34|$28287.34|$33370.92|$28287.34|$9646.00|$9667.20|$8199.10
"MS-DRG V37 (FY 2020) 287"|"Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC"|0.00|$65085.00|$534.00|$30706.12|$45560.00|$534.00|$30706.12|$557.91|$557.91|$14692.40|$14692.40|$14692.40|$17332.80|$14692.40|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 288"|"Acute And Subacute Endocarditis With McC"|0.00|$89911.00|$1096.48|$33104.76|$62938.00|$1096.48|$33104.76|$1145.56|$1145.56|$18389.52|$18389.52|$18389.52|$18389.52|$18389.52|$12922.00|$12950.40|$10983.70
"MS-DRG V37 (FY 2020) 289"|"Acute And Subacute Endocarditis With Cc"|0.00|$47375.00|$968.32|$23876.88|$33162.00|$968.32|$23876.88|$1011.69|$1011.69|$17651.38|$17651.38|$17651.38|$17651.38|$17651.38|$9646.00|$9667.20|$8199.10
"MS-DRG V37 (FY 2020) 290"|"Acute And Subacute Endocarditis Without Cc/McC"|0.00|$31358.00|$968.32|$23876.88|$21951.00|$968.32|$23876.88|$1011.69|$1011.69|$14367.00|$14367.00|$14367.00|$14367.00|$14367.00|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 291"|"Heart Failure And Shock With McC"|0.00|$29057.00|$706.35|$24169.81|$20340.00|$706.35|$24169.81|$737.98|$737.98|$20283.90|$20283.90|$20283.90|$20283.90|$20283.90|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 292"|"Heart Failure And Shock With Cc"|0.00|$44396.00|$120.44|$26759.61|$31077.00|$120.44|$26759.61|$125.82|$125.82|$21929.95|$21929.95|$21929.95|$21929.95|$21929.95|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 293"|"Heart Failure And Shock Without Cc/McC"|0.00|$28714.00|$439.67|$14577.45|$20100.00|$439.67|$14577.45|$459.37|$459.37|$7504.90|$7504.90|$7504.90|$7504.90|$7504.90|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 294"|"Deep Vein Thrombophlebitis With Cc/McC"|0.00|$38418.00|$482.92|$28178.26|$26893.00|$482.92|$28178.26|$504.55|$504.55|$20028.88|$20028.88|$20028.88|$20028.88|$20028.88|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 296"|"Cardiac Arrest, Unexplained With McC"|0.00|$101097.00|$0.00|$0.00|$70768.00||||||||||||
"MS-DRG V37 (FY 2020) 297"|"Cardiac Arrest, Unexplained With Cc"|0.00|$69372.00|$0.00|$0.00|$48560.00||||||||||||
"MS-DRG V37 (FY 2020) 299"|"Peripheral Vascular Disorders With McC"|0.00|$47350.00|$669.50|$34297.35|$33145.00|$669.50|$34297.35|$699.47|$699.47|$23081.26|$23081.26|$23081.26|$23081.26|$23081.26|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 300"|"Peripheral Vascular Disorders With Cc"|0.00|$35986.00|$561.29|$20482.17|$25190.00|$561.29|$20482.17|$586.42|$586.42|$14427.00|$14427.00|$14427.00|$15708.04|$14427.00|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 301"|"Peripheral Vascular Disorders Without Cc/McC"|0.00|$33125.00|$3403.40|$15192.59|$23188.00|$8538.75|$15192.59|$8538.75|$8538.75|$8538.75|$8538.75|$8538.75|$8538.75|$8538.75|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 302"|"Atherosclerosis With McC"|0.00|$41444.00|$0.00|$0.00|$29011.00||||||||||||
"MS-DRG V37 (FY 2020) 303"|"Atherosclerosis Without McC"|0.00|$32792.00|$85.44|$12783.35|$22954.00|$85.44|$12783.35|$89.27|$89.27|$4532.06|$4532.06|$4532.06|$4532.06|$4532.06|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 304"|"Hypertension With McC"|0.00|$43682.00|$450.40|$29222.56|$30577.00|$450.40|$29222.56|$470.57|$7866.77|$16451.09|$16451.09|$16451.09|$16451.09|$16451.09|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 305"|"Hypertension Without McC"|0.00|$34562.00|$108.37|$18886.02|$24193.00|$108.37|$18886.02|$113.21|$113.21|$14629.75|$14629.75|$14629.75|$11130.67|$14629.75|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 306"|"Cardiac Congenital And Valvular Disorders With McC"|0.00|$51782.00|$34.19|$22663.77|$36247.00|$34.19|$13551.04|$35.71|$35.71|$22663.77|$22663.77|$22663.77|$22663.77|$22663.77|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 307"|"Cardiac Congenital And Valvular Disorders Without McC"|0.00|$41652.00|$421.42|$25848.17|$29156.00|$421.42|$25848.17|$440.32|$440.32|$13088.52|$13088.52|$13088.52|$13088.52|$13088.52|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 308"|"Cardiac Arrhythmia And Conduction Disorders With McC"|0.00|$44260.00|$768.82|$19156.00|$30982.00|$768.82|$18632.89|$803.24|$803.24|$19156.00|$19156.00|$19156.00|$18075.85|$19156.00|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 309"|"Cardiac Arrhythmia And Conduction Disorders With Cc"|0.00|$32227.00|$288.10|$13217.15|$22559.00|$288.10|$13217.15|$301.00|$301.00|$9321.45|$9321.45|$9321.45|$12116.16|$9321.45|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 310"|"Cardiac Arrhythmia And Conduction Disorders Without Cc/McC"|0.00|$25635.00|$100.16|$11775.35|$17944.00|$100.16|$11775.35|$104.66|$104.66|$8416.20|$8416.20|$8416.20|$7134.12|$8416.20|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 311"|"Angina Pectoris"|0.00|$32604.00|$294.97|$17433.99|$22823.00|$294.97|$17433.99|$308.18|$308.18|$10505.18|$10505.18|$10505.18|$10505.18|$10505.18|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 312"|"Syncope And Collapse"|0.00|$37228.00|$2697.59|$23420.00|$26060.00|$2697.59|$23420.00|$2818.37|$2818.37|$12618.28|$12618.28|$12618.28|$12618.28|$12618.28|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 313"|"Chest Pain"|0.00|$32493.00|$1121.07|$24396.12|$22745.00|$1121.07|$14941.33|$1171.26|$1171.26|$24396.12|$24396.12|$24396.12|$24396.12|$24396.12|$3094.00|$3100.80|$2629.90
"MS-DRG V37 (FY 2020) 314"|"Other Circulatory System Diagnoses With McC"|0.00|$62225.00|$1113.88|$31401.00|$43558.00|$1113.88|$21240.46|$1163.76|$1163.76|$23959.10|$23959.10|$23959.10|$31401.00|$23959.10|$8736.00|$8755.20|$7425.60
"MS-DRG V37 (FY 2020) 315"|"Other Circulatory System Diagnoses With Cc"|0.00|$42492.00|$536.33|$21580.63|$29744.00|$536.33|$21580.63|$560.34|$560.34|$12459.16|$12459.16|$12459.16|$12459.16|$12459.16|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 316"|"Other Circulatory System Diagnoses Without Cc/McC"|0.00|$31326.00|$763.63|$17188.53|$21928.00|$763.63|$17188.53|$797.83|$797.83|$11296.46|$11296.46|$11296.46|$11296.46|$11296.46|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 319"|"Other Endovascular Cardiac Valve Procedures With McC"|0.00|$135088.00|$0.00|$0.00|$94562.00||||||||||||
"MS-DRG V37 (FY 2020) 320"|"Other Endovascular Cardiac Valve Procedures Without McC"|0.00|$89801.00|$0.00|$0.00|$62861.00||||||||||||
"MS-DRG V37 (FY 2020) 326"|"Stomach, Esophageal And Duodenal Procedures With McC"|0.00|$197581.00|$15005.90|$79436.98|$138307.00|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$17654.00|$17692.80|$15005.90
"MS-DRG V37 (FY 2020) 327"|"Stomach, Esophageal And Duodenal Procedures With Cc"|0.00|$129850.00|$5147.11|$72267.91|$90895.00|$5147.11|$72267.91|$5377.57|$5377.57|$33924.80|$33924.80|$33924.80|$38778.75|$33924.80|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 328"|"Stomach, Esophageal And Duodenal Procedures Without Cc/McC"|0.00|$75891.00|$491.94|$31728.77|$53124.00|$491.94|$31728.77|$513.99|$513.99|$23205.41|$23205.41|$23205.41|$23205.41|$23205.41|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 329"|"Major Small And Large Bowel Procedures With McC"|0.00|$180904.00|$15779.40|$73961.32|$126633.00|$55778.45|$55778.45|$73740.99|$73103.72|$73103.72|$73103.72|$73103.72|$73961.32|$73103.72|$18564.00|$18604.80|$15779.40
"MS-DRG V37 (FY 2020) 330"|"Major Small And Large Bowel Procedures With Cc"|0.00|$103843.00|$8663.20|$49692.34|$72690.00|$29198.50|$49692.34|$29812.83|$32472.25|$32472.25|$32472.25|$32472.25|$38083.93|$32472.25|$10192.00|$10214.40|$8663.20
"MS-DRG V37 (FY 2020) 331"|"Major Small And Large Bowel Procedures Without Cc/McC"|0.00|$80329.00|$252.76|$40860.04|$56230.00|$252.76|$40860.04|$264.09|$264.09|$25774.63|$25774.63|$25774.63|$25774.63|$25774.63|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 332"|"Rectal Resection With McC"|0.00|$121758.00|$0.00|$0.00|$85231.00||||||||||||
"MS-DRG V37 (FY 2020) 333"|"Rectal Resection With Cc"|0.00|$116674.00|$0.00|$0.00|$81672.00||||||||||||
"MS-DRG V37 (FY 2020) 334"|"Rectal Resection Without Cc/McC"|0.00|$117789.00|$487.92|$59364.93|$82452.00|$487.92|$59364.93|$509.78|$509.78|$18505.80|$18505.80|$18505.80|$18505.80|$18505.80|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 335"|"Peritoneal Adhesiolysis With McC"|0.00|$149878.00|$14387.10|$114814.00|$104915.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$16926.00|$16963.20|$14387.10
"MS-DRG V37 (FY 2020) 336"|"Peritoneal Adhesiolysis With Cc"|0.00|$100486.00|$973.83|$66475.85|$70340.00|$973.83|$66475.85|$1017.45|$1017.45|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$10738.00|$10761.60|$9127.30
"MS-DRG V37 (FY 2020) 337"|"Peritoneal Adhesiolysis Without Cc/McC"|0.00|$75888.00|$459.44|$35158.89|$53122.00|$459.44|$35158.89|$480.03|$480.03|$18774.90|$18774.90|$18774.90|$18774.90|$18774.90|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 338"|"Appendectomy With Complicated Principal Diagnosis With McC"|0.00|$83834.00|$0.00|$0.00|$58684.00||||||||||||
"MS-DRG V37 (FY 2020) 339"|"Appendectomy With Complicated Principal Diagnosis With Cc"|0.00|$73435.00|$6188.00|$40270.85|$51404.00|$40270.85|$38538.12|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 340"|"Appendectomy With Complicated Principal Diagnosis Without Cc/McC"|0.00|$66064.00|$305.37|$31732.60|$46245.00|$305.37|$31732.60|$319.07|$319.07|$16007.28|$16007.28|$16007.28|$18651.60|$16007.28|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 341"|"Appendectomy Without Complicated Principal Diagnosis With McC"|0.00|$98659.00|$6652.10|$41210.77|$69061.00|$14068.14|$41210.77|$14068.14|$14068.14|$14068.14|$14068.14|$14068.14|$14068.14|$14068.14|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 342"|"Appendectomy Without Complicated Principal Diagnosis With Cc"|0.00|$64272.00|$610.21|$32393.75|$44990.00|$610.21|$32393.75|$637.52|$637.52|$16480.65|$16480.65|$16480.65|$16480.65|$16480.65|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 343"|"Appendectomy Without Complicated Principal Diagnosis Without Cc/McC"|0.00|$48934.00|$2210.01|$24254.07|$34254.00|$2210.01|$24254.07|$2308.95|$2308.95|$16720.88|$16720.88|$16720.88|$16720.88|$16720.88|$3094.00|$3100.80|$2629.90
"MS-DRG V37 (FY 2020) 344"|"Minor Small And Large Bowel Procedures With McC"|0.00|$92927.00|$532.32|$40193.07|$65049.00|$532.32|$40193.07|$556.17|$556.17|$32210.35|$32210.35|$32210.35|$32210.35|$32210.35|$12740.00|$12768.00|$10829.00
"MS-DRG V37 (FY 2020) 345"|"Minor Small And Large Bowel Procedures With Cc"|0.00|$60892.00|$2934.78|$19992.12|$42624.00|$2934.78|$19992.12|$3066.19|$3066.19|$15661.83|$15661.83|$15661.83|$15661.83|$15661.83|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 346"|"Minor Small And Large Bowel Procedures Without Cc/McC"|0.00|$46720.00|$529.80|$24353.06|$32704.00|$529.80|$24353.06|$553.52|$553.52|$13701.15|$13701.15|$13701.15|$13701.15|$13701.15|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 347"|"Anal And Stomal Procedures With McC"|0.00|$89777.00|$8663.20|$45227.59|$62844.00|$37101.24|$45227.59|$37101.24|$37101.24|$37101.24|$37101.24|$37101.24|$37101.24|$37101.24|$10192.00|$10214.40|$8663.20
"MS-DRG V37 (FY 2020) 348"|"Anal And Stomal Procedures With Cc"|0.00|$56477.00|$5105.10|$29703.62|$39534.00|$21240.97|$29703.62|$21240.97|$21240.97|$21240.97|$21240.97|$21240.97|$21240.97|$21240.97|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 349"|"Anal And Stomal Procedures Without Cc/McC"|0.00|$35169.00|$835.99|$17522.90|$24618.00|$835.99|$17522.90|$873.42|$873.42|$14367.00|$14367.00|$14367.00|$14367.00|$14367.00|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 350"|"Inguinal And Femoral Hernia Procedures With McC"|0.00|$139917.00|$4566.64|$32542.47|$97942.00|$11295.06|$32542.47|$11800.81|$11800.81|$28051.95|$28051.95|$4566.64|$28051.95|$28051.95|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 351"|"Inguinal And Femoral Hernia Procedures With Cc"|0.00|$66291.00|$0.00|$0.00|$46404.00||||||||||||
"MS-DRG V37 (FY 2020) 352"|"Inguinal And Femoral Hernia Procedures Without Cc/McC"|0.00|$58576.00|$3094.00|$53634.14|$41003.00|$30918.05|$53634.14|$30918.05|$30918.05|$30918.05|$30918.05|$30918.05|$30918.05|$30918.05|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 353"|"Hernia Procedures Except Inguinal And Femoral With McC"|0.00|$117106.00|$0.00|$0.00|$81974.00||||||||||||
"MS-DRG V37 (FY 2020) 354"|"Hernia Procedures Except Inguinal And Femoral With Cc"|0.00|$72261.00|$601.82|$40504.68|$50583.00|$601.82|$40504.68|$628.79|$628.79|$24731.65|$24731.65|$24731.65|$24731.65|$24731.65|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 355"|"Hernia Procedures Except Inguinal And Femoral Without Cc/McC"|0.00|$63559.00|$431.00|$27006.56|$44491.00|$5753.28|$27006.56|$6010.90|$6010.90|$20485.86|$20485.86|$431.00|$20485.86|$20485.86|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 356"|"Other Digestive System O.R. Procedures With McC"|0.00|$152726.00|$11757.20|$61692.75|$106908.00|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$13832.00|$13862.40|$11757.20
"MS-DRG V37 (FY 2020) 357"|"Other Digestive System O.R. Procedures With Cc"|0.00|$108996.00|$7116.20|$31354.82|$76297.00|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$8372.00|$8390.40|$7116.20
"MS-DRG V37 (FY 2020) 358"|"Other Digestive System O.R. Procedures Without Cc/McC"|0.00|$62347.00|$504.48|$17411.91|$43643.00|$504.48|$17411.91|$527.11|$527.11|$7844.02|$7844.02|$7844.02|$7844.02|$7844.02|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 368"|"Major Esophageal Disorders With McC"|0.00|$53433.00|$2689.21|$18357.06|$37403.00|$2689.21|$18357.06|$2809.65|$2809.65|$16808.66|$16808.66|$16808.66|$16808.66|$16808.66|$8372.00|$8390.40|$7116.20
"MS-DRG V37 (FY 2020) 369"|"Major Esophageal Disorders With Cc"|0.00|$40659.00|$713.57|$18170.20|$28461.00|$713.57|$18170.20|$745.50|$745.50|$9578.00|$9578.00|$9578.00|$9578.00|$9578.00|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 370"|"Major Esophageal Disorders Without Cc/McC"|0.00|$14913.00|$0.00|$0.00|$10439.00||||||||||||
"MS-DRG V37 (FY 2020) 371"|"Major Gastrointestinal Disorders And Peritoneal Infections With McC"|0.00|$52363.00|$566.65|$32729.39|$36654.00|$566.65|$32729.39|$592.02|$592.02|$22467.90|$22467.90|$22467.90|$22467.90|$22467.90|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 372"|"Major Gastrointestinal Disorders And Peritoneal Infections With Cc"|0.00|$40971.00|$2946.00|$20181.30|$28680.00|$2946.00|$20181.30|$3077.91|$3077.91|$11817.40|$11817.40|$11817.40|$11817.40|$11817.40|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 373"|"Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC"|0.00|$32881.00|$85.59|$18215.75|$23017.00|$85.59|$14948.26|$89.42|$89.42|$12287.08|$12287.08|$12287.08|$18215.75|$12287.08|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 374"|"Digestive Malignancy With McC"|0.00|$65239.00|$703.88|$46436.77|$45667.00|$6118.95|$46436.77|$6392.93|$6392.93|$27831.17|$27831.17|$703.88|$30106.32|$27831.17|$10010.00|$10032.00|$8508.50
"MS-DRG V37 (FY 2020) 375"|"Digestive Malignancy With Cc"|0.00|$50359.00|$287.44|$20358.81|$35251.00|$287.44|$20358.81|$300.31|$300.31|$15393.80|$15393.80|$15393.80|$15393.80|$15393.80|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 376"|"Digestive Malignancy Without Cc/McC"|0.00|$56918.00|$0.00|$0.00|$39843.00||||||||||||
"MS-DRG V37 (FY 2020) 377"|"Gastrointestinal Hemorrhage With McC"|0.00|$65422.00|$6806.80|$43050.90|$45795.00|$21843.63|$38357.99|$23015.36|$23015.36|$23015.36|$23015.36|$23015.36|$43050.90|$23015.36|$8008.00|$8025.60|$6806.80
"MS-DRG V37 (FY 2020) 378"|"Gastrointestinal Hemorrhage With Cc"|0.00|$43083.00|$1307.17|$21130.82|$30158.00|$1307.17|$21130.82|$1365.70|$1365.70|$14892.64|$14892.64|$14892.64|$14892.64|$14892.64|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 379"|"Gastrointestinal Hemorrhage Without Cc/McC"|0.00|$25330.00|$3248.70|$20586.44|$17731.00|$9578.00|$20586.44|$9578.00|$9578.00|$9578.00|$9578.00|$9578.00|$9578.00|$9578.00|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 380"|"Complicated Peptic Ulcer With McC"|0.00|$67743.00|$7580.30|$28449.91|$47420.00|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$28449.91|$26237.23|$8918.00|$8937.60|$7580.30
"MS-DRG V37 (FY 2020) 381"|"Complicated Peptic Ulcer With Cc"|0.00|$48221.00|$1463.11|$27678.68|$33755.00|$1463.11|$27678.68|$1528.61|$1528.61|$17512.60|$17512.60|$17512.60|$17512.60|$17512.60|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 382"|"Complicated Peptic Ulcer Without Cc/McC"|0.00|$35886.00|$1649.69|$17669.23|$25120.00|$1649.69|$8905.27|$1723.54|$1723.54|$17669.23|$17669.23|$17669.23|$17669.23|$17669.23|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 383"|"Uncomplicated Peptic Ulcer With McC"|0.00|$34951.00|$0.00|$0.00|$24466.00||||||||||||
"MS-DRG V37 (FY 2020) 384"|"Uncomplicated Peptic Ulcer Without McC"|0.00|$43922.00|$3867.50|$22146.03|$30745.00|$6853.33|$22146.03|$6853.33|$6853.33|$6853.33|$6853.33|$6853.33|$6853.33|$6853.33|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 385"|"Inflammatory Bowel Disease With McC"|0.00|$56704.00|$683.04|$28804.96|$39693.00|$683.04|$28804.96|$713.66|$713.66|$24403.08|$24403.08|$24403.08|$24403.08|$24403.08|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 386"|"Inflammatory Bowel Disease With Cc"|0.00|$46665.00|$192.63|$20459.01|$32666.00|$192.63|$20459.01|$201.25|$201.25|$12692.96|$12692.96|$12692.96|$14974.03|$12692.96|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 387"|"Inflammatory Bowel Disease Without Cc/McC"|0.00|$39236.00|$151.26|$15551.91|$27465.00|$151.26|$15551.91|$158.03|$158.03|$10356.51|$10356.51|$10356.51|$10753.87|$10356.51|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 388"|"Gastrointestinal Obstruction With McC"|0.00|$42970.00|$576.87|$17385.70|$30079.00|$576.87|$15593.50|$602.71|$602.71|$17385.70|$17385.70|$17385.70|$17385.70|$17385.70|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 389"|"Gastrointestinal Obstruction With Cc"|0.00|$30790.00|$418.06|$13186.26|$21553.00|$418.06|$13186.26|$436.79|$436.79|$9908.25|$9908.25|$9908.25|$12386.17|$9908.25|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 390"|"Gastrointestinal Obstruction Without Cc/McC"|0.00|$25438.00|$352.42|$12744.52|$17807.00|$352.42|$12744.52|$368.21|$368.21|$7443.30|$7443.30|$7443.30|$8780.95|$7443.30|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 391"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC"|0.00|$45032.00|$1195.96|$19339.41|$31522.00|$1195.96|$19339.41|$1249.52|$1249.52|$15802.00|$15802.00|$15802.00|$15510.26|$15802.00|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 392"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC"|0.00|$31647.00|$239.85|$15035.32|$22153.00|$239.85|$15035.32|$250.59|$250.59|$9806.20|$9806.20|$9806.20|$9806.20|$9806.20|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 393"|"Other Digestive System Diagnoses With McC"|0.00|$56236.00|$703.65|$29802.65|$39365.00|$703.65|$29802.65|$735.19|$735.19|$24494.69|$24494.69|$24494.69|$24923.06|$24494.69|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 394"|"Other Digestive System Diagnoses With Cc"|0.00|$37146.00|$853.40|$19490.17|$26002.00|$853.40|$19490.17|$891.62|$891.62|$14146.58|$14146.58|$14146.58|$14146.58|$14146.58|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 395"|"Other Digestive System Diagnoses Without Cc/McC"|0.00|$28581.00|$3403.40|$12409.10|$20007.00|$8300.57|$12409.10|$8300.57|$8300.57|$8300.57|$8300.57|$8300.57|$8300.57|$8300.57|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 405"|"Pancreas, Liver And Shunt Procedures With McC"|0.00|$207276.00|$4497.04|$93397.75|$145093.00|$4497.04|$93397.75|$4698.43|$4698.43|$82318.87|$82318.87|$82318.87|$82318.87|$82318.87|$17290.00|$17328.00|$14696.50
"MS-DRG V37 (FY 2020) 406"|"Pancreas, Liver And Shunt Procedures With Cc"|0.00|$158301.00|$874.38|$86204.14|$110811.00|$874.38|$86204.14|$913.50|$913.50|$42064.44|$42064.44|$42064.44|$44054.04|$42064.44|$9282.00|$9302.40|$7889.70
"MS-DRG V37 (FY 2020) 407"|"Pancreas, Liver And Shunt Procedures Without Cc/McC"|0.00|$137528.00|$207.68|$55696.71|$96270.00|$207.68|$55696.71|$216.98|$216.98|$24334.00|$24334.00|$24334.00|$24334.00|$24334.00|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 408"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC"|0.00|$107861.00|$0.00|$0.00|$75503.00||||||||||||
"MS-DRG V37 (FY 2020) 409"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc"|0.00|$59297.00|$0.00|$0.00|$41508.00||||||||||||
"MS-DRG V37 (FY 2020) 410"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC"|0.00|$104449.00|$0.00|$0.00|$73114.00||||||||||||
"MS-DRG V37 (FY 2020) 411"|"Cholecystectomy With C.D.E. With McC"|0.00|$102442.00|$0.00|$0.00|$71709.00||||||||||||
"MS-DRG V37 (FY 2020) 412"|"Cholecystectomy With C.D.E. With Cc"|0.00|$196759.00|$0.00|$0.00|$137731.00||||||||||||
"MS-DRG V37 (FY 2020) 413"|"Cholecystectomy With C.D.E. Without Cc/McC"|0.00|$109138.00|$354.92|$55005.43|$76397.00|$354.92|$55005.43|$370.84|$370.84|$26095.66|$26095.66|$26095.66|$26095.66|$26095.66|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 414"|"Cholecystectomy Except By Laparoscope Without C.D.E. With McC"|0.00|$175811.00|$0.00|$0.00|$123068.00||||||||||||
"MS-DRG V37 (FY 2020) 415"|"Cholecystectomy Except By Laparoscope Without C.D.E. With Cc"|0.00|$92528.00|$3489.52|$27104.85|$64770.00|$3489.52|$27104.85|$3645.79|$3645.79|$24767.57|$24767.57|$24767.57|$24767.57|$24767.57|$8918.00|$8937.60|$7580.30
"MS-DRG V37 (FY 2020) 416"|"Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC"|0.00|$65647.00|$4641.00|$105608.47|$45953.00|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 417"|"Laparoscopic Cholecystectomy Without C.D.E. With McC"|0.00|$103496.00|$1400.12|$52696.15|$72447.00|$1400.12|$52696.15|$1462.82|$1462.82|$39851.34|$39851.34|$39851.34|$39875.56|$39851.34|$9282.00|$9302.40|$7889.70
"MS-DRG V37 (FY 2020) 418"|"Laparoscopic Cholecystectomy Without C.D.E. With Cc"|0.00|$87656.00|$881.88|$44565.00|$61359.00|$881.88|$44565.00|$921.39|$921.39|$23520.30|$23520.30|$23520.30|$25443.04|$23520.30|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 419"|"Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC"|0.00|$77432.00|$509.22|$39735.25|$54202.00|$509.22|$39735.25|$532.04|$532.04|$19656.90|$19656.90|$19656.90|$19656.90|$19656.90|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 420"|"Hepatobiliary Diagnostic Procedures With McC"|0.00|$68323.00|$0.00|$0.00|$47826.00||||||||||||
"MS-DRG V37 (FY 2020) 421"|"Hepatobiliary Diagnostic Procedures With Cc"|0.00|$66786.00|$884.59|$32523.52|$46750.00|$884.59|$32523.52|$924.18|$924.18|$21952.35|$21952.35|$21952.35|$21952.35|$21952.35|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 422"|"Hepatobiliary Diagnostic Procedures Without Cc/McC"|0.00|$91271.00|$0.00|$0.00|$63890.00||||||||||||
"MS-DRG V37 (FY 2020) 423"|"Other Hepatobiliary Or Pancreas O.R. Procedures With McC"|0.00|$132021.00|$12994.80|$74668.74|$92415.00|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$15288.00|$15321.60|$12994.80
"MS-DRG V37 (FY 2020) 424"|"Other Hepatobiliary Or Pancreas O.R. Procedures With Cc"|0.00|$78775.00|$0.00|$0.00|$55142.00||||||||||||
"MS-DRG V37 (FY 2020) 425"|"Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC"|0.00|$93641.00|$0.00|$0.00|$65549.00||||||||||||
"MS-DRG V37 (FY 2020) 432"|"Cirrhosis And Alcoholic Hepatitis With McC"|0.00|$29967.00|$1667.66|$31903.37|$20977.00|$1667.66|$31903.37|$1742.32|$1742.32|$25405.43|$25405.43|$25405.43|$27482.28|$25405.43|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 433"|"Cirrhosis And Alcoholic Hepatitis With Cc"|0.00|$42794.00|$3504.27|$21568.27|$29956.00|$3504.27|$21568.27|$3661.18|$3661.18|$16304.57|$16304.57|$16304.57|$17272.55|$16304.57|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 434"|"Cirrhosis And Alcoholic Hepatitis Without Cc/McC"|0.00|$29956.00|$292.14|$13706.68|$20969.00|$292.14|$13706.68|$305.20|$305.20|$7916.01|$7916.01|$7916.01|$7916.01|$7916.01|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 435"|"Malignancy Of Hepatobiliary System Or Pancreas With McC"|0.00|$73807.00|$7425.60|$37400.47|$51665.00|$26418.20|$37400.47|$26418.20|$26418.20|$26418.20|$26418.20|$26418.20|$26418.20|$26418.20|$8736.00|$8755.20|$7425.60
"MS-DRG V37 (FY 2020) 436"|"Malignancy Of Hepatobiliary System Or Pancreas With Cc"|0.00|$44690.00|$659.61|$9105.50|$31283.00|$659.61|$9105.50|$689.15|$689.15|$5270.35|$5270.35|$5270.35|$5270.35|$5270.35|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 437"|"Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC"|0.00|$55500.00|$0.00|$0.00|$38850.00||||||||||||
"MS-DRG V37 (FY 2020) 438"|"Disorders Of Pancreas Except Malignancy With McC"|0.00|$56156.00|$7116.20|$27446.69|$39309.00|$18357.45|$27446.69|$23945.00|$23945.00|$23945.00|$23945.00|$23945.00|$24059.43|$23945.00|$8372.00|$8390.40|$7116.20
"MS-DRG V37 (FY 2020) 439"|"Disorders Of Pancreas Except Malignancy With Cc"|0.00|$34841.00|$4795.70|$16395.24|$24389.00|$8109.62|$16395.24|$9710.60|$9710.60|$9710.60|$9710.60|$9710.60|$12726.80|$9710.60|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 440"|"Disorders Of Pancreas Except Malignancy Without Cc/McC"|0.00|$28272.00|$448.57|$14249.10|$19790.00|$448.57|$14249.10|$468.65|$468.65|$9132.12|$9132.12|$9132.12|$9132.12|$9132.12|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 441"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC"|0.00|$74653.00|$921.60|$28391.13|$52257.00|$921.60|$22089.32|$962.91|$962.91|$27890.74|$27890.74|$27890.74|$28391.13|$27890.74|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 442"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc"|0.00|$43124.00|$1348.38|$26503.99|$30187.00|$1348.38|$26503.99|$14068.20|$3149.30|$14068.20|$14068.20|$14068.20|$14068.20|$14068.20|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 443"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC"|0.00|$29918.00|$32.16|$13256.72|$20943.00|$32.16|$13256.72|$33.60|$33.60|$9590.42|$9590.42|$9590.42|$9590.42|$9590.42|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 444"|"Disorders Of The Biliary Tract With McC"|0.00|$64070.00|$6806.80|$32196.24|$44849.00|$19156.00|$32196.24|$19156.00|$19156.00|$19156.00|$19156.00|$19156.00|$25152.15|$19156.00|$8008.00|$8025.60|$6806.80
"MS-DRG V37 (FY 2020) 445"|"Disorders Of The Biliary Tract With Cc"|0.00|$50665.00|$789.24|$32652.05|$35466.00|$789.24|$32652.05|$824.60|$824.60|$16229.53|$16229.53|$16229.53|$16229.53|$16229.53|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 446"|"Disorders Of The Biliary Tract Without Cc/McC"|0.00|$45999.00|$402.34|$12434.55|$32199.00|$402.34|$12434.55|$420.36|$420.36|$10427.77|$10427.77|$10427.77|$10427.77|$10427.77|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 453"|"Combined Anterior And Posterior Spinal Fusion With McC"|0.00|$390259.00|$11602.50|$142628.53|$273181.00|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$13650.00|$13680.00|$11602.50
"MS-DRG V37 (FY 2020) 454"|"Combined Anterior And Posterior Spinal Fusion With Cc"|0.00|$276408.00|$1274.65|$139311.97|$193486.00|$1274.65|$139311.97|$1331.75|$1331.75|$88452.05|$88452.05|$88452.05|$92316.00|$88452.05|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 455"|"Combined Anterior And Posterior Spinal Fusion Without Cc/McC"|0.00|$180202.00|$3712.80|$72209.95|$126141.00|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 456"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC"|0.00|$379839.00|$2051.21|$171464.87|$265887.00|$2051.21|$171464.87|$2143.05|$4709.25|$108866.59|$108866.59|$108866.59|$108866.59|$108866.59|$17290.00|$17328.00|$14696.50
"MS-DRG V37 (FY 2020) 457"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc"|0.00|$324935.00|$8044.40|$97013.12|$227454.00|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 458"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC"|0.00|$188959.00|$300.66|$95235.24|$132271.00|$300.66|$95235.24|$314.13|$314.13|$9226.00|$9226.00|$9226.00|$9226.00|$9226.00|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 459"|"Spinal Fusion Except Cervical With McC"|0.00|$218238.00|$9226.70|$215134.10|$152767.00|$9634.27|$154896.55|$9226.70|$215134.10|$199767.38|$199767.38|$215134.10|$194512.14|$184400.65|$12558.00|$12585.60|$10674.30
"MS-DRG V37 (FY 2020) 460"|"Spinal Fusion Except Cervical Without McC"|0.00|$187923.00|$2361.56|$81480.31|$131546.00|$2361.56|$81480.31|$2467.33|$2467.33|$56342.03|$56342.03|$56342.03|$59691.15|$56342.03|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 461"|"Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC"|0.00|$102171.00|$0.00|$0.00|$71520.00||||||||||||
"MS-DRG V37 (FY 2020) 462"|"Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC"|0.00|$105951.00|$4022.20|$33703.75|$74166.00|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 463"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC"|0.00|$212107.00|$15315.30|$78793.40|$148475.00|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$18018.00|$18057.60|$15315.30
"MS-DRG V37 (FY 2020) 464"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc"|0.00|$131246.00|$8508.50|$95731.74|$91872.00|$34206.75|$95731.74|$34206.75|$34206.75|$34206.75|$34206.75|$34206.75|$34206.75|$34206.75|$10010.00|$10032.00|$8508.50
"MS-DRG V37 (FY 2020) 465"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC"|0.00|$82128.00|$218.93|$33315.40|$57490.00|$218.93|$33315.40|$228.74|$228.74|$13094.39|$13094.39|$13094.39|$13094.39|$13094.39|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 466"|"Revision Of Hip Or Knee Replacement With McC"|0.00|$203680.00|$10829.00|$58934.22|$142576.00|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$12740.00|$12768.00|$10829.00
"MS-DRG V37 (FY 2020) 467"|"Revision Of Hip Or Knee Replacement With Cc"|0.00|$154300.00|$5105.10|$77809.88|$108010.00|$17836.09|$77809.88|$18634.72|$18634.72|$37684.87|$37684.87|$9448.01|$45689.53|$37684.87|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 468"|"Revision Of Hip Or Knee Replacement Without Cc/McC"|0.00|$119985.00|$475.20|$62782.19|$83990.00|$475.20|$62782.19|$496.51|$496.51|$31545.00|$31545.00|$31545.00|$46472.76|$31545.00|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 469"|"Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement"|0.00|$126638.00|$4795.70|$40115.36|$88647.00|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 470"|"Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC"|0.00|$92755.00|$242.88|$46157.40|$64928.00|$242.88|$46157.40|$253.78|$253.78|$28635.29|$28635.29|$28635.29|$28635.29|$28635.29|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 471"|"Cervical Spinal Fusion With McC"|0.00|$246393.00|$10519.60|$266274.49|$172475.00|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$12376.00|$12403.20|$10519.60
"MS-DRG V37 (FY 2020) 472"|"Cervical Spinal Fusion With Cc"|0.00|$145839.00|$3867.50|$46243.72|$102087.00|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$46243.72|$35508.80|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 473"|"Cervical Spinal Fusion Without Cc/McC"|0.00|$121518.00|$2028.94|$54287.00|$85063.00|$2028.94|$54287.00|$2119.78|$2119.78|$38285.89|$38285.89|$38285.89|$38285.89|$38285.89|$2912.00|$2918.40|$2475.20
"MS-DRG V37 (FY 2020) 474"|"Amputation For Musculoskeletal System And Connective Tissue Disorders With McC"|0.00|$163193.00|$0.00|$0.00|$114235.00||||||||||||
"MS-DRG V37 (FY 2020) 475"|"Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc"|0.00|$97915.00|$1169.33|$33612.15|$68540.00|$1169.33|$33612.15|$1221.67|$1221.67|$32097.44|$32097.44|$32097.44|$32097.44|$32097.44|$10556.00|$10579.20|$8972.60
"MS-DRG V37 (FY 2020) 476"|"Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC"|0.00|$81590.00|$0.00|$0.00|$57113.00||||||||||||
"MS-DRG V37 (FY 2020) 477"|"Biopsies Of Musculoskeletal System And Connective Tissue With McC"|0.00|$120401.00|$1598.81|$44099.53|$84281.00|$1598.81|$44099.53|$1670.38|$1670.38|$33100.67|$33100.67|$33100.67|$33100.67|$33100.67|$14742.00|$14774.40|$12530.70
"MS-DRG V37 (FY 2020) 478"|"Biopsies Of Musculoskeletal System And Connective Tissue With Cc"|0.00|$92009.00|$2930.37|$49125.75|$64406.00|$9102.45|$49125.75|$9510.01|$9510.01|$28844.13|$28844.13|$2930.37|$28844.13|$28844.13|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 479"|"Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$75372.00|$232.67|$26002.96|$52760.00|$232.67|$26002.96|$243.08|$243.08|$20806.95|$20806.95|$20806.95|$20806.95|$20806.95|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 480"|"Hip And Femur Procedures Except Major Joint With McC"|0.00|$139920.00|$149.13|$194133.73|$97944.00|$5375.58|$97843.40|$5616.28|$5616.28|$194133.73|$194133.73|$149.13|$194133.73|$194133.73|$11284.00|$11308.80|$9591.40
"MS-DRG V37 (FY 2020) 481"|"Hip And Femur Procedures Except Major Joint With Cc"|0.00|$98293.00|$291.11|$55275.12|$68805.00|$291.11|$55275.12|$304.16|$304.16|$31467.32|$31467.32|$31467.32|$31467.32|$31467.32|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 482"|"Hip And Femur Procedures Except Major Joint Without Cc/McC"|0.00|$73325.00|$310.19|$41123.05|$51328.00|$310.19|$41123.05|$324.11|$324.11|$26379.74|$26379.74|$26379.74|$26379.74|$26379.74|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 483"|"Major Joint Or Limb Reattachment Procedures Of Upper Extremities"|0.00|$105357.00|$2165.80|$58464.35|$73750.00|$19304.24|$54706.95|$33248.32|$33248.32|$33248.32|$33248.32|$33248.32|$58464.35|$33248.32|$2548.00|$2553.60|$2165.80
"MS-DRG V37 (FY 2020) 485"|"Knee Procedures With Principal Diagnosis Of Infection With McC"|0.00|$124085.00|$1416.55|$60134.56|$86860.00|$1416.55|$60134.56|$1479.99|$1479.99|$38335.50|$38335.50|$38335.50|$38335.50|$38335.50|$14560.00|$14592.00|$12376.00
"MS-DRG V37 (FY 2020) 486"|"Knee Procedures With Principal Diagnosis Of Infection With Cc"|0.00|$89920.00|$1187.42|$52082.23|$62944.00|$1187.42|$52082.23|$1240.59|$1240.59|$27447.96|$27447.96|$27447.96|$27447.96|$27447.96|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 487"|"Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC"|0.00|$81722.00|$1369.00|$43149.30|$57205.00|$7010.21|$41187.97|$7324.10|$7324.10|$43149.30|$43149.30|$1369.00|$43149.30|$43149.30|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 488"|"Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC"|0.00|$94816.00|$2942.75|$55092.02|$66371.00|$9119.04|$55092.02|$9527.35|$10370.15|$25790.84|$25790.84|$2942.75|$25790.84|$25790.84|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 489"|"Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC"|0.00|$62441.00|$0.00|$0.00|$43709.00||||||||||||
"MS-DRG V37 (FY 2020) 492"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC"|0.00|$118938.00|$380.23|$21371.18|$83257.00|$380.23|$21371.18|$397.26|$397.58|$9498.31|$9498.31|$9498.31|$9498.31|$9498.31|$11284.00|$11308.80|$9591.40
"MS-DRG V37 (FY 2020) 493"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc"|0.00|$107628.00|$3603.00|$77254.05|$75340.00|$10003.77|$77254.05|$10451.72|$10451.72|$35045.41|$35045.41|$3603.00|$34695.74|$35045.41|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 494"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC"|0.00|$79106.00|$249.42|$39910.00|$55374.00|$249.42|$39910.00|$260.59|$260.59|$27911.84|$27911.84|$27911.84|$27911.84|$27911.84|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 495"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC"|0.00|$127778.00|$0.00|$0.00|$89445.00||||||||||||
"MS-DRG V37 (FY 2020) 496"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc"|0.00|$86824.00|$317.43|$48364.27|$60777.00|$317.43|$48364.27|$331.64|$331.64|$22834.40|$22834.40|$22834.40|$22834.40|$22834.40|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 497"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC"|0.00|$45199.00|$0.00|$0.00|$31639.00||||||||||||
"MS-DRG V37 (FY 2020) 498"|"Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC"|0.00|$107940.00|$269.18|$152878.84|$75558.00|$269.18|$77050.94|$281.23|$281.23|$152878.84|$152878.84|$152878.84|$152878.84|$152878.84|$10192.00|$10214.40|$8663.20
"MS-DRG V37 (FY 2020) 499"|"Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC"|0.00|$48199.00|$0.00|$0.00|$33739.00||||||||||||
"MS-DRG V37 (FY 2020) 500"|"Soft Tissue Procedures With McC"|0.00|$85519.00|$3035.80|$51625.11|$59863.00|$3035.80|$51625.11|$3171.71|$3171.71|$22827.06|$22827.06|$22827.06|$22827.06|$22827.06|$13468.00|$13497.60|$11447.80
"MS-DRG V37 (FY 2020) 501"|"Soft Tissue Procedures With Cc"|0.00|$85830.00|$229.65|$59491.87|$60081.00|$229.65|$59491.87|$239.94|$239.94|$20067.50|$20067.50|$20067.50|$20067.50|$20067.50|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 502"|"Soft Tissue Procedures Without Cc/McC"|0.00|$66083.00|$114.07|$26782.74|$46258.00|$114.07|$26782.74|$119.19|$119.19|$9688.17|$9688.17|$9688.17|$9688.17|$9688.17|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 503"|"Foot Procedures With McC"|0.00|$102309.00|$10519.60|$22146.01|$71616.00|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$12376.00|$12403.20|$10519.60
"MS-DRG V37 (FY 2020) 504"|"Foot Procedures With Cc"|0.00|$82817.00|$659.60|$33146.77|$57972.00|$659.60|$33146.77|$689.16|$689.16|$26736.22|$26736.22|$26736.22|$26736.22|$26736.22|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 505"|"Foot Procedures Without Cc/McC"|0.00|$32085.00|$1996.59|$69121.88|$22460.00|$1996.59|$69121.88|$2085.98|$2085.98|$24686.40|$24686.40|$24686.40|$24686.40|$24686.40|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 506"|"Major Thumb Or Joint Procedures"|0.00|$72154.00|$870.18|$21484.37|$50508.00|$870.18|$21484.37|$909.15|$909.15|$14649.27|$14649.27|$14649.27|$14649.27|$14649.27|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 507"|"Major Shoulder Or Elbow Joint Procedures With Cc/McC"|0.00|$76654.00|$0.00|$0.00|$53658.00||||||||||||
"MS-DRG V37 (FY 2020) 508"|"Major Shoulder Or Elbow Joint Procedures Without Cc/McC"|0.00|$59031.00|$271.16|$74155.44|$41322.00|$271.16|$74155.44|$283.30|$283.30|$17485.96|$17485.96|$17485.96|$17485.96|$17485.96|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 509"|"Arthroscopy"|0.00|$137777.00|$582.38|$72705.09|$96444.00|$582.38|$72705.09|$608.51|$608.51|$20975.70|$20975.70|$20975.70|$20975.70|$20975.70|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 510"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC"|0.00|$111260.00|$0.00|$0.00|$77882.00||||||||||||
"MS-DRG V37 (FY 2020) 511"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc"|0.00|$107843.00|$3515.66|$63836.54|$75490.00|$3515.66|$63836.54|$55207.76|$5413.65|$55207.76|$55207.76|$55207.76|$55207.76|$55207.76|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 512"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC"|0.00|$71210.00|$192.80|$31333.53|$49847.00|$192.80|$31333.53|$201.39|$201.39|$23455.05|$23455.05|$23455.05|$23455.05|$23455.05|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 513"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC"|0.00|$96607.00|$6188.00|$26063.15|$67625.00|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 514"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC"|0.00|$51612.00|$0.00|$0.00|$36128.00||||||||||||
"MS-DRG V37 (FY 2020) 515"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC"|0.00|$120798.00|$9900.80|$60765.22|$84559.00|$60765.22|$30625.68|$60765.22|$60765.22|$60765.22|$60765.22|$60765.22|$60765.22|$60765.22|$11648.00|$11673.60|$9900.80
"MS-DRG V37 (FY 2020) 516"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc"|0.00|$104290.00|$915.03|$61948.31|$73003.00|$915.03|$61948.31|$956.05|$956.05|$28734.00|$28734.00|$28734.00|$29557.70|$28734.00|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 517"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC"|0.00|$77574.00|$260.63|$37344.24|$54302.00|$260.63|$37344.24|$272.32|$272.32|$34219.15|$34219.15|$34219.15|$34219.15|$34219.15|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 518"|"Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator"|0.00|$186912.00|$6497.40|$63038.39|$130838.00|$21547.90|$63038.39|$21547.90|$21547.90|$21547.90|$21547.90|$21547.90|$21547.90|$21547.90|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 519"|"Back And Neck Procedures Except Spinal Fusion With Cc"|0.00|$102358.00|$4599.57|$42563.29|$71651.00|$4599.57|$42563.29|$4805.50|$4805.50|$29506.45|$29506.45|$29506.45|$29506.45|$29506.45|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 520"|"Back And Neck Procedures Except Spinal Fusion Without Cc/McC"|0.00|$86354.00|$2855.04|$40973.08|$60448.00|$2855.04|$40973.08|$2982.90|$2982.90|$20166.34|$20166.34|$20166.34|$20166.34|$20166.34|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 533"|"Fractures Of Femur With McC"|0.00|$41185.00|$0.00|$0.00|$28830.00||||||||||||
"MS-DRG V37 (FY 2020) 534"|"Fractures Of Femur Without McC"|0.00|$36558.00|$0.00|$0.00|$25591.00||||||||||||
"MS-DRG V37 (FY 2020) 535"|"Fractures Of Hip And Pelvis With McC"|0.00|$50740.00|$96.98|$16039.40|$35518.00|$96.98|$13245.99|$101.33|$101.33|$16039.40|$16039.40|$16039.40|$16039.40|$16039.40|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 536"|"Fractures Of Hip And Pelvis Without McC"|0.00|$33635.00|$47.57|$19309.64|$23544.00|$47.57|$19309.64|$49.70|$49.70|$7264.81|$7264.81|$7264.81|$7264.81|$7264.81|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 537"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC"|0.00|$40195.00|$0.00|$0.00|$28136.00||||||||||||
"MS-DRG V37 (FY 2020) 538"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC"|0.00|$19973.00|$1123.09|$58573.98|$13981.00|$1123.09|$29521.28|$1173.38|$1173.38|$58573.98|$58573.98|$58573.98|$58573.98|$58573.98|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 539"|"Osteomyelitis With McC"|0.00|$54500.00|$0.00|$0.00|$38150.00||||||||||||
"MS-DRG V37 (FY 2020) 540"|"Osteomyelitis With Cc"|0.00|$38243.00|$816.22|$19522.76|$26770.00|$816.22|$11865.28|$852.79|$852.79|$19522.76|$19522.76|$19522.76|$19522.76|$19522.76|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 541"|"Osteomyelitis Without Cc/McC"|0.00|$22032.00|$194.45|$8886.16|$15422.00|$194.45|$8886.16|$203.16|$203.16|$4789.00|$4789.00|$4789.00|$4789.00|$4789.00|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 542"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC"|0.00|$67660.00|$7735.00|$24196.85|$47362.00|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 543"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc"|0.00|$50580.00|$3918.49|$29911.42|$35406.00|$3918.49|$29911.42|$4093.96|$4093.96|$18007.36|$18007.36|$18007.36|$18007.36|$18007.36|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 544"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC"|0.00|$30073.00|$0.00|$0.00|$21051.00||||||||||||
"MS-DRG V37 (FY 2020) 545"|"Connective Tissue Disorders With McC"|0.00|$90604.00|$650.57|$38954.17|$63423.00|$650.57|$38954.17|$679.72|$679.72|$31605.70|$31605.70|$31605.70|$31605.70|$31605.70|$10010.00|$10032.00|$8508.50
"MS-DRG V37 (FY 2020) 546"|"Connective Tissue Disorders With Cc"|0.00|$46614.00|$224.62|$17486.25|$32630.00|$224.62|$15077.43|$234.68|$234.68|$13875.90|$13875.90|$13875.90|$17486.25|$13875.90|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 547"|"Connective Tissue Disorders Without Cc/McC"|0.00|$41784.00|$1601.29|$19578.24|$29249.00|$1601.29|$19578.24|$1672.99|$1672.99|$10603.17|$10603.17|$10603.17|$10603.17|$10603.17|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 548"|"Septic Arthritis With McC"|0.00|$76872.00|$0.00|$0.00|$53810.00||||||||||||
"MS-DRG V37 (FY 2020) 549"|"Septic Arthritis With Cc"|0.00|$34329.00|$440.51|$18793.28|$24030.00|$440.51|$17301.63|$460.24|$460.24|$18793.28|$18793.28|$18793.28|$18793.28|$18793.28|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 550"|"Septic Arthritis Without Cc/McC"|0.00|$39126.00|$0.00|$0.00|$27388.00||||||||||||
"MS-DRG V37 (FY 2020) 551"|"Medical Back Problems With McC"|0.00|$55770.00|$314.73|$19174.91|$39039.00|$314.73|$19174.91|$328.84|$328.84|$18665.65|$18665.65|$18665.65|$18665.65|$18665.65|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 552"|"Medical Back Problems Without McC"|0.00|$43644.00|$1474.24|$22378.55|$30551.00|$1474.24|$22378.55|$1540.25|$1540.25|$12034.99|$12034.99|$12034.99|$12034.99|$12034.99|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 553"|"Bone Diseases And Arthropathies With McC"|0.00|$39105.00|$6033.30|$1105264.28|$27374.00|$1056139.43|$810836.06|$271552.62|$1105264.28|$271552.62|$271552.62|$786376.00|$271552.62|$271552.62|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 554"|"Bone Diseases And Arthropathies Without McC"|0.00|$36399.00|$315.24|$44019.89|$25479.00|$315.24|$44019.89|$329.38|$329.38|$19364.80|$19364.80|$19364.80|$19364.80|$19364.80|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 555"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC"|0.00|$51725.00|$0.00|$0.00|$36208.00||||||||||||
"MS-DRG V37 (FY 2020) 556"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC"|0.00|$32129.00|$1302.31|$22463.40|$22490.00|$1302.31|$22463.40|$1360.63|$1360.63|$13324.91|$13324.91|$13324.91|$13324.91|$13324.91|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 557"|"Tendonitis, Myositis And Bursitis With McC"|0.00|$58240.00|$7116.20|$32278.86|$40768.00|$25755.00|$30993.48|$32278.86|$23812.86|$29546.00|$29546.00|$24310.00|$29546.00|$29546.00|$8372.00|$8390.40|$7116.20
"MS-DRG V37 (FY 2020) 558"|"Tendonitis, Myositis And Bursitis Without McC"|0.00|$29202.00|$1139.17|$13006.98|$20441.00|$1139.17|$13006.98|$11005.25|$2930.72|$11005.25|$11005.25|$11005.25|$11005.25|$11005.25|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 559"|"Aftercare, Musculoskeletal System And Connective Tissue With McC"|0.00|$48904.00|$7425.60|$17649.33|$34233.00|$15150.00|$17649.33|$16630.00|$11650.00|$17380.00|$17380.00|$14300.00|$17380.00|$17380.00|$8736.00|$8755.20|$7425.60
"MS-DRG V37 (FY 2020) 560"|"Aftercare, Musculoskeletal System And Connective Tissue With Cc"|0.00|$38431.00|$347.06|$21987.27|$26902.00|$347.06|$12429.79|$362.60|$362.60|$21987.27|$13501.23|$17160.00|$14910.00|$13501.23|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 561"|"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$23009.00|$4176.90|$12166.00|$16106.00|$10605.00|$10206.00|$11838.23|$8352.23|$11838.23|$11838.23|$11440.00|$12166.00|$11838.23|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 562"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC"|0.00|$59974.00|$0.00|$0.00|$41982.00||||||||||||
"MS-DRG V37 (FY 2020) 563"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC"|0.00|$36363.00|$602.99|$13576.48|$25454.00|$602.99|$13576.48|$630.01|$630.01|$10014.20|$10014.20|$10014.20|$10014.20|$10014.20|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 564"|"Other Musculoskeletal System And Connective Tissue Diagnoses With McC"|0.00|$51407.00|$2239.98|$37088.10|$35985.00|$2239.98|$21823.09|$2340.30|$2340.30|$37088.10|$37088.10|$37088.10|$37088.10|$37088.10|$8372.00|$8390.40|$7116.20
"MS-DRG V37 (FY 2020) 565"|"Other Musculoskeletal System And Connective Tissue Diagnoses With Cc"|0.00|$37785.00|$5259.80|$13081.90|$26450.00|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 566"|"Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC"|0.00|$26504.00|$3867.50|$17380.00|$18553.00|$15150.00|$13855.96|$16979.47|$11999.47|$16979.47|$16979.47|$14300.00|$17380.00|$16979.47|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 570"|"Skin Debridement With McC"|0.00|$76886.00|$241.87|$46872.69|$53820.00|$5499.85|$38799.04|$5746.12|$5746.12|$46872.69|$46872.69|$241.87|$46872.69|$46872.69|$13286.00|$13315.20|$11293.10
"MS-DRG V37 (FY 2020) 571"|"Skin Debridement With Cc"|0.00|$56603.00|$419.94|$20421.23|$39622.00|$419.94|$20421.23|$438.76|$438.76|$18777.20|$18777.20|$18777.20|$18777.20|$18777.20|$8736.00|$8755.20|$7425.60
"MS-DRG V37 (FY 2020) 572"|"Skin Debridement Without Cc/McC"|0.00|$42997.00|$431.13|$20021.28|$30098.00|$431.13|$20021.28|$450.44|$450.44|$10121.87|$10121.87|$10121.87|$10121.87|$10121.87|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 573"|"Skin Graft For Skin Ulcer Or Cellulitis With McC"|0.00|$105608.00|$0.00|$0.00|$73926.00||||||||||||
"MS-DRG V37 (FY 2020) 574"|"Skin Graft For Skin Ulcer Or Cellulitis With Cc"|0.00|$77595.00|$0.00|$0.00|$54316.00||||||||||||
"MS-DRG V37 (FY 2020) 575"|"Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC"|0.00|$41464.00|$0.00|$0.00|$29025.00||||||||||||
"MS-DRG V37 (FY 2020) 576"|"Skin Graft Except For Skin Ulcer Or Cellulitis With McC"|0.00|$124161.00|$0.00|$0.00|$86913.00||||||||||||
"MS-DRG V37 (FY 2020) 577"|"Skin Graft Except For Skin Ulcer Or Cellulitis With Cc"|0.00|$149600.00|$0.00|$0.00|$104720.00||||||||||||
"MS-DRG V37 (FY 2020) 578"|"Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC"|0.00|$90235.00|$56.12|$17761.39|$63164.00|$56.12|$17761.39|$58.64|$58.64|$10748.49|$10748.49|$10748.49|$10748.49|$10748.49|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 579"|"Other Skin, Subcutaneous Tissue And Breast Procedures With McC"|0.00|$84394.00|$337.00|$32033.03|$59076.00|$337.00|$32033.03|$352.13|$352.13|$31462.14|$31462.14|$31462.14|$31462.14|$31462.14|$12740.00|$12768.00|$10829.00
"MS-DRG V37 (FY 2020) 580"|"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc"|0.00|$65967.00|$2273.81|$29100.15|$46177.00|$2273.81|$29100.15|$2375.63|$2375.63|$18843.53|$18843.53|$18843.53|$20445.43|$18843.53|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 581"|"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC"|0.00|$102784.00|$664.47|$54469.74|$71949.00|$664.47|$54469.74|$694.23|$694.23|$21641.20|$21641.20|$21641.20|$18635.02|$21641.20|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 582"|"Mastectomy For Malignancy With Cc/McC"|0.00|$113231.00|$129.30|$19593.49|$79262.00|$129.30|$19593.49|$135.09|$135.09|$7775.19|$7775.19|$7775.19|$7775.19|$7775.19|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 583"|"Mastectomy For Malignancy Without Cc/McC"|0.00|$71954.00|$1077.85|$97399.07|$50368.00|$1077.85|$97399.07|$1126.14|$1126.14|$14928.00|$14928.00|$14928.00|$14928.00|$14928.00|$3094.00|$3100.80|$2629.90
"MS-DRG V37 (FY 2020) 584"|"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC"|0.00|$191148.00|$1143.85|$76628.36|$133804.00|$1143.85|$76628.36|$1195.08|$1195.08|$24054.50|$24054.50|$24054.50|$24054.50|$24054.50|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 585"|"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC"|0.00|$85578.00|$236.36|$43132.29|$59905.00|$236.36|$43132.29|$246.94|$246.94|$19970.90|$19970.90|$19970.90|$19970.90|$19970.90|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 592"|"Skin Ulcers With McC"|0.00|$59798.00|$0.00|$0.00|$41859.00||||||||||||
"MS-DRG V37 (FY 2020) 593"|"Skin Ulcers With Cc"|0.00|$40253.00|$0.00|$0.00|$28177.00||||||||||||
"MS-DRG V37 (FY 2020) 594"|"Skin Ulcers Without Cc/McC"|0.00|$24209.00|$0.00|$0.00|$16946.00||||||||||||
"MS-DRG V37 (FY 2020) 595"|"Major Skin Disorders With McC"|0.00|$47063.00|$0.00|$0.00|$32944.00||||||||||||
"MS-DRG V37 (FY 2020) 596"|"Major Skin Disorders Without McC"|0.00|$31385.00|$171.02|$11744.08|$21970.00|$171.02|$11744.08|$178.69|$178.69|$11375.80|$11375.80|$11375.80|$11375.80|$11375.80|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 597"|"Malignant Breast Disorders With McC"|0.00|$71044.00|$700.49|$18935.01|$49731.00|$700.49|$18935.01|$731.85|$731.85|$8415.55|$8415.55|$8415.55|$8415.55|$8415.55|$8372.00|$8390.40|$7116.20
"MS-DRG V37 (FY 2020) 598"|"Malignant Breast Disorders With Cc"|0.00|$51390.00|$300.84|$19711.32|$35973.00|$300.84|$19711.32|$314.30|$314.30|$12501.00|$12501.00|$12501.00|$12501.00|$12501.00|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 599"|"Malignant Breast Disorders Without Cc/McC"|0.00|$42915.00|$323.26|$21629.34|$30040.00|$323.26|$21629.34|$337.74|$337.74|$17744.00|$17744.00|$17744.00|$17744.00|$17744.00|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 600"|"Non-Malignant Breast Disorders With Cc/McC"|0.00|$27846.00|$0.00|$0.00|$19492.00||||||||||||
"MS-DRG V37 (FY 2020) 601"|"Non-Malignant Breast Disorders Without Cc/McC"|0.00|$17436.00|$105.53|$7830.49|$12205.00|$105.53|$3946.58|$110.25|$110.25|$7830.49|$7830.49|$7830.49|$7830.49|$7830.49|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 602"|"Cellulitis With McC"|0.00|$49789.00|$7116.20|$17574.46|$34852.00|$16520.90|$17574.46|$16520.90|$16520.90|$16520.90|$16520.90|$16520.90|$16520.90|$16520.90|$8372.00|$8390.40|$7116.20
"MS-DRG V37 (FY 2020) 603"|"Cellulitis Without McC"|0.00|$26788.00|$4950.40|$13703.84|$18752.00|$9715.20|$10949.01|$13703.84|$11404.80|$11404.80|$11404.80|$11404.80|$12732.83|$11404.80|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 604"|"Trauma To The Skin, Subcutaneous Tissue And Breast With McC"|0.00|$63939.00|$0.00|$0.00|$44757.00||||||||||||
"MS-DRG V37 (FY 2020) 605"|"Trauma To The Skin, Subcutaneous Tissue And Breast Without McC"|0.00|$33781.00|$432.12|$12806.63|$23647.00|$432.12|$9473.69|$451.48|$451.48|$12806.63|$12806.63|$12806.63|$12806.63|$12806.63|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 606"|"Minor Skin Disorders With McC"|0.00|$53819.00|$0.00|$0.00|$37673.00||||||||||||
"MS-DRG V37 (FY 2020) 607"|"Minor Skin Disorders Without McC"|0.00|$21604.00|$1951.71|$12697.04|$15123.00|$1951.71|$12697.04|$2039.11|$2039.11|$10613.22|$10613.22|$10613.22|$10613.22|$10613.22|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 614"|"Adrenal And Pituitary Procedures With Cc/McC"|0.00|$181229.00|$4950.40|$91364.42|$126860.00|$12261.18|$91364.42|$12810.18|$12810.18|$35973.85|$35973.85|$5287.63|$40656.75|$35973.85|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 615"|"Adrenal And Pituitary Procedures Without Cc/McC"|0.00|$115685.00|$722.11|$61820.90|$80980.00|$722.11|$61820.90|$754.45|$754.45|$22368.36|$22368.36|$22368.36|$23724.84|$22368.36|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 616"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$143019.00|$1231.64|$75394.19|$100113.00|$1231.64|$75394.19|$1286.79|$1286.79|$45871.20|$45871.20|$45871.20|$45871.20|$45871.20|$18200.00|$18240.00|$15470.00
"MS-DRG V37 (FY 2020) 617"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$66383.00|$312.41|$29990.35|$46468.00|$312.41|$29990.35|$326.40|$326.40|$13329.05|$13329.05|$13329.05|$13329.05|$13329.05|$10556.00|$10579.20|$8972.60
"MS-DRG V37 (FY 2020) 618"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC"|0.00|$88802.00|$0.00|$0.00|$62161.00||||||||||||
"MS-DRG V37 (FY 2020) 619"|"O.R. Procedures For Obesity With McC"|0.00|$138173.00|$752.99|$70290.89|$96721.00|$6184.75|$70290.89|$6461.70|$6461.70|$26566.47|$26566.47|$752.99|$26566.47|$26566.47|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 620"|"O.R. Procedures For Obesity With Cc"|0.00|$114593.00|$308.00|$64495.08|$80215.00|$5588.48|$64495.08|$5838.72|$5838.72|$30546.28|$30546.28|$308.00|$30546.28|$30546.28|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 621"|"O.R. Procedures For Obesity Without Cc/McC"|0.00|$82181.00|$2165.80|$41202.35|$57527.00|$18226.14|$41202.35|$14654.95|$21084.22|$21084.22|$21084.22|$21084.22|$29285.00|$21084.22|$2548.00|$2553.60|$2165.80
"MS-DRG V37 (FY 2020) 622"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$112185.00|$0.00|$0.00|$78530.00||||||||||||
"MS-DRG V37 (FY 2020) 623"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$57202.00|$1070.84|$29009.53|$40041.00|$1070.84|$29009.53|$1118.77|$1118.77|$28345.00|$28345.00|$28345.00|$28345.00|$28345.00|$9646.00|$9667.20|$8199.10
"MS-DRG V37 (FY 2020) 624"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC"|0.00|$21898.00|$0.00|$0.00|$15329.00||||||||||||
"MS-DRG V37 (FY 2020) 625"|"Thyroid, Parathyroid And Thyroglossal Procedures With McC"|0.00|$113598.00|$0.00|$0.00|$79519.00||||||||||||
"MS-DRG V37 (FY 2020) 626"|"Thyroid, Parathyroid And Thyroglossal Procedures With Cc"|0.00|$147564.00|$429.13|$81588.86|$103295.00|$429.13|$81588.86|$448.37|$448.37|$24903.47|$24903.47|$24903.47|$24903.47|$24903.47|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 627"|"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC"|0.00|$68055.00|$233.65|$69579.82|$47638.00|$233.65|$69579.82|$244.14|$244.14|$16466.02|$16466.02|$16466.02|$16466.02|$16466.02|$2548.00|$2553.60|$2165.80
"MS-DRG V37 (FY 2020) 628"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC"|0.00|$155209.00|$11447.80|$41504.63|$108646.00|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$13468.00|$13497.60|$11447.80
"MS-DRG V37 (FY 2020) 629"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc"|0.00|$66583.00|$932.29|$39214.02|$46608.00|$932.29|$39214.02|$974.04|$974.04|$26988.20|$26988.20|$26988.20|$26988.20|$26988.20|$11102.00|$11126.40|$9436.70
"MS-DRG V37 (FY 2020) 630"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC"|0.00|$62687.00|$3712.80|$163125.73|$43881.00|$3904.27|$82215.38|$4079.10|$4079.10|$163125.73|$163125.73|$163125.73|$163125.73|$163125.73|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 637"|"Diabetes With McC"|0.00|$50159.00|$986.42|$21644.07|$35111.00|$986.42|$21644.07|$1030.58|$1030.58|$17563.17|$17563.17|$17563.17|$17563.17|$17563.17|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 638"|"Diabetes With Cc"|0.00|$34018.00|$138.52|$18284.70|$23813.00|$138.52|$18284.70|$144.75|$144.75|$13254.32|$13254.32|$13254.32|$13254.32|$13254.32|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 639"|"Diabetes Without Cc/McC"|0.00|$29610.00|$952.41|$17181.75|$20727.00|$952.41|$17181.75|$995.04|$995.04|$10858.81|$10858.81|$10858.81|$9183.37|$10858.81|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 640"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC"|0.00|$51432.00|$949.89|$30924.31|$36002.00|$949.89|$30924.31|$992.44|$11824.24|$17106.94|$17106.94|$17106.94|$18300.42|$17106.94|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 641"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC"|0.00|$29832.00|$144.56|$11606.86|$20882.00|$144.56|$11606.86|$151.02|$151.02|$10491.55|$10491.55|$10491.55|$11349.22|$10491.55|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 642"|"Inborn And Other Disorders Of Metabolism"|0.00|$62226.00|$5105.10|$16666.78|$43558.00|$9620.33|$16666.78|$9620.33|$9620.33|$9620.33|$9620.33|$9620.33|$9620.33|$9620.33|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 643"|"Endocrine Disorders With McC"|0.00|$52424.00|$583.57|$25069.26|$36697.00|$583.57|$23477.64|$609.74|$609.74|$24499.54|$24499.54|$24499.54|$25069.26|$24499.54|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 644"|"Endocrine Disorders With Cc"|0.00|$37594.00|$349.07|$24948.35|$26316.00|$349.07|$20503.48|$364.70|$364.70|$13009.80|$13009.80|$13009.80|$24948.35|$13009.80|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 645"|"Endocrine Disorders Without Cc/McC"|0.00|$27030.00|$431.26|$23889.55|$18921.00|$5753.63|$23889.55|$6011.25|$6011.25|$21455.40|$21455.40|$431.26|$21455.40|$21455.40|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 652"|"Kidney Transplant"|0.00|$222409.00|$0.00|$0.00|$155686.00||||||||||||
"MS-DRG V37 (FY 2020) 653"|"Major Bladder Procedures With McC"|0.00|$237464.00|$15779.40|$94720.27|$166225.00|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$18564.00|$18604.80|$15779.40
"MS-DRG V37 (FY 2020) 654"|"Major Bladder Procedures With Cc"|0.00|$177974.00|$2041.82|$89135.83|$124582.00|$2041.82|$89135.83|$2133.25|$2133.25|$42385.48|$42385.48|$42385.48|$42385.48|$42385.48|$10192.00|$10214.40|$8663.20
"MS-DRG V37 (FY 2020) 655"|"Major Bladder Procedures Without Cc/McC"|0.00|$140781.00|$246.40|$59782.58|$98547.00|$246.40|$59782.58|$257.41|$257.41|$31351.27|$31351.27|$31351.27|$31351.27|$31351.27|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 656"|"Kidney And Ureter Procedures For Neoplasm With McC"|0.00|$177632.00|$8663.20|$37496.90|$124342.00|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$10192.00|$10214.40|$8663.20
"MS-DRG V37 (FY 2020) 657"|"Kidney And Ureter Procedures For Neoplasm With Cc"|0.00|$123401.00|$633.64|$59447.64|$86381.00|$633.64|$59447.64|$662.02|$662.02|$22242.15|$22242.15|$22242.15|$29152.26|$22242.15|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 658"|"Kidney And Ureter Procedures For Neoplasm Without Cc/McC"|0.00|$116003.00|$2063.26|$54711.94|$81202.00|$2063.26|$54711.94|$2155.65|$2155.65|$23661.53|$23661.53|$23661.53|$23800.20|$23661.53|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 659"|"Kidney And Ureter Procedures For Non-Neoplasm With McC"|0.00|$100884.00|$1678.19|$40389.95|$70619.00|$1678.19|$35029.61|$1753.33|$1753.33|$37128.66|$37128.66|$37128.66|$40389.95|$37128.66|$10738.00|$10761.60|$9127.30
"MS-DRG V37 (FY 2020) 660"|"Kidney And Ureter Procedures For Non-Neoplasm With Cc"|0.00|$65131.00|$362.82|$28728.18|$45592.00|$362.82|$28728.18|$379.07|$379.07|$19657.06|$19657.06|$19657.06|$21587.79|$19657.06|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 661"|"Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC"|0.00|$48121.00|$2750.86|$22512.90|$33685.00|$2750.86|$22512.90|$2874.03|$2874.03|$14830.29|$14830.29|$14830.29|$16042.64|$14830.29|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 662"|"Minor Bladder Procedures With McC"|0.00|$75063.00|$0.00|$0.00|$52544.00||||||||||||
"MS-DRG V37 (FY 2020) 663"|"Minor Bladder Procedures With Cc"|0.00|$84881.00|$1457.59|$46300.99|$59417.00|$1457.59|$42896.50|$1522.84|$1522.84|$46300.99|$46300.99|$46300.99|$46300.99|$46300.99|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 664"|"Minor Bladder Procedures Without Cc/McC"|0.00|$62301.00|$0.00|$0.00|$43611.00||||||||||||
"MS-DRG V37 (FY 2020) 665"|"Prostatectomy With McC"|0.00|$118331.00|$11757.20|$44741.23|$82832.00|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$13832.00|$13862.40|$11757.20
"MS-DRG V37 (FY 2020) 666"|"Prostatectomy With Cc"|0.00|$74554.00|$0.00|$0.00|$52188.00||||||||||||
"MS-DRG V37 (FY 2020) 667"|"Prostatectomy Without Cc/McC"|0.00|$51849.00|$163.66|$24353.06|$36294.00|$163.66|$24353.06|$170.98|$170.98|$14995.13|$14995.13|$14995.13|$14995.13|$14995.13|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 668"|"Transurethral Procedures With McC"|0.00|$131614.00|$0.00|$0.00|$92130.00||||||||||||
"MS-DRG V37 (FY 2020) 669"|"Transurethral Procedures With Cc"|0.00|$65241.00|$969.65|$27477.95|$45669.00|$969.65|$27477.95|$1013.08|$1013.08|$7769.66|$7769.66|$7769.66|$7769.66|$7769.66|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 670"|"Transurethral Procedures Without Cc/McC"|0.00|$48654.00|$0.00|$0.00|$34058.00||||||||||||
"MS-DRG V37 (FY 2020) 671"|"Urethral Procedures With Cc/McC"|0.00|$93200.00|$2858.73|$64616.09|$65240.00|$2858.73|$50102.34|$2986.73|$2986.73|$64616.09|$64616.09|$64616.09|$64616.09|$64616.09|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 672"|"Urethral Procedures Without Cc/McC"|0.00|$69959.00|$0.00|$0.00|$48971.00||||||||||||
"MS-DRG V37 (FY 2020) 673"|"Other Kidney And Urinary Tract Procedures With McC"|0.00|$104938.00|$11911.90|$36840.00|$73457.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$14014.00|$14044.80|$11911.90
"MS-DRG V37 (FY 2020) 674"|"Other Kidney And Urinary Tract Procedures With Cc"|0.00|$89215.00|$1517.57|$44738.37|$62450.00|$1517.57|$44738.37|$1585.52|$1585.52|$39350.60|$39350.60|$39350.60|$39350.60|$39350.60|$10738.00|$10761.60|$9127.30
"MS-DRG V37 (FY 2020) 675"|"Other Kidney And Urinary Tract Procedures Without Cc/McC"|0.00|$54838.00|$0.00|$0.00|$38387.00||||||||||||
"MS-DRG V37 (FY 2020) 682"|"Renal Failure With McC"|0.00|$47378.00|$6652.10|$24675.45|$33165.00|$16907.30|$21812.14|$14373.54|$18783.28|$18783.28|$18783.28|$18783.28|$24675.45|$18783.28|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 683"|"Renal Failure With Cc"|0.00|$39195.00|$139.70|$14511.48|$27436.00|$139.70|$13982.86|$145.94|$145.94|$11415.30|$11415.30|$11415.30|$14511.48|$11415.30|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 684"|"Renal Failure Without Cc/McC"|0.00|$25867.00|$412.39|$12488.87|$18107.00|$412.39|$12488.87|$430.85|$430.85|$6986.25|$6986.25|$6986.25|$6986.25|$6986.25|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 686"|"Kidney And Urinary Tract Neoplasms With McC"|0.00|$58786.00|$7735.00|$24351.60|$41150.00|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 687"|"Kidney And Urinary Tract Neoplasms With Cc"|0.00|$41865.00|$171.86|$6019.20|$29306.00|$171.86|$3601.34|$179.55|$179.55|$2095.44|$2095.44|$2095.44|$2095.44|$2095.44|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 688"|"Kidney And Urinary Tract Neoplasms Without Cc/McC"|0.00|$29110.00|$1219.23|$14671.18|$20377.00|$1219.23|$14671.18|$1273.83|$1273.83|$10328.84|$10328.84|$10328.84|$10328.84|$10328.84|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 689"|"Kidney And Urinary Tract Infections With McC"|0.00|$40142.00|$5878.60|$15496.47|$28099.00|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$6916.00|$6931.20|$5878.60
"MS-DRG V37 (FY 2020) 690"|"Kidney And Urinary Tract Infections Without McC"|0.00|$36144.00|$2542.65|$12620.78|$25301.00|$2542.65|$12620.78|$2656.49|$2656.49|$10853.00|$10853.00|$10853.00|$11940.04|$10853.00|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 693"|"Urinary Stones With McC"|0.00|$36285.00|$0.00|$0.00|$25400.00||||||||||||
"MS-DRG V37 (FY 2020) 694"|"Urinary Stones Without McC"|0.00|$27345.00|$3248.70|$14193.39|$19142.00|$7013.30|$14193.39|$7013.30|$7013.30|$7013.30|$7013.30|$7013.30|$7013.30|$7013.30|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 695"|"Kidney And Urinary Tract Signs And Symptoms With McC"|0.00|$24936.00|$0.00|$0.00|$17455.00||||||||||||
"MS-DRG V37 (FY 2020) 696"|"Kidney And Urinary Tract Signs And Symptoms Without McC"|0.00|$20300.00|$262.63|$14032.61|$14210.00|$262.63|$14032.61|$274.42|$274.42|$7759.13|$7759.13|$7759.13|$7759.13|$7759.13|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 697"|"Urethral Stricture"|0.00|$19888.00|$0.00|$0.00|$13922.00||||||||||||
"MS-DRG V37 (FY 2020) 698"|"Other Kidney And Urinary Tract Diagnoses With McC"|0.00|$51853.00|$1284.56|$24395.54|$36297.00|$1284.56|$24241.68|$1342.08|$1342.08|$19250.91|$19250.91|$19250.91|$24395.54|$19250.91|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 699"|"Other Kidney And Urinary Tract Diagnoses With Cc"|0.00|$33616.00|$1322.09|$17071.95|$23531.00|$1322.09|$17071.95|$1381.28|$1381.28|$13560.80|$13560.80|$13560.80|$15451.81|$13560.80|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 700"|"Other Kidney And Urinary Tract Diagnoses Without Cc/McC"|0.00|$28663.00|$382.56|$11514.88|$20064.00|$382.56|$11514.88|$399.70|$399.70|$11225.63|$11225.63|$11225.63|$11225.63|$11225.63|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 707"|"Major Male Pelvic Procedures With Cc/McC"|0.00|$106562.00|$296.97|$53153.17|$74593.00|$296.97|$53153.17|$310.31|$310.31|$24967.80|$24967.80|$24967.80|$28947.28|$24967.80|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 708"|"Major Male Pelvic Procedures Without Cc/McC"|0.00|$103667.00|$2158.26|$51807.70|$72567.00|$2158.26|$51807.70|$2254.89|$2254.89|$19388.20|$19388.20|$19388.20|$22478.38|$19388.20|$2548.00|$2553.60|$2165.80
"MS-DRG V37 (FY 2020) 709"|"Penis Procedures With Cc/McC"|0.00|$58323.00|$0.00|$0.00|$40826.00||||||||||||
"MS-DRG V37 (FY 2020) 710"|"Penis Procedures Without Cc/McC"|0.00|$53509.00|$157.12|$27630.04|$37456.00|$157.12|$27630.04|$164.15|$164.15|$16720.58|$16720.58|$16720.58|$16720.58|$16720.58|$3094.00|$3100.80|$2629.90
"MS-DRG V37 (FY 2020) 711"|"Testes Procedures With Cc/McC"|0.00|$121011.00|$8199.10|$32302.31|$84708.00|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$9646.00|$9667.20|$8199.10
"MS-DRG V37 (FY 2020) 712"|"Testes Procedures Without Cc/McC"|0.00|$39079.00|$0.00|$0.00|$27355.00||||||||||||
"MS-DRG V37 (FY 2020) 713"|"Transurethral Prostatectomy With Cc/McC"|0.00|$62111.00|$137.70|$22578.61|$43478.00|$137.70|$22578.61|$143.84|$143.84|$15603.36|$15603.36|$15603.36|$15603.36|$15603.36|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 714"|"Transurethral Prostatectomy Without Cc/McC"|0.00|$58472.00|$113.89|$24036.46|$40930.00|$113.89|$24036.46|$119.01|$119.01|$10682.87|$10682.87|$10682.87|$10682.87|$10682.87|$2912.00|$2918.40|$2475.20
"MS-DRG V37 (FY 2020) 715"|"Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC"|0.00|$95373.00|$0.00|$0.00|$66761.00||||||||||||
"MS-DRG V37 (FY 2020) 716"|"Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC"|0.00|$139270.00|$0.00|$0.00|$97489.00||||||||||||
"MS-DRG V37 (FY 2020) 717"|"Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC"|0.00|$99398.00|$221.25|$26197.82|$69579.00|$5472.23|$26197.82|$5717.26|$5717.26|$20772.83|$20772.83|$221.25|$20772.83|$20772.83|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 718"|"Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC"|0.00|$59444.00|$0.00|$0.00|$41611.00||||||||||||
"MS-DRG V37 (FY 2020) 722"|"Malignancy, Male Reproductive System With McC"|0.00|$54954.00|$0.00|$0.00|$38468.00||||||||||||
"MS-DRG V37 (FY 2020) 723"|"Malignancy, Male Reproductive System With Cc"|0.00|$71303.00|$0.00|$0.00|$49912.00||||||||||||
"MS-DRG V37 (FY 2020) 724"|"Malignancy, Male Reproductive System Without Cc/McC"|0.00|$54621.00|$669.17|$27528.73|$38235.00|$669.17|$27528.73|$699.14|$699.14|$9787.76|$9787.76|$9787.76|$9787.76|$9787.76|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 725"|"Benign Prostatic Hypertrophy With McC"|0.00|$67206.00|$0.00|$0.00|$47044.00||||||||||||
"MS-DRG V37 (FY 2020) 726"|"Benign Prostatic Hypertrophy Without McC"|0.00|$23612.00|$108.37|$10532.35|$16528.00|$108.37|$10532.35|$113.24|$113.24|$9578.00|$9578.00|$9578.00|$9578.00|$9578.00|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 727"|"Inflammation Of The Male Reproductive System With McC"|0.00|$50982.00|$89.61|$14981.50|$35687.00|$89.61|$7550.67|$93.63|$93.63|$14981.50|$14981.50|$14981.50|$14981.50|$14981.50|$8008.00|$8025.60|$6806.80
"MS-DRG V37 (FY 2020) 728"|"Inflammation Of The Male Reproductive System Without McC"|0.00|$30157.00|$172.17|$17539.90|$21110.00|$172.17|$17539.90|$179.88|$179.88|$9240.25|$9240.25|$9240.25|$9240.25|$9240.25|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 729"|"Other Male Reproductive System Diagnoses With Cc/McC"|0.00|$36561.00|$0.00|$0.00|$25593.00||||||||||||
"MS-DRG V37 (FY 2020) 730"|"Other Male Reproductive System Diagnoses Without Cc/McC"|0.00|$33969.00|$0.00|$0.00|$23778.00||||||||||||
"MS-DRG V37 (FY 2020) 734"|"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC"|0.00|$144407.00|$0.00|$0.00|$101085.00||||||||||||
"MS-DRG V37 (FY 2020) 735"|"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC"|0.00|$109356.00|$306.03|$55115.44|$76549.00|$306.03|$55115.44|$319.75|$319.75|$21304.27|$21304.27|$21304.27|$21304.27|$21304.27|$3094.00|$3100.80|$2629.90
"MS-DRG V37 (FY 2020) 736"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC"|0.00|$142907.00|$0.00|$0.00|$100035.00||||||||||||
"MS-DRG V37 (FY 2020) 737"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc"|0.00|$121482.00|$343.56|$53342.56|$85037.00|$343.56|$53342.56|$358.96|$358.96|$23669.30|$23669.30|$23669.30|$23669.30|$23669.30|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 738"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC"|0.00|$100638.00|$4022.20|$20782.78|$70447.00|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 739"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC"|0.00|$153320.00|$0.00|$0.00|$107324.00||||||||||||
"MS-DRG V37 (FY 2020) 740"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc"|0.00|$107970.00|$867.64|$45116.56|$75579.00|$867.64|$45116.56|$906.49|$906.49|$14001.79|$14001.79|$14001.79|$14001.79|$14001.79|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 741"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC"|0.00|$88537.00|$777.69|$42602.93|$61976.00|$777.69|$42602.93|$812.55|$812.55|$17827.27|$17827.27|$17827.27|$17827.27|$17827.27|$2912.00|$2918.40|$2475.20
"MS-DRG V37 (FY 2020) 742"|"Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC"|0.00|$84663.00|$256.29|$47765.25|$59264.00|$256.29|$47765.25|$267.76|$267.76|$25748.45|$25748.45|$25748.45|$25878.62|$25748.45|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 743"|"Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC"|0.00|$64113.00|$2629.90|$28975.01|$44879.00|$12738.38|$11940.20|$28975.01|$14466.26|$14466.26|$14466.26|$14466.26|$17066.03|$14466.26|$3094.00|$3100.80|$2629.90
"MS-DRG V37 (FY 2020) 744"|"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC"|0.00|$63734.00|$483.74|$31826.57|$44614.00|$483.74|$31826.57|$505.40|$505.40|$27039.17|$27039.17|$27039.17|$27039.17|$27039.17|$8008.00|$8025.60|$6806.80
"MS-DRG V37 (FY 2020) 745"|"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC"|0.00|$55554.00|$2564.76|$61552.32|$38888.00|$2564.76|$31022.34|$2679.60|$2679.60|$61552.32|$61552.32|$61552.32|$61552.32|$61552.32|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 746"|"Vagina, Cervix And Vulva Procedures With Cc/McC"|0.00|$58936.00|$2989.54|$32569.85|$41255.00|$2989.54|$32569.85|$3123.42|$3123.42|$17703.40|$17703.40|$17703.40|$17703.40|$17703.40|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 747"|"Vagina, Cervix And Vulva Procedures Without Cc/McC"|0.00|$32074.00|$160.48|$14249.73|$22452.00|$160.48|$14249.73|$167.66|$167.66|$8610.84|$8610.84|$8610.84|$8610.84|$8610.84|$2730.00|$2736.00|$2320.50
"MS-DRG V37 (FY 2020) 748"|"Female Reproductive System Reconstructive Procedures"|0.00|$75121.00|$764.98|$62170.28|$52585.00|$764.98|$62170.28|$799.24|$799.24|$15505.45|$15505.45|$15505.45|$15505.45|$15505.45|$2912.00|$2918.40|$2475.20
"MS-DRG V37 (FY 2020) 749"|"Other Female Reproductive System O.R. Procedures With Cc/McC"|0.00|$95370.00|$8663.20|$47859.96|$66759.00|$37755.53|$47859.96|$37755.53|$37755.53|$37755.53|$37755.53|$37755.53|$37755.53|$37755.53|$10192.00|$10214.40|$8663.20
"MS-DRG V37 (FY 2020) 750"|"Other Female Reproductive System O.R. Procedures Without Cc/McC"|0.00|$55525.00|$777.70|$36698.50|$38868.00|$777.70|$36698.50|$812.55|$812.55|$16491.38|$16491.38|$16491.38|$16491.38|$16491.38|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 754"|"Malignancy, Female Reproductive System With McC"|0.00|$44827.00|$1487.91|$23265.10|$31379.00|$1487.91|$20022.78|$1554.54|$1554.54|$23265.10|$23265.10|$23265.10|$23265.10|$23265.10|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 755"|"Malignancy, Female Reproductive System With Cc"|0.00|$44911.00|$373.68|$47545.29|$31438.00|$373.68|$47545.29|$390.43|$390.43|$10174.17|$10174.17|$10174.17|$10174.17|$10174.17|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 756"|"Malignancy, Female Reproductive System Without Cc/McC"|0.00|$101211.00|$377.25|$51010.49|$70848.00|$377.25|$51010.49|$394.12|$394.12|$12764.02|$12764.02|$12764.02|$12764.02|$12764.02|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 757"|"Infections, Female Reproductive System With McC"|0.00|$45238.00|$852.08|$22800.01|$31667.00|$852.08|$22800.01|$890.25|$890.25|$19156.00|$19156.00|$19156.00|$19156.00|$19156.00|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 758"|"Infections, Female Reproductive System With Cc"|0.00|$39003.00|$244.72|$14958.35|$27302.00|$244.72|$14958.35|$255.70|$255.70|$11120.50|$11120.50|$11120.50|$11120.50|$11120.50|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 759"|"Infections, Female Reproductive System Without Cc/McC"|0.00|$22478.00|$47.41|$8614.61|$15735.00|$47.41|$8614.61|$49.53|$49.53|$7341.67|$7341.67|$7341.67|$7341.67|$7341.67|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 760"|"Menstrual And Other Female Reproductive System Disorders With Cc/McC"|0.00|$37361.00|$251.08|$18351.79|$26153.00|$251.08|$18351.79|$262.34|$262.34|$10609.90|$10609.90|$10609.90|$10609.90|$10609.90|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 761"|"Menstrual And Other Female Reproductive System Disorders Without Cc/McC"|0.00|$21055.00|$219.09|$9226.00|$14738.00|$219.09|$7894.91|$228.91|$228.91|$9226.00|$9226.00|$9226.00|$9226.00|$9226.00|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 768"|"Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C"|0.00|$23463.00|$156.94|$12503.70|$16424.00|$156.94|$11702.50|$163.97|$163.97|$12503.70|$12503.70|$12503.70|$8935.00|$12503.70|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 769"|"Postpartum And Post Abortion Diagnoses With O.R. Procedures"|0.00|$82692.00|$782.94|$43553.11|$57884.00|$782.94|$43553.11|$817.97|$817.97|$19356.92|$19356.92|$19356.92|$19356.92|$19356.92|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 770"|"Abortion With D&C, Aspiration Curettage Or Hysterotomy"|0.00|$35242.00|$104.68|$16705.84|$24669.00|$104.68|$16705.84|$109.36|$109.36|$9578.00|$9578.00|$9578.00|$9578.00|$9578.00|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 776"|"Postpartum And Post Abortion Diagnoses Without O.R. Procedures"|0.00|$19267.00|$293.46|$10212.00|$13487.00|$293.46|$8380.02|$306.61|$306.61|$8841.20|$8841.20|$8841.20|$10212.00|$8841.20|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 779"|"Abortion Without D&C"|0.00|$22479.00|$411.22|$15680.91|$15735.00|$411.22|$10231.04|$429.64|$429.64|$11439.91|$11439.91|$11439.91|$15680.91|$11439.91|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 783"|"Cesarean Section With Sterilization With McC"|0.00|$51606.00|$1519.72|$23814.21|$36124.00|$1519.72|$23814.21|$1587.77|$1587.77|$12000.00|$12000.00|$12000.00|$11842.00|$12000.00|$8736.00|$8755.20|$7425.60
"MS-DRG V37 (FY 2020) 784"|"Cesarean Section With Sterilization With Cc"|0.00|$46196.00|$547.24|$22759.39|$32337.00|$547.24|$22759.39|$571.76|$571.76|$12004.16|$12004.16|$12004.16|$11842.00|$12004.16|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 785"|"Cesarean Section With Sterilization Without Cc/McC"|0.00|$42881.00|$1784.03|$20916.84|$30017.00|$1784.03|$20916.84|$1863.94|$1863.94|$10889.00|$10889.00|$10889.00|$11842.00|$10889.00|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 786"|"Cesarean Section Without Sterilization With McC"|0.00|$49564.00|$283.25|$24293.95|$34695.00|$283.25|$24293.95|$295.93|$295.93|$11888.75|$11888.75|$11888.75|$11842.00|$11888.75|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 787"|"Cesarean Section Without Sterilization With Cc"|0.00|$46582.00|$420.75|$23119.50|$32607.00|$5739.59|$23119.50|$5996.59|$5996.59|$11842.00|$11842.00|$420.75|$11842.00|$11842.00|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 788"|"Cesarean Section Without Sterilization Without Cc/McC"|0.00|$41365.00|$1343.03|$20617.58|$28956.00|$1343.03|$20617.58|$1403.15|$1403.15|$11842.00|$11842.00|$11842.00|$11842.00|$11842.00|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 789"|"Neonates, Died Or Transferred To Another Acute Care Facility"|0.00|$18589.00|$27.14|$9064.95|$13012.00|$27.14|$9064.95|$28.36|$28.36|$5450.86|$5450.86|$5450.86|$3770.01|$5450.86|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 790"|"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate"|0.00|$193505.00|$106.37|$83450.00|$135454.00|$106.37|$82040.13|$111.13|$111.13|$65171.65|$65171.65|$65171.65|$83450.00|$65171.65|$32578.00|$32649.60|$27691.30
"MS-DRG V37 (FY 2020) 791"|"Prematurity With Major Problems"|0.00|$92926.00|$131.49|$45674.26|$65048.00|$131.49|$45674.26|$137.38|$137.38|$37171.32|$37171.32|$37171.32|$44548.00|$37171.32|$24206.00|$24259.20|$20575.10
"MS-DRG V37 (FY 2020) 792"|"Prematurity Without Major Problems"|0.00|$8544.00|$88.94|$15686.40|$5981.00|$88.94|$4246.71|$92.93|$92.93|$5768.00|$5768.00|$5768.00|$5574.00|$5768.00|$15652.00|$15686.40|$13304.20
"MS-DRG V37 (FY 2020) 793"|"Full Term Neonate With Major Problems"|0.00|$21488.00|$103.01|$10986.59|$15042.00|$103.01|$10986.59|$107.63|$107.63|$8852.00|$8852.00|$8852.00|$8060.00|$8852.00|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 794"|"Neonate With Other Significant Problems"|0.00|$6322.00|$600.16|$6201.60|$4425.00|$600.16|$3165.88|$627.03|$627.03|$2884.00|$2884.00|$2884.00|$2884.00|$2884.00|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 795"|"Normal Newborn"|0.00|$5009.00|$88.94|$5654.40|$3506.00|$88.94|$2636.04|$92.93|$92.93|$2046.00|$2046.00|$2046.00|$2046.00|$2046.00|$5642.00|$5654.40|$4795.70
"MS-DRG V37 (FY 2020) 796"|"Vaginal Delivery With Sterilization And/Or D&C With McC"|0.00|$42289.00|$280.73|$12886.82|$29602.00|$280.73|$12886.82|$293.33|$293.33|$7798.59|$7798.59|$7798.59|$7798.59|$7798.59|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 797"|"Vaginal Delivery With Sterilization And/Or D&C With Cc"|0.00|$42228.00|$189.79|$17656.79|$29560.00|$189.79|$17656.79|$198.29|$198.29|$10578.85|$10578.85|$10578.85|$10578.85|$10578.85|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 798"|"Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC"|0.00|$38922.00|$194.15|$15104.76|$27245.00|$194.15|$15104.76|$202.85|$202.85|$7205.00|$7205.00|$7205.00|$7205.00|$7205.00|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 799"|"Splenectomy With McC"|0.00|$151604.00|$0.00|$0.00|$106123.00||||||||||||
"MS-DRG V37 (FY 2020) 800"|"Splenectomy With Cc"|0.00|$62592.00|$0.00|$0.00|$43814.00||||||||||||
"MS-DRG V37 (FY 2020) 801"|"Splenectomy Without Cc/McC"|0.00|$101716.00|$174.87|$51264.68|$71201.00|$174.87|$51264.68|$182.73|$182.73|$38651.94|$38651.94|$38651.94|$38651.94|$38651.94|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 802"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With McC"|0.00|$118578.00|$11602.50|$47512.97|$83005.00|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$13650.00|$13680.00|$11602.50
"MS-DRG V37 (FY 2020) 803"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc"|0.00|$110277.00|$1640.34|$41187.50|$77194.00|$1640.34|$41187.50|$16878.79|$3548.85|$16878.79|$16878.79|$16878.79|$16878.79|$16878.79|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 804"|"Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC"|0.00|$87632.00|$313.57|$44166.33|$61342.00|$313.57|$44166.33|$327.64|$327.64|$16662.30|$16662.30|$16662.30|$16662.30|$16662.30|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 805"|"Vaginal Delivery Without Sterilization Or D&C With McC"|0.00|$22866.00|$100.67|$11553.45|$16006.00|$100.67|$11553.45|$105.19|$105.19|$8935.00|$8935.00|$8935.00|$8935.00|$8935.00|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 806"|"Vaginal Delivery Without Sterilization Or D&C With Cc"|0.00|$21575.00|$138.52|$10624.95|$15102.00|$138.52|$10624.95|$144.74|$144.74|$8935.00|$8935.00|$8935.00|$8935.00|$8935.00|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 807"|"Vaginal Delivery Without Sterilization Or D&C Without Cc/McC"|0.00|$19799.00|$194.42|$9911.78|$13859.00|$219.43|$9911.78|$410.92|$194.42|$8935.00|$8935.00|$8935.00|$8935.00|$8935.00|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 808"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC"|0.00|$65775.00|$1653.74|$32825.31|$46042.00|$1653.74|$26353.90|$1727.77|$1727.77|$32450.80|$32450.80|$32450.80|$32825.31|$32450.80|$9646.00|$9667.20|$8199.10
"MS-DRG V37 (FY 2020) 809"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc"|0.00|$36221.00|$588.26|$18413.46|$25355.00|$588.26|$14120.64|$614.62|$614.62|$14367.00|$14367.00|$14367.00|$18413.46|$14367.00|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 810"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC"|0.00|$40144.00|$178.72|$20232.57|$28101.00|$178.72|$20232.57|$186.72|$186.72|$14479.67|$14479.67|$14479.67|$14479.67|$14479.67|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 811"|"Red Blood Cell Disorders With McC"|0.00|$46883.00|$872.53|$23947.79|$32818.00|$872.53|$23947.79|$911.60|$911.60|$15842.40|$15842.40|$15842.40|$22534.19|$15842.40|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 812"|"Red Blood Cell Disorders Without McC"|0.00|$24907.00|$655.92|$13667.48|$17435.00|$655.92|$13667.48|$685.30|$685.30|$10116.55|$10116.55|$10116.55|$13258.84|$10116.55|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 813"|"Coagulation Disorders"|0.00|$58929.00|$1985.77|$32582.11|$41250.00|$7836.69|$32582.11|$8187.56|$8187.56|$18835.05|$18835.05|$1985.77|$18835.05|$18835.05|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 814"|"Reticuloendothelial And Immunity Disorders With McC"|0.00|$67087.00|$2397.78|$33811.79|$46961.00|$2397.78|$33811.79|$2505.14|$9901.34|$14656.62|$14656.62|$14656.62|$14656.62|$14656.62|$8190.00|$8208.00|$6961.50
"MS-DRG V37 (FY 2020) 815"|"Reticuloendothelial And Immunity Disorders With Cc"|0.00|$46710.00|$890.26|$21778.02|$32697.00|$890.26|$20788.12|$930.13|$930.13|$21778.02|$21778.02|$21778.02|$21778.02|$21778.02|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 816"|"Reticuloendothelial And Immunity Disorders Without Cc/McC"|0.00|$35791.00|$371.20|$12874.30|$25054.00|$371.20|$12874.30|$387.81|$387.81|$7675.04|$7675.04|$7675.04|$7675.04|$7675.04|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 817"|"Other Antepartum Diagnoses With O.R. Procedures With McC"|0.00|$66219.00|$543.20|$33370.70|$46353.00|$543.20|$33370.70|$567.55|$567.55|$26470.70|$26470.70|$26470.70|$26470.70|$26470.70|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 818"|"Other Antepartum Diagnoses With O.R. Procedures With Cc"|0.00|$53978.00|$282.43|$27204.81|$37785.00|$282.43|$27204.81|$295.07|$295.07|$15139.75|$15139.75|$15139.75|$15139.75|$15139.75|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 819"|"Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC"|0.00|$54395.00|$635.38|$42897.89|$38076.00|$635.38|$42897.89|$663.80|$663.80|$13978.95|$13978.95|$13978.95|$13978.95|$13978.95|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 820"|"Lymphoma And Leukemia With Major O.R. Procedures With McC"|0.00|$336608.00|$0.00|$0.00|$235626.00||||||||||||
"MS-DRG V37 (FY 2020) 821"|"Lymphoma And Leukemia With Major O.R. Procedures With Cc"|0.00|$165050.00|$5723.90|$33645.23|$115535.00|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 822"|"Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC"|0.00|$99700.00|$221.77|$48250.65|$69790.00|$221.77|$48250.65|$231.71|$231.71|$21087.49|$21087.49|$21087.49|$21087.49|$21087.49|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 823"|"Lymphoma And Non-Acute Leukemia With Other Procedures With McC"|0.00|$178146.00|$15934.10|$68194.77|$124702.00|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$18746.00|$18787.20|$15934.10
"MS-DRG V37 (FY 2020) 824"|"Lymphoma And Non-Acute Leukemia With Other Procedures With Cc"|0.00|$119137.00|$528.63|$46669.50|$83396.00|$528.63|$46669.50|$552.30|$552.30|$35610.61|$35610.61|$35610.61|$35610.61|$35610.61|$9646.00|$9667.20|$8199.10
"MS-DRG V37 (FY 2020) 825"|"Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC"|0.00|$83605.00|$147.91|$46293.80|$58524.00|$147.91|$46293.80|$154.53|$154.53|$16108.05|$16108.05|$16108.05|$16108.05|$16108.05|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 826"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC"|0.00|$223403.00|$15315.30|$156162.09|$156382.00|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$18018.00|$18057.60|$15315.30
"MS-DRG V37 (FY 2020) 827"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc"|0.00|$120293.00|$168.66|$28722.40|$84205.00|$168.66|$21976.36|$176.21|$176.21|$28722.40|$28722.40|$28722.40|$28722.40|$28722.40|$8918.00|$8937.60|$7580.30
"MS-DRG V37 (FY 2020) 828"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC"|0.00|$110407.00|$373.85|$48942.80|$77285.00|$373.85|$48942.80|$390.61|$390.61|$16696.83|$16696.83|$16696.83|$16696.83|$16696.83|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 829"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC"|0.00|$94944.00|$574.68|$48316.31|$66461.00|$574.68|$33055.72|$600.42|$600.42|$48316.31|$48316.31|$48316.31|$48316.31|$48316.31|$11284.00|$11308.80|$9591.40
"MS-DRG V37 (FY 2020) 830"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC"|0.00|$99292.00|$3558.10|$17615.55|$69504.00|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 831"|"Other Antepartum Diagnoses Without O.R. Procedures With McC"|0.00|$25837.00|$1584.88|$11106.10|$18086.00|$1584.88|$9881.30|$11106.10|$4125.10|$11106.10|$11106.10|$11106.10|$11106.10|$11106.10|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 832"|"Other Antepartum Diagnoses Without O.R. Procedures With Cc"|0.00|$19209.00|$136.01|$11753.15|$13446.00|$136.01|$9204.05|$142.13|$142.13|$8967.70|$8967.70|$8967.70|$11753.15|$8967.70|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 833"|"Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC"|0.00|$10253.00|$86.10|$8078.59|$7177.00|$86.10|$6847.08|$89.95|$89.95|$6164.00|$6164.00|$6164.00|$8078.59|$6164.00|$3458.00|$3465.60|$2939.30
"MS-DRG V37 (FY 2020) 834"|"Acute Leukemia Without Major O.R. Procedures With McC"|0.00|$255118.00|$15470.00|$113043.00|$178583.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$18200.00|$18240.00|$15470.00
"MS-DRG V37 (FY 2020) 835"|"Acute Leukemia Without Major O.R. Procedures With Cc"|0.00|$81727.00|$6497.40|$222279.46|$57209.00|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 836"|"Acute Leukemia Without Major O.R. Procedures Without Cc/McC"|0.00|$53835.00|$0.00|$0.00|$37684.00||||||||||||
"MS-DRG V37 (FY 2020) 837"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC"|0.00|$111936.00|$5134.72|$132231.76|$78355.00|$5134.72|$64692.55|$5364.62|$5364.62|$132231.76|$132231.76|$132231.76|$132231.76|$132231.76|$20930.00|$20976.00|$17790.50
"MS-DRG V37 (FY 2020) 838"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent"|0.00|$25523.00|$4246.64|$22273.50|$17866.00|$4246.64|$11225.85|$4436.79|$4436.79|$22273.50|$22273.50|$22273.50|$22273.50|$22273.50|$10010.00|$10032.00|$8508.50
"MS-DRG V37 (FY 2020) 839"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$33438.00|$1124.88|$22401.51|$23407.00|$6683.09|$16463.78|$6982.33|$6982.33|$22401.51|$22401.51|$1124.88|$22401.51|$22401.51|$8008.00|$8025.60|$6806.80
"MS-DRG V37 (FY 2020) 840"|"Lymphoma And Non-Acute Leukemia With McC"|0.00|$113011.00|$1675.99|$42976.66|$79108.00|$1675.99|$42976.66|$1751.05|$1751.05|$39693.57|$39693.57|$39693.57|$39693.57|$39693.57|$12194.00|$12220.80|$10364.90
"MS-DRG V37 (FY 2020) 841"|"Lymphoma And Non-Acute Leukemia With Cc"|0.00|$66370.00|$6188.00|$54489.91|$46459.00|$24428.70|$54489.91|$24428.70|$24428.70|$24428.70|$24428.70|$24428.70|$24428.70|$24428.70|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 842"|"Lymphoma And Non-Acute Leukemia Without Cc/McC"|0.00|$59611.00|$508.69|$30044.08|$41728.00|$508.69|$30044.08|$531.48|$531.48|$12595.95|$12595.95|$12595.95|$12595.95|$12595.95|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 843"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC"|0.00|$54096.00|$8199.10|$23797.11|$37867.00|$23008.07|$23797.11|$23008.07|$23008.07|$23008.07|$23008.07|$23008.07|$23008.07|$23008.07|$9646.00|$9667.20|$8199.10
"MS-DRG V37 (FY 2020) 844"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc"|0.00|$56387.00|$44.22|$11140.41|$39471.00|$44.22|$11140.41|$46.20|$46.20|$10606.49|$10606.49|$10606.49|$10606.49|$10606.49|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 845"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC"|0.00|$54084.00|$1465.62|$16854.80|$37859.00|$1465.62|$15615.49|$1531.25|$1531.25|$16854.80|$16854.80|$16854.80|$16854.80|$16854.80|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 846"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC"|0.00|$71874.00|$1066.80|$40685.99|$50312.00|$1066.80|$40685.99|$1114.57|$1114.57|$34828.72|$34828.72|$34828.72|$34828.72|$34828.72|$10738.00|$10761.60|$9127.30
"MS-DRG V37 (FY 2020) 847"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc"|0.00|$41439.00|$5569.20|$26241.43|$29007.00|$25116.79|$22312.86|$26241.43|$26241.43|$18297.97|$18297.97|$14881.38|$20124.13|$18297.97|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 848"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$64841.00|$510.55|$33648.70|$45389.00|$510.55|$33648.70|$533.43|$533.43|$23945.00|$23945.00|$23945.00|$23945.00|$23945.00|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 849"|"Radiotherapy"|0.00|$77275.00|$1252.08|$38946.47|$54092.00|$1252.08|$38946.47|$1308.17|$1308.17|$28606.25|$28606.25|$28606.25|$28606.25|$28606.25|$11284.00|$11308.80|$9591.40
"MS-DRG V37 (FY 2020) 853"|"Infectious And Parasitic Diseases With O.R. Procedures With McC"|0.00|$157975.00|$746.23|$82247.04|$110582.00|$746.23|$82247.04|$779.66|$779.66|$73952.97|$73952.97|$73952.97|$71038.79|$73952.97|$17472.00|$17510.40|$14851.20
"MS-DRG V37 (FY 2020) 854"|"Infectious And Parasitic Diseases With O.R. Procedures With Cc"|0.00|$69677.00|$978.71|$33984.27|$48774.00|$978.71|$33984.27|$1022.52|$1022.52|$27611.49|$27611.49|$27611.49|$31566.80|$27611.49|$9646.00|$9667.20|$8199.10
"MS-DRG V37 (FY 2020) 855"|"Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC"|0.00|$49796.00|$4702.56|$25097.03|$34857.00|$4702.56|$25097.03|$4913.13|$4913.13|$24001.55|$24001.55|$24001.55|$24001.55|$24001.55|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 856"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC"|0.00|$129408.00|$13923.00|$66704.15|$90586.00|$32776.40|$32776.40|$61663.28|$61663.28|$61663.28|$61663.28|$61663.28|$66704.15|$61663.28|$16380.00|$16416.00|$13923.00
"MS-DRG V37 (FY 2020) 857"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc"|0.00|$75467.00|$1849.07|$39890.67|$52827.00|$1849.07|$39890.67|$1931.84|$1931.84|$23399.05|$23399.05|$23399.05|$19996.00|$23399.05|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 858"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC"|0.00|$46680.00|$617.59|$17613.81|$32676.00|$617.59|$17613.81|$645.24|$645.24|$7933.20|$7933.20|$7933.20|$7933.20|$7933.20|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 862"|"Postoperative And Post-Traumatic Infections With McC"|0.00|$53768.00|$571.00|$24003.55|$37638.00|$571.00|$17051.33|$596.59|$596.59|$21322.85|$21322.85|$21322.85|$24003.55|$21322.85|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 863"|"Postoperative And Post-Traumatic Infections Without McC"|0.00|$30560.00|$907.34|$15402.22|$21392.00|$907.34|$15402.22|$947.97|$947.97|$11240.10|$11240.10|$11240.10|$14731.37|$11240.10|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 864"|"Fever And Inflammatory Conditions"|0.00|$31767.00|$796.47|$19663.54|$22237.00|$796.47|$19663.54|$832.12|$832.12|$12772.01|$12772.01|$12772.01|$12772.01|$12772.01|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 865"|"Viral Illness With McC"|0.00|$53558.00|$179.90|$26993.34|$37491.00|$179.90|$26993.34|$187.95|$187.95|$16637.63|$16637.63|$16637.63|$16637.63|$16637.63|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 866"|"Viral Illness Without McC"|0.00|$29262.00|$2365.79|$14378.48|$20483.00|$2365.79|$14378.48|$2471.71|$2471.71|$10810.95|$10810.95|$10810.95|$10810.95|$10810.95|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 867"|"Other Infectious And Parasitic Diseases Diagnoses With McC"|0.00|$66709.00|$1620.21|$31141.79|$46696.00|$1620.21|$31141.79|$1692.78|$1692.78|$18845.80|$18845.80|$18845.80|$18845.80|$18845.80|$10010.00|$10032.00|$8508.50
"MS-DRG V37 (FY 2020) 868"|"Other Infectious And Parasitic Diseases Diagnoses With Cc"|0.00|$35201.00|$5414.50|$34472.51|$24641.00|$34472.51|$24672.56|$34472.51|$34472.51|$34472.51|$34472.51|$34472.51|$34472.51|$34472.51|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 869"|"Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC"|0.00|$31876.00|$0.00|$0.00|$22313.00||||||||||||
"MS-DRG V37 (FY 2020) 870"|"Septicemia Or Severe Sepsis With Mv >96 Hours"|0.00|$272129.00|$1950.97|$119908.69|$190490.00|$1950.97|$119908.69|$2038.31|$2038.31|$95319.85|$95319.85|$95319.85|$95319.85|$95319.85|$22568.00|$22617.60|$19182.80
"MS-DRG V37 (FY 2020) 871"|"Septicemia Or Severe Sepsis Without Mv >96 Hours With McC"|0.00|$65763.00|$1225.26|$28540.13|$46034.00|$1225.26|$28540.13|$1280.13|$1280.13|$28128.87|$28128.87|$28128.87|$28128.87|$28128.87|$8736.00|$8755.20|$7425.60
"MS-DRG V37 (FY 2020) 872"|"Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC"|0.00|$48094.00|$807.86|$19183.14|$33666.00|$807.86|$19183.14|$844.03|$844.03|$8160.27|$8160.27|$8160.27|$8160.27|$8160.27|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 876"|"O.R. Procedures With Principal Diagnosis Of Mental Illness"|0.00|$86934.00|$903.16|$160870.34|$60854.00|$903.16|$160870.34|$943.61|$943.61|$39966.86|$39966.86|$39966.86|$39966.86|$39966.86|$12740.00|$12768.00|$10829.00
"MS-DRG V37 (FY 2020) 880"|"Acute Adjustment Reaction And Psychosocial Dysfunction"|0.00|$33097.00|$20.27|$13881.93|$23168.00|$20.27|$13881.93|$21.17|$21.17|$6268.31|$6268.31|$6268.31|$6268.31|$6268.31|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 881"|"Depressive Neuroses"|0.00|$28372.00|$20.10|$13540.72|$19860.00|$20.10|$13540.72|$21.00|$21.00|$6832.00|$6832.00|$6832.00|$12482.70|$6832.00|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 882"|"Neuroses Except Depressive"|0.00|$24792.00|$4950.40|$12770.11|$17354.00|$5621.00|$12770.11|$5621.00|$5621.00|$5621.00|$5621.00|$5621.00|$5621.00|$5621.00|$5824.00|$5836.80|$4950.40
"MS-DRG V37 (FY 2020) 883"|"Disorders Of Personality And Impulse Control"|0.00|$26549.00|$603.17|$11188.80|$18584.00|$603.17|$11188.80|$630.18|$630.18|$5125.00|$5125.00|$5125.00|$5125.00|$5125.00|$9282.00|$9302.40|$7889.70
"MS-DRG V37 (FY 2020) 884"|"Organic Disturbances And Intellectual Disability"|0.00|$48338.00|$6.37|$37196.08|$33837.00|$6.37|$37196.08|$6.65|$6.65|$16242.75|$16242.75|$16242.75|$16242.75|$16242.75|$8190.00|$8208.00|$6961.50
"MS-DRG V37 (FY 2020) 885"|"Psychoses"|0.00|$33870.00|$5856.00|$17347.18|$23709.00|$5856.00|$17347.18|$5856.00|$5856.00|$5856.00|$5856.00|$5856.00|$5856.00|$5856.00|$10738.00|$10761.60|$9127.30
"MS-DRG V37 (FY 2020) 886"|"Behavioral And Developmental Disorders"|0.00|$41606.00|$0.00|$0.00|$29124.00||||||||||||
"MS-DRG V37 (FY 2020) 887"|"Other Mental Disorder Diagnoses"|0.00|$32889.00|$3576.80|$73466.81|$23022.00|$3576.80|$73466.81|$3736.95|$3736.95|$41533.00|$41533.00|$41533.00|$41533.00|$41533.00|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 894"|"Alcohol, Drug Abuse Or Dependence, Left Ama"|0.00|$19126.00|$3094.00|$6426.63|$13388.00|$4789.00|$6426.63|$4789.00|$4789.00|$4789.00|$4789.00|$4789.00|$4789.00|$4789.00|$3640.00|$3648.00|$3094.00
"MS-DRG V37 (FY 2020) 895"|"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy"|0.00|$20354.00|$10.39|$16233.60|$14248.00|$10.39|$9799.77|$10.85|$10.85|$5654.00|$5654.00|$5654.00|$5654.00|$5654.00|$16198.00|$16233.60|$13768.30
"MS-DRG V37 (FY 2020) 896"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC"|0.00|$46807.00|$454.91|$21442.73|$32765.00|$454.91|$19826.34|$475.29|$475.29|$20285.72|$20285.72|$20285.72|$21442.73|$20285.72|$8918.00|$8937.60|$7580.30
"MS-DRG V37 (FY 2020) 897"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC"|0.00|$27160.00|$4020.12|$12441.94|$19012.00|$9286.88|$11505.44|$4020.12|$7143.88|$7143.88|$7143.88|$7143.88|$12441.94|$7143.88|$6188.00|$6201.60|$5259.80
"MS-DRG V37 (FY 2020) 901"|"Wound Debridements For Injuries With McC"|0.00|$112380.00|$13613.60|$110407.01|$78666.00|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$16016.00|$16051.20|$13613.60
"MS-DRG V37 (FY 2020) 902"|"Wound Debridements For Injuries With Cc"|0.00|$86239.00|$0.00|$0.00|$60367.00||||||||||||
"MS-DRG V37 (FY 2020) 903"|"Wound Debridements For Injuries Without Cc/McC"|0.00|$56538.00|$0.00|$0.00|$39577.00||||||||||||
"MS-DRG V37 (FY 2020) 904"|"Skin Grafts For Injuries With Cc/McC"|0.00|$99902.00|$10983.70|$53315.69|$69931.00|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$12922.00|$12950.40|$10983.70
"MS-DRG V37 (FY 2020) 905"|"Skin Grafts For Injuries Without Cc/McC"|0.00|$43101.00|$271.02|$48175.29|$30171.00|$271.02|$48175.29|$283.17|$283.17|$18881.85|$18881.85|$18881.85|$18881.85|$18881.85|$6006.00|$6019.20|$5105.10
"MS-DRG V37 (FY 2020) 906"|"Hand Procedures For Injuries"|0.00|$39141.00|$431.80|$22917.59|$27399.00|$431.80|$19727.18|$451.17|$451.17|$22917.59|$22917.59|$22917.59|$22917.59|$22917.59|$5096.00|$5107.20|$4331.60
"MS-DRG V37 (FY 2020) 907"|"Other O.R. Procedures For Injuries With McC"|0.00|$148663.00|$10674.30|$55587.10|$104064.00|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$12558.00|$12585.60|$10674.30
"MS-DRG V37 (FY 2020) 908"|"Other O.R. Procedures For Injuries With Cc"|0.00|$80836.00|$6033.30|$27545.40|$56585.00|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 909"|"Other O.R. Procedures For Injuries Without Cc/McC"|0.00|$61846.00|$176.70|$42403.10|$43292.00|$176.70|$42403.10|$184.64|$184.64|$19156.48|$19156.48|$19156.48|$19156.48|$19156.48|$4368.00|$4377.60|$3712.80
"MS-DRG V37 (FY 2020) 913"|"Traumatic Injury With McC"|0.00|$61314.00|$0.00|$0.00|$42920.00||||||||||||
"MS-DRG V37 (FY 2020) 914"|"Traumatic Injury Without McC"|0.00|$39494.00|$3867.50|$9070.00|$27646.00|$9070.00|$4571.28|$9070.00|$9070.00|$9070.00|$9070.00|$9070.00|$9070.00|$9070.00|$4550.00|$4560.00|$3867.50
"MS-DRG V37 (FY 2020) 915"|"Allergic Reactions With McC"|0.00|$63059.00|$4043.24|$25684.44|$44141.00|$4043.24|$25684.44|$4224.33|$4224.33|$19257.11|$19257.11|$19257.11|$19257.11|$19257.11|$6734.00|$6748.80|$5723.90
"MS-DRG V37 (FY 2020) 916"|"Allergic Reactions Without McC"|0.00|$23603.00|$1263.62|$9580.27|$16522.00|$1263.62|$9580.27|$1320.20|$1320.20|$6024.44|$6024.44|$6024.44|$6024.44|$6024.44|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 917"|"Poisoning And Toxic Effects Of Drugs With McC"|0.00|$43424.00|$5414.50|$22268.88|$30397.00|$14226.31|$14226.31|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 918"|"Poisoning And Toxic Effects Of Drugs Without McC"|0.00|$27867.00|$58.96|$14362.75|$19507.00|$58.96|$14362.75|$61.60|$61.60|$9097.65|$9097.65|$9097.65|$11923.46|$9097.65|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 919"|"Complications Of Treatment With McC"|0.00|$58509.00|$1588.57|$28573.48|$40956.00|$1588.57|$28573.48|$27510.92|$3400.26|$27510.92|$27510.92|$27510.92|$27510.92|$27510.92|$7644.00|$7660.80|$6497.40
"MS-DRG V37 (FY 2020) 920"|"Complications Of Treatment With Cc"|0.00|$36196.00|$132.32|$18286.90|$25337.00|$132.32|$18286.90|$138.24|$138.24|$11813.95|$11813.95|$11813.95|$11813.95|$11813.95|$5278.00|$5289.60|$4486.30
"MS-DRG V37 (FY 2020) 921"|"Complications Of Treatment Without Cc/McC"|0.00|$25492.00|$3248.70|$10420.78|$17844.00|$10420.78|$8036.29|$10420.78|$10420.78|$10420.78|$10420.78|$10420.78|$10420.78|$10420.78|$3822.00|$3830.40|$3248.70
"MS-DRG V37 (FY 2020) 922"|"Other Injury, Poisoning And Toxic Effect Diagnoses With McC"|0.00|$53079.00|$2048.19|$35544.04|$37155.00|$2048.19|$33928.40|$2139.90|$2139.90|$35544.04|$35544.04|$35544.04|$35544.04|$35544.04|$7462.00|$7478.40|$6342.70
"MS-DRG V37 (FY 2020) 923"|"Other Injury, Poisoning And Toxic Effect Diagnoses Without McC"|0.00|$31450.00|$69.84|$13229.82|$22015.00|$69.84|$9325.63|$72.97|$72.97|$13229.82|$13229.82|$13229.82|$13229.82|$13229.82|$4914.00|$4924.80|$4176.90
"MS-DRG V37 (FY 2020) 928"|"Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC"|0.00|$171293.00|$0.00|$0.00|$119905.00||||||||||||
"MS-DRG V37 (FY 2020) 934"|"Full Thickness Burn Without Skin Graft Or Inhalation Injury"|0.00|$15704.00|$0.00|$0.00|$10993.00||||||||||||
"MS-DRG V37 (FY 2020) 935"|"Non-Extensive Burns"|0.00|$29185.00|$0.00|$0.00|$20430.00||||||||||||
"MS-DRG V37 (FY 2020) 939"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC"|0.00|$116529.00|$306.04|$24963.62|$81570.00|$306.04|$24963.62|$319.73|$319.73|$11094.94|$11094.94|$11094.94|$11094.94|$11094.94|$12012.00|$12038.40|$10210.20
"MS-DRG V37 (FY 2020) 940"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc"|0.00|$86876.00|$4637.06|$75041.23|$60813.00|$4637.06|$75041.23|$4844.69|$4844.69|$34314.50|$34314.50|$34314.50|$34314.50|$34314.50|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 941"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC"|0.00|$82343.00|$3403.40|$43477.32|$57640.00|$4116.15|$33270.09|$4300.48|$4300.48|$43477.32|$43477.32|$43477.32|$43477.32|$43477.32|$4004.00|$4012.80|$3403.40
"MS-DRG V37 (FY 2020) 945"|"Rehabilitation With Cc/McC"|0.00|$62086.00|$6990.00|$22880.00|$43460.00|$9090.00|$11241.97|$9978.00|$6990.00|$10428.00|$10428.00|$22880.00|$10428.00|$10428.00|$9100.00|$9120.00|$7735.00
"MS-DRG V37 (FY 2020) 946"|"Rehabilitation Without Cc/McC"|0.00|$50550.00|$0.00|$0.00|$35385.00||||||||||||
"MS-DRG V37 (FY 2020) 947"|"Signs And Symptoms With McC"|0.00|$44674.00|$968.32|$20541.13|$31272.00|$968.32|$20208.76|$1011.67|$1011.67|$20541.13|$20541.13|$20541.13|$20541.13|$20541.13|$6370.00|$6384.00|$5414.50
"MS-DRG V37 (FY 2020) 948"|"Signs And Symptoms Without McC"|0.00|$42273.00|$4022.20|$25416.79|$29591.00|$4107.63|$25416.79|$4291.52|$4291.52|$13381.91|$13381.91|$13381.91|$19247.20|$13381.91|$4732.00|$4742.40|$4022.20
"MS-DRG V37 (FY 2020) 949"|"Aftercare With Cc/McC"|0.00|$42358.00|$6652.10|$27808.00|$29651.00|$21210.00|$25841.69|$23909.20|$16937.20|$22719.75|$27808.00|$20020.00|$24332.00|$27808.00|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 950"|"Aftercare Without Cc/McC"|0.00|$32043.00|$4641.00|$19956.00|$22430.00|$13635.00|$18146.26|$15341.85|$10859.85|$19956.00|$19956.00|$12870.00|$15642.00|$19956.00|$5460.00|$5472.00|$4641.00
"MS-DRG V37 (FY 2020) 951"|"Other Factors Influencing Health Status"|0.00|$20658.00|$186.75|$8827.33|$14461.00|$186.75|$8827.33|$195.12|$195.12|$7372.65|$7372.65|$7372.65|$7372.65|$7372.65|$3276.00|$3283.20|$2784.60
"MS-DRG V37 (FY 2020) 955"|"Craniotomy For Multiple Significant Trauma"|0.00|$351947.00|$11293.10|$103895.07|$246363.00|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$13286.00|$13315.20|$11293.10
"MS-DRG V37 (FY 2020) 956"|"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma"|0.00|$149262.00|$1165.25|$107360.70|$104483.00|$6737.19|$107360.70|$7038.85|$7881.65|$51002.90|$51002.90|$1165.25|$51002.90|$51002.90|$10920.00|$10944.00|$9282.00
"MS-DRG V37 (FY 2020) 957"|"Other O.R. Procedures For Multiple Significant Trauma With McC"|0.00|$259595.00|$14077.70|$101759.86|$181716.00|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$16562.00|$16598.40|$14077.70
"MS-DRG V37 (FY 2020) 958"|"Other O.R. Procedures For Multiple Significant Trauma With Cc"|0.00|$144226.00|$2462.08|$123864.57|$100958.00|$2462.08|$95756.70|$2572.33|$2572.33|$123864.57|$123864.57|$123864.57|$123864.57|$123864.57|$12194.00|$12220.80|$10364.90
"MS-DRG V37 (FY 2020) 959"|"Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC"|0.00|$44230.00|$0.00|$0.00|$30961.00||||||||||||
"MS-DRG V37 (FY 2020) 963"|"Other Multiple Significant Trauma With McC"|0.00|$96965.00|$1548.02|$65816.25|$67876.00|$1548.02|$33171.40|$1617.35|$1617.35|$65816.25|$65816.25|$65816.25|$65816.25|$65816.25|$9464.00|$9484.80|$8044.40
"MS-DRG V37 (FY 2020) 964"|"Other Multiple Significant Trauma With Cc"|0.00|$52318.00|$634.67|$24728.02|$36623.00|$634.67|$24728.02|$663.09|$663.09|$13122.77|$13122.77|$13122.77|$13122.77|$13122.77|$7098.00|$7113.60|$6033.30
"MS-DRG V37 (FY 2020) 965"|"Other Multiple Significant Trauma Without Cc/McC"|0.00|$29498.00|$0.00|$0.00|$20649.00||||||||||||
"MS-DRG V37 (FY 2020) 969"|"Hiv With Extensive O.R. Procedures With McC"|0.00|$274789.00|$0.00|$0.00|$192352.00||||||||||||
"MS-DRG V37 (FY 2020) 970"|"Hiv With Extensive O.R. Procedures Without McC"|0.00|$227982.00|$0.00|$0.00|$159587.00||||||||||||
"MS-DRG V37 (FY 2020) 974"|"Hiv With Major Related Condition With McC"|0.00|$113521.00|$2592.38|$75049.20|$79465.00|$8649.53|$68142.80|$9036.83|$9036.83|$75049.20|$75049.20|$2592.38|$75049.20|$75049.20|$11466.00|$11491.20|$9746.10
"MS-DRG V37 (FY 2020) 975"|"Hiv With Major Related Condition With Cc"|0.00|$48779.00|$6188.00|$52214.55|$34145.00|$17037.61|$52214.55|$17800.48|$17800.48|$15097.50|$15097.50|$8852.13|$15097.50|$15097.50|$7280.00|$7296.00|$6188.00
"MS-DRG V37 (FY 2020) 976"|"Hiv With Major Related Condition Without Cc/McC"|0.00|$28020.00|$0.00|$0.00|$19614.00||||||||||||
"MS-DRG V37 (FY 2020) 977"|"Hiv With Or Without Other Related Condition"|0.00|$48157.00|$5569.20|$56801.68|$33710.00|$28868.79|$56801.68|$30161.43|$30161.43|$20068.23|$20068.23|$17681.38|$20068.23|$20068.23|$6552.00|$6566.40|$5569.20
"MS-DRG V37 (FY 2020) 981"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$156420.00|$1362.28|$59458.80|$109494.00|$1362.28|$59458.80|$1423.28|$1423.28|$50260.75|$50260.75|$50260.75|$50260.75|$50260.75|$15288.00|$15321.60|$12994.80
"MS-DRG V37 (FY 2020) 982"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$85418.00|$1677.98|$53535.46|$59793.00|$1677.98|$53535.46|$1753.18|$1753.18|$30819.25|$30819.25|$30819.25|$30819.25|$30819.25|$8554.00|$8572.80|$7270.90
"MS-DRG V37 (FY 2020) 983"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$77018.00|$1747.21|$32360.02|$53913.00|$1747.21|$32360.02|$1825.45|$1825.45|$14382.20|$14382.20|$14382.20|$14382.20|$14382.20|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 987"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$128480.00|$1120.58|$60778.17|$89936.00|$1120.58|$60778.17|$1170.74|$11120.54|$37514.15|$37514.15|$37514.15|$37514.15|$37514.15|$14014.00|$14044.80|$11911.90
"MS-DRG V37 (FY 2020) 988"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$60623.00|$6652.10|$21811.93|$42436.00|$15758.16|$21811.93|$15758.16|$15758.16|$15758.16|$15758.16|$15758.16|$15758.16|$15758.16|$7826.00|$7843.20|$6652.10
"MS-DRG V37 (FY 2020) 989"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$55067.00|$558.95|$34632.69|$38547.00|$558.95|$34632.69|$583.99|$583.99|$16818.84|$16818.84|$16818.84|$16818.84|$16818.84|$4186.00|$4195.20|$3558.10
"MS-DRG V37 (FY 2020) 998"|"Principal Diagnosis Invalid As Discharge Diagnosis"|0.00|$19080.00|$367.50|$9616.19|$13356.00|$367.50|$9616.19|$383.97|$383.97|$8935.00|$8935.00|$8935.00|$8935.00|$8935.00|||
"MS-DRG V37 (FY 2020) 999"|"Ungroupable"|0.00|$40113.00|$0.00|$0.00|$28079.00||||||||||||
"Custom 11800000"|"HB R&B REHAB PRIVATE"|118.00|$1517.00|$889.42|$1118.03|$1062.00||||||||||$1046.73|$1118.03|$889.42
"Custom 12800001"|"HB R&B REHAB SEMI-PRIVATE"|128.00|$1162.00|$681.28|$856.39|$813.00||||||||||$801.78|$856.39|$681.28
"Custom 19000000"|"HB R&B SUBACUTE CARE"|190.00|$676.00|$396.34|$498.21|$473.00||||||||||$466.44|$498.21|$396.34
"Custom 27001046"|"HB OXYGEN THERAPY PER DAY"|270.00|$252.00|$127.01|$185.72|$176.00|$171.36|$127.01||$176.40|$163.80|$163.80|$176.40|$163.80|$151.20|$173.88|$185.72|$147.75
"HCPCS L3913"|"HB CUSTOM HAND FINGER ORTHOSIS STATIC"|274.00|$93.00|$46.87|$68.54|$65.00|$63.24|$46.87||$65.10|$60.45|$60.45|$65.10|$60.45|$55.80|$64.17|$68.54|$54.53
"HCPCS L1499"|"HB ASPEN REPLACEMENT PADS"|274.00|$53.00|$26.71|$39.06|$37.00|$36.04|$26.71||$37.10|$34.45|$34.45|$37.10|$34.45|$31.80|$36.57|$39.06|$31.07
"CPT® 36415"|"HB ROUTINE VENIPUNCTURE"|300.00|$30.00|$3.00|$22.11|$21.00|$20.40|$15.12||$21.00|$19.50|$19.50|$21.00|$3.00|$18.00|$20.70|$22.11|$17.59
"CPT® 36416"|"HB CAPILLARY BLOOD DRAW"|300.00|$25.00|$2.87|$18.43|$18.00|$17.00|$12.60||$17.50|$16.25|$16.25|$17.50|$2.87|$15.00|$17.25|$18.43|$14.66
"CPT® 36591"|"HB DRAW BLOOD OFF VENOUS DEVICE"|300.00|$211.00|$106.34|$155.51|$148.00|$143.48|$106.34||$147.70|$137.15|$137.15|$147.70||$126.60|$145.59|$155.51|$123.71
"CPT® 36600"|"HB WITHDRAWAL OF ARTERIAL BLOOD"|300.00|$147.00|$74.09|$108.34|$103.00|$99.96|$74.09||$102.90|$95.55|$95.55|$102.90||$88.20|$101.43|$108.34|$86.19
"CPT® 80048"|"HB BASIC METABOLIC PANEL"|300.00|$250.00|$11.63|$184.25|$175.00|$170.00|$126.00||$175.00|$162.50|$162.50|$175.00|$11.63|$150.00|$172.50|$184.25|$146.58
"CPT® 80051"|"HB ELECTROLYTE PANEL"|300.00|$66.00|$9.64|$48.64|$46.00|$44.88|$33.26||$46.20|$42.90|$42.90|$46.20|$9.64|$39.60|$45.54|$48.64|$38.70
"CPT® 80053"|"HB COMPREHEN METABOLIC PANEL"|300.00|$350.00|$14.53|$257.95|$245.00|$238.00|$176.40||$245.00|$227.50|$227.50|$245.00|$14.53|$210.00|$241.50|$257.95|$205.21
"CPT® 80061"|"HB LIPID PANEL"|300.00|$210.00|$18.42|$154.77|$147.00|$142.80|$105.84||$147.00|$136.50|$136.50|$147.00|$18.42|$126.00|$144.90|$154.77|$123.12
"CPT® 80069"|"HB RENAL FUNCTION PANEL"|300.00|$192.00|$11.94|$141.50|$134.00|$130.56|$96.77||$134.40|$124.80|$124.80|$134.40|$11.94|$115.20|$132.48|$141.50|$112.57
"CPT® 80074"|"HB ACUTE HEPATITIS PANEL"|300.00|$490.00|$65.47|$361.13|$343.00|$333.20|$246.96||$343.00|$318.50|$318.50|$343.00|$65.47|$294.00|$338.10|$361.13|$287.29
"CPT® 80076"|"HB HEPATIC FUNCTION PANEL"|300.00|$77.00|$11.23|$56.75|$54.00|$52.36|$38.81||$53.90|$50.05|$50.05|$53.90|$11.23|$46.20|$53.13|$56.75|$45.15
"CPT® 80150"|"HB ASSAY OF AMIKACIN"|300.00|$56.00|$20.72|$41.27|$39.00|$38.08|$28.22||$39.20|$36.40|$36.40|$39.20|$20.72|$33.60|$38.64|$41.27|$32.83
"CPT® 80156"|"HB ASSAY CARBAMAZEPINE TOTAL"|300.00|$111.00|$20.02|$81.81|$78.00|$75.48|$55.94||$77.70|$72.15|$72.15|$77.70|$20.02|$66.60|$76.59|$81.81|$65.08
"CPT® 80158"|"HB DRUG ASSAY CYCLOSPORINE"|300.00|$241.00|$24.81|$177.62|$169.00|$163.88|$121.46||$168.70|$156.65|$156.65|$168.70|$24.81|$144.60|$166.29|$177.62|$141.30
"CPT® 80162"|"HB ASSAY OF DIGOXIN TOTAL"|300.00|$133.00|$18.25|$98.02|$93.00|$90.44|$67.03||$93.10|$86.45|$86.45|$93.10|$18.25|$79.80|$91.77|$98.02|$77.98
"CPT® 80164"|"HB ASSAY DIPROPYLACETIC ACD TOT"|300.00|$116.00|$18.63|$85.49|$81.00|$78.88|$58.46||$81.20|$75.40|$75.40|$81.20|$18.63|$69.60|$80.04|$85.49|$68.01
"CPT® 80170"|"HB ASSAY OF GENTAMICIN"|300.00|$178.00|$22.53|$131.19|$125.00|$121.04|$89.71||$124.60|$115.70|$115.70|$124.60|$22.53|$106.80|$122.82|$131.19|$104.36
"CPT® 80176"|"HB ASSAY OF LIDOCAINE"|300.00|$108.00|$20.19|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$20.19|$64.80|$74.52|$79.60|$63.32
"CPT® 80178"|"HB ASSAY OF LITHIUM"|300.00|$97.00|$9.09|$71.49|$68.00|$65.96|$48.89||$67.90|$63.05|$63.05|$67.90|$9.09|$58.20|$66.93|$71.49|$56.87
"CPT® 80184"|"HB ASSAY OF PHENOBARBITAL"|300.00|$170.00|$15.74|$125.29|$119.00|$115.60|$85.68||$119.00|$110.50|$110.50|$119.00|$15.74|$102.00|$117.30|$125.29|$99.67
"CPT® 80185"|"HB ASSAY OF PHENYTOIN TOTAL"|300.00|$110.00|$18.22|$81.07|$77.00|$74.80|$55.44||$77.00|$71.50|$71.50|$77.00|$18.22|$66.00|$75.90|$81.07|$64.49
"CPT® 80186"|"HB ASSAY OF PHENYTOIN FREE"|300.00|$90.00|$18.92|$66.33|$63.00|$61.20|$45.36||$63.00|$58.50|$58.50|$63.00|$18.92|$54.00|$62.10|$66.33|$52.77
"CPT® 80188"|"HB ASSAY OF PRIMIDONE"|300.00|$109.00|$22.81|$80.33|$76.00|$74.12|$54.94||$76.30|$70.85|$70.85|$76.30|$22.81|$65.40|$75.21|$80.33|$63.91
"CPT® 80195"|"HB ASSAY OF SIROLIMUS"|300.00|$159.00|$18.87|$117.18|$111.00|$108.12|$80.14||$111.30|$103.35|$103.35|$111.30|$18.87|$95.40|$109.71|$117.18|$93.22
"CPT® 80197"|"HB ASSAY OF TACROLIMUS"|300.00|$300.00|$18.87|$221.10|$210.00|$204.00|$151.20||$210.00|$195.00|$195.00|$210.00|$18.87|$180.00|$207.00|$221.10|$175.89
"CPT® 80198"|"HB ASSAY OF THEOPHYLLINE"|300.00|$148.00|$19.45|$109.08|$104.00|$100.64|$74.59||$103.60|$96.20|$96.20|$103.60|$19.45|$88.80|$102.12|$109.08|$86.77
"CPT® 80200"|"HB ASSAY OF TOBRAMYCIN"|300.00|$56.00|$22.16|$41.27|$39.00|$38.08|$28.22||$39.20|$36.40|$36.40|$39.20|$22.16|$33.60|$38.64|$41.27|$32.83
"CPT® 80202"|"HB ASSAY OF VANCOMYCIN"|300.00|$70.00|$18.63|$51.59|$49.00|$47.60|$35.28||$49.00|$45.50|$45.50|$49.00|$18.63|$42.00|$48.30|$51.59|$41.04
"CPT® 80299"|"HB QUANTITATIVE ASSAY DRUG"|300.00|$245.00|$18.83|$180.57|$172.00|$166.60|$123.48||$171.50|$159.25|$159.25|$171.50|$18.83|$147.00|$169.05|$180.57|$143.64
"HCPCS G0480"|"HB DRUG SCREEN QUANTALCOHOLS"|300.00|$255.00|$79.94|$187.94|$178.00|$173.40|$128.52||$178.50|$165.75|$165.75|$178.50|$79.94|$153.00|$175.95|$187.94|$149.51
"HCPCS G0480"|"HB ANALGESICS NON-OPIOID 1 OR 2"|300.00|$196.00|$79.94|$144.45|$137.00|$133.28|$98.78||$137.20|$127.40|$127.40|$137.20|$79.94|$117.60|$135.24|$144.45|$114.91
"HCPCS G0480"|"HB ANTIDEPRESSANT TRICYCLIC 1/2"|300.00|$172.00|$79.94|$126.76|$120.00|$116.96|$86.69||$120.40|$111.80|$111.80|$120.40|$79.94|$103.20|$118.68|$126.76|$100.84
"HCPCS G0480"|"HB ANTIEPILEPTICS NOS 1-3"|300.00|$151.00|$76.10|$111.29|$106.00|$102.68|$76.10||$105.70|$98.15|$98.15|$105.70|$79.94|$90.60|$104.19|$111.29|$88.53
"CPT® 81001"|"HB URINALYSIS AUTO W/SCOPE"|300.00|$84.00|$4.35|$61.91|$59.00|$57.12|$42.34||$58.80|$54.60|$54.60|$58.80|$4.35|$50.40|$57.96|$61.91|$49.25
"CPT® 81002"|"HB URINALYSIS NONAUTO W/O SCOPE"|300.00|$16.00|$3.52|$11.79|$11.00|$10.88|$8.06||$11.20|$10.40|$10.40|$11.20|$3.52|$9.60|$11.04|$11.79|$9.38
"CPT® 81003"|"HB URINALYSIS AUTO W/O SCOPE"|300.00|$102.00|$3.09|$75.17|$71.00|$69.36|$51.41||$71.40|$66.30|$66.30|$71.40|$3.09|$61.20|$70.38|$75.17|$59.80
"CPT® 81025"|"HB URINE PREGNANCY TEST"|300.00|$108.00|$8.70|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$8.70|$64.80|$74.52|$79.60|$63.32
"CPT® 81050"|"HB URINALYSIS VOLUME MEASURE"|300.00|$35.00|$4.12|$25.80|$24.00|$23.80|$17.64||$24.50|$22.75|$22.75|$24.50|$4.12|$21.00|$24.15|$25.80|$20.52
"CPT® 81479"|"HB UNLISTED MOLECULAR PATHOLOGY"|300.00|$5847.00|$803.00|$4309.24|$4093.00|$803.00|$2946.89||$4092.90|$3800.55|$3800.55|$4092.90||$3508.20|$4034.43|$4309.24|$3428.10
"CPT® 82009"|"HB TEST FOR ACETONE/KETONES"|300.00|$75.00|$6.21|$55.28|$52.00|$51.00|$37.80||$52.50|$48.75|$48.75|$52.50|$6.21|$45.00|$51.75|$55.28|$43.97
"CPT® 82010"|"HB ACETONE ASSAY"|300.00|$79.00|$11.23|$58.22|$55.00|$53.72|$39.82||$55.30|$51.35|$51.35|$55.30|$11.23|$47.40|$54.51|$58.22|$46.32
"CPT® 82040"|"HB ASSAY OF SERUM ALBUMIN"|300.00|$53.00|$6.80|$39.06|$37.00|$36.04|$26.71||$37.10|$34.45|$34.45|$37.10|$6.80|$31.80|$36.57|$39.06|$31.07
"CPT® 82043"|"HB MICROALBUMIN QUANTITATIVE"|300.00|$92.00|$7.95|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$7.95|$55.20|$63.48|$67.80|$53.94
"CPT® 82085"|"HB ASSAY OF ALDOLASE"|300.00|$107.00|$13.34|$78.86|$75.00|$72.76|$53.93||$74.90|$69.55|$69.55|$74.90|$13.34|$64.20|$73.83|$78.86|$62.73
"CPT® 82088"|"HB ASSAY OF ALDOSTERONE"|300.00|$237.00|$56.02|$174.67|$166.00|$161.16|$119.45||$165.90|$154.05|$154.05|$165.90|$56.02|$142.20|$163.53|$174.67|$138.95
"CPT® 82105"|"HB ALPHA-FETOPROTEIN SERUM"|300.00|$227.00|$23.06|$167.30|$159.00|$154.36|$114.41||$158.90|$147.55|$147.55|$158.90|$23.06|$136.20|$156.63|$167.30|$133.09
"CPT® 82140"|"HB ASSAY OF AMMONIA"|300.00|$98.00|$20.03|$72.23|$69.00|$66.64|$49.39||$68.60|$63.70|$63.70|$68.60|$20.03|$58.80|$67.62|$72.23|$57.46
"CPT® 82150"|"HB ASSAY OF AMYLASE"|300.00|$39.00|$8.91|$28.74|$27.00|$26.52|$19.66||$27.30|$25.35|$25.35|$27.30|$8.91|$23.40|$26.91|$28.74|$22.87
"CPT® 82172"|"HB ASSAY OF APOLIPOPROTEIN"|300.00|$111.00|$21.30|$81.81|$78.00|$75.48|$55.94||$77.70|$72.15|$72.15|$77.70|$21.30|$66.60|$76.59|$81.81|$65.08
"CPT® 82180"|"HB ASSAY OF ASCORBIC ACID"|300.00|$115.00|$13.59|$84.76|$80.00|$78.20|$57.96||$80.50|$74.75|$74.75|$80.50|$13.59|$69.00|$79.35|$84.76|$67.42
"CPT® 82232"|"HB ASSAY OF BETA-2 PROTEIN"|300.00|$128.00|$22.24|$94.34|$90.00|$87.04|$64.51||$89.60|$83.20|$83.20|$89.60|$22.24|$76.80|$88.32|$94.34|$75.05
"CPT® 82247"|"HB BILIRUBIN TOTAL"|300.00|$93.00|$6.90|$68.54|$65.00|$63.24|$46.87||$65.10|$60.45|$60.45|$65.10|$6.90|$55.80|$64.17|$68.54|$54.53
"CPT® 82248"|"HB BILIRUBIN DIRECT"|300.00|$78.00|$6.90|$57.49|$55.00|$53.04|$39.31||$54.60|$50.70|$50.70|$54.60|$6.90|$46.80|$53.82|$57.49|$45.73
"CPT® 82270"|"HB OCCULT BLOOD FECES"|300.00|$54.00|$4.48|$39.80|$38.00|$36.72|$27.22||$37.80|$35.10|$35.10|$37.80|$4.48|$32.40|$37.26|$39.80|$31.66
"CPT® 82271"|"HB OCCULT BLOOD OTHER SOURCES"|300.00|$47.00|$4.48|$34.64|$33.00|$31.96|$23.69||$32.90|$30.55|$30.55|$32.90|$4.48|$28.20|$32.43|$34.64|$27.56
"CPT® 82272"|"HB OCCULT BLD FECES 1-3 TESTS"|300.00|$16.00|$4.48|$11.79|$11.00|$10.88|$8.06||$11.20|$10.40|$10.40|$11.20|$4.48|$9.60|$11.04|$11.79|$9.38
"CPT® 82274"|"HB ASSAY TEST FOR BLOOD FECAL"|300.00|$140.00|$21.86|$103.18|$98.00|$95.20|$70.56||$98.00|$91.00|$91.00|$98.00|$21.86|$84.00|$96.60|$103.18|$82.08
"CPT® 82306"|"HB VITAMIN D 25 HYDROXY"|300.00|$218.00|$40.70|$160.67|$153.00|$148.24|$109.87||$152.60|$141.70|$141.70|$152.60|$40.70|$130.80|$150.42|$160.67|$127.81
"CPT® 82310"|"HB ASSAY OF CALCIUM_CALCIUM; TOTAL"|300.00|$84.00|$7.09|$61.91|$59.00|$57.12|$42.34||$58.80|$54.60|$54.60|$58.80|$7.09|$50.40|$57.96|$61.91|$49.25
"CPT® 82330"|"HB ASSAY OF CALCIUM_CALCIUM; IONIZED"|300.00|$91.00|$18.79|$67.07|$64.00|$61.88|$45.86||$63.70|$59.15|$59.15|$63.70|$18.79|$54.60|$62.79|$67.07|$53.35
"CPT® 82340"|"HB ASSAY OF CALCIUM IN URINE"|300.00|$106.00|$8.29|$78.12|$74.00|$72.08|$53.42||$74.20|$68.90|$68.90|$74.20|$8.29|$63.60|$73.14|$78.12|$62.15
"CPT® 82374"|"HB ASSAY BLOOD CARBON DIOXIDE"|300.00|$50.00|$6.72|$36.85|$35.00|$34.00|$25.20||$35.00|$32.50|$32.50|$35.00|$6.72|$30.00|$34.50|$36.85|$29.32
"CPT® 82378"|"HB CARCINOEMBRYONIC ANTIGEN"|300.00|$230.00|$26.08|$169.51|$161.00|$156.40|$115.92||$161.00|$149.50|$149.50|$161.00|$26.08|$138.00|$158.70|$169.51|$134.85
"CPT® 82384"|"HB ASSAY THREE CATECHOLAMINES"|300.00|$181.00|$34.71|$133.40|$127.00|$123.08|$91.22||$126.70|$117.65|$117.65|$126.70|$34.71|$108.60|$124.89|$133.40|$106.12
"CPT® 82390"|"HB ASSAY OF CERULOPLASMIN"|300.00|$105.00|$14.76|$77.39|$74.00|$71.40|$52.92||$73.50|$68.25|$68.25|$73.50|$14.76|$63.00|$72.45|$77.39|$61.56
"CPT® 82397"|"HB CHEMILUMINESCENT ASSAY"|300.00|$161.00|$19.42|$118.66|$113.00|$109.48|$81.14||$112.70|$104.65|$104.65|$112.70|$19.42|$96.60|$111.09|$118.66|$94.39
"CPT® 82435"|"HB ASSAY OF BLOOD CHLORIDE"|300.00|$43.00|$6.32|$31.69|$30.00|$29.24|$21.67||$30.10|$27.95|$27.95|$30.10|$6.32|$25.80|$29.67|$31.69|$25.21
"CPT® 82436"|"HB ASSAY OF URINE CHLORIDE"|300.00|$66.00|$6.91|$48.64|$46.00|$44.88|$33.26||$46.20|$42.90|$42.90|$46.20|$6.91|$39.60|$45.54|$48.64|$38.70
"CPT® 82465"|"HB ASSAY BLD/SERUM CHOLESTEROL"|300.00|$70.00|$5.98|$51.59|$49.00|$47.60|$35.28||$49.00|$45.50|$45.50|$49.00|$5.98|$42.00|$48.30|$51.59|$41.04
"CPT® 82525"|"HB ASSAY OF COPPER"|300.00|$96.00|$17.06|$70.75|$67.00|$65.28|$48.38||$67.20|$62.40|$62.40|$67.20|$17.06|$57.60|$66.24|$70.75|$56.28
"CPT® 82530"|"HB CORTISOL FREE"|300.00|$158.00|$22.97|$116.45|$111.00|$107.44|$79.63||$110.60|$102.70|$102.70|$110.60|$22.97|$94.80|$109.02|$116.45|$92.64
"CPT® 82533"|"HB TOTAL CORTISOL"|300.00|$86.00|$22.41|$63.38|$60.00|$58.48|$43.34||$60.20|$55.90|$55.90|$60.20|$22.41|$51.60|$59.34|$63.38|$50.42
"CPT® 82550"|"HB ASSAY OF CK (CPK)"|300.00|$34.00|$8.95|$25.06|$24.00|$23.12|$17.14||$23.80|$22.10|$22.10|$23.80|$8.95|$20.40|$23.46|$25.06|$19.93
"CPT® 82553"|"HB CREATINE MB FRACTION"|300.00|$179.00|$15.87|$131.92|$125.00|$121.72|$90.22||$125.30|$116.35|$116.35|$125.30|$15.87|$107.40|$123.51|$131.92|$104.95
"CPT® 82565"|"HB ASSAY OF CREATININE"|300.00|$80.00|$7.04|$58.96|$56.00|$54.40|$40.32||$56.00|$52.00|$52.00|$56.00|$7.04|$48.00|$55.20|$58.96|$46.90
"CPT® 82570"|"HB ASSAY OF URINE CREATININE"|300.00|$79.00|$7.11|$58.22|$55.00|$53.72|$39.82||$55.30|$51.35|$51.35|$55.30|$7.11|$47.40|$54.51|$58.22|$46.32
"CPT® 82575"|"HB CREATININE CLEARANCE TEST"|300.00|$44.00|$12.99|$32.43|$31.00|$29.92|$22.18||$30.80|$28.60|$28.60|$30.80|$12.99|$26.40|$30.36|$32.43|$25.80
"CPT® 82607"|"HB VITAMIN B-12"|300.00|$154.00|$20.72|$113.50|$108.00|$104.72|$77.62||$107.80|$100.10|$100.10|$107.80|$20.72|$92.40|$106.26|$113.50|$90.29
"CPT® 82627"|"HB DEHYDROEPIANDROSTERONE_DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S)"|300.00|$211.00|$30.56|$155.51|$148.00|$143.48|$106.34||$147.70|$137.15|$137.15|$147.70|$30.56|$126.60|$145.59|$155.51|$123.71
"CPT® 82652"|"HB VIT D 1 25-DIHYDROXY"|300.00|$212.00|$52.92|$156.24|$148.00|$144.16|$106.85||$148.40|$137.80|$137.80|$148.40|$52.92|$127.20|$146.28|$156.24|$124.30
"CPT® 82670"|"HB ASSAY OF ESTRADIOL"|300.00|$208.00|$38.41|$153.30|$146.00|$141.44|$104.83||$145.60|$135.20|$135.20|$145.60|$38.41|$124.80|$143.52|$153.30|$121.95
"CPT® 82728"|"HB ASSAY OF FERRITIN"|300.00|$165.00|$18.73|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50|$18.73|$99.00|$113.85|$121.61|$96.74
"CPT® 82731"|"HB ASSAY OF FETAL FIBRONECTIN"|300.00|$432.00|$88.54|$318.38|$302.00|$293.76|$217.73||$302.40|$280.80|$280.80|$302.40|$88.54|$259.20|$298.08|$318.38|$253.28
"CPT® 82746"|"HB ASSAY OF FOLIC ACID SERUM"|300.00|$91.00|$20.21|$67.07|$64.00|$61.88|$45.86||$63.70|$59.15|$59.15|$63.70|$20.21|$54.60|$62.79|$67.07|$53.35
"CPT® 82784"|"HB ASSAY IGA/IGD/IGG/IGM EACH"|300.00|$103.00|$12.78|$75.91|$72.00|$70.04|$51.91||$72.10|$66.95|$66.95|$72.10|$12.78|$61.80|$71.07|$75.91|$60.39
"CPT® 82785"|"HB ASSAY OF IGE"|300.00|$150.00|$22.64|$110.55|$105.00|$102.00|$75.60||$105.00|$97.50|$97.50|$105.00|$22.64|$90.00|$103.50|$110.55|$87.95
"CPT® 82803"|"HB BLOOD GASES ANY COMBINATION"|300.00|$262.00|$26.60|$193.09|$183.00|$178.16|$132.05||$183.40|$170.30|$170.30|$183.40|$26.60|$157.20|$180.78|$193.09|$153.61
"CPT® 82945"|"HB GLUCOSE OTHER FLUID"|300.00|$89.00|$5.39|$65.59|$62.00|$60.52|$44.86||$62.30|$57.85|$57.85|$62.30|$5.39|$53.40|$61.41|$65.59|$52.18
"CPT® 82947"|"HB ASSAY GLUCOSE BLOOD QUANT"|300.00|$69.00|$5.39|$50.85|$48.00|$46.92|$34.78||$48.30|$44.85|$44.85|$48.30|$5.39|$41.40|$47.61|$50.85|$40.45
"CPT® 82950"|"HB GLUCOSE TEST"|300.00|$108.00|$6.53|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$6.53|$64.80|$74.52|$79.60|$63.32
"CPT® 82951"|"HB GLUCOSE TOLERANCE TEST (GTT)"|300.00|$244.00|$17.69|$179.83|$171.00|$165.92|$122.98||$170.80|$158.60|$158.60|$170.80|$17.69|$146.40|$168.36|$179.83|$143.06
"CPT® 82952"|"HB GTT-ADDED SAMPLES"|300.00|$78.00|$5.39|$57.49|$55.00|$53.04|$39.31||$54.60|$50.70|$50.70|$54.60|$5.39|$46.80|$53.82|$57.49|$45.73
"CPT® 82977"|"HB ASSAY OF GGT"|300.00|$90.00|$9.90|$66.33|$63.00|$61.20|$45.36||$63.00|$58.50|$58.50|$63.00|$9.90|$54.00|$62.10|$66.33|$52.77
"CPT® 83001"|"HB ASSAY OF GONADOTROPIN (FSH)"|300.00|$193.00|$25.54|$142.24|$135.00|$131.24|$97.27||$135.10|$125.45|$125.45|$135.10|$25.54|$115.80|$133.17|$142.24|$113.16
"CPT® 83002"|"HB ASSAY OF GONADOTROPIN (LH)"|300.00|$204.00|$25.46|$150.35|$143.00|$138.72|$102.82||$142.80|$132.60|$132.60|$142.80|$25.46|$122.40|$140.76|$150.35|$119.61
"CPT® 83010"|"HB ASSAY OF HAPTOGLOBIN QUANT"|300.00|$124.00|$17.29|$91.39|$87.00|$84.32|$62.50||$86.80|$80.60|$80.60|$86.80|$17.29|$74.40|$85.56|$91.39|$72.70
"CPT® 83013"|"HB H PYLORI (C-13) BREATH"|300.00|$317.00|$92.59|$233.63|$222.00|$215.56|$159.77||$221.90|$206.05|$206.05|$221.90|$92.59|$190.20|$218.73|$233.63|$185.86
"CPT® 83033"|"HB FETAL HEMOGLOBIN ASSAY QUAL"|300.00|$137.00|$8.19|$100.97|$96.00|$93.16|$69.05||$95.90|$89.05|$89.05|$95.90|$8.19|$82.20|$94.53|$100.97|$80.32
"CPT® 83036"|"HB GLYCOSYLATED HEMOGLOBIN TEST"|300.00|$134.00|$13.34|$98.76|$94.00|$91.12|$67.54||$93.80|$87.10|$87.10|$93.80|$13.34|$80.40|$92.46|$98.76|$78.56
"CPT® 83050"|"HB BLOOD METHEMOGLOBIN ASSAY"|300.00|$107.00|$10.07|$78.86|$75.00|$72.76|$53.93||$74.90|$69.55|$69.55|$74.90|$10.07|$64.20|$73.83|$78.86|$62.73
"CPT® 83090"|"HB ASSAY OF HOMOCYSTINE"|300.00|$209.00|$23.19|$154.03|$146.00|$142.12|$105.34||$146.30|$135.85|$135.85|$146.30|$23.19|$125.40|$144.21|$154.03|$122.54
"CPT® 83516"|"HB IMMUNOASSAY NONANTIBODY"|300.00|$157.00|$15.86|$115.71|$110.00|$106.76|$79.13||$109.90|$102.05|$102.05|$109.90|$15.86|$94.20|$108.33|$115.71|$92.05
"CPT® 83519"|"HB RIA NONANTIBODY"|300.00|$201.00|$18.57|$148.14|$141.00|$136.68|$101.30||$140.70|$130.65|$130.65|$140.70|$18.57|$120.60|$138.69|$148.14|$117.85
"CPT® 83520"|"HB IMMUNOASSAY ANALYTE QUANTITATIVE NOS"|300.00|$150.00|$17.80|$110.55|$105.00|$102.00|$75.60||$105.00|$97.50|$97.50|$105.00|$17.80|$90.00|$103.50|$110.55|$87.95
"CPT® 83525"|"HB ASSAY OF INSULIN TOTAL"|300.00|$127.00|$15.71|$93.60|$89.00|$86.36|$64.01||$88.90|$82.55|$82.55|$88.90|$15.71|$76.20|$87.63|$93.60|$74.46
"CPT® 83540"|"HB ASSAY OF IRON"|300.00|$90.00|$8.90|$66.33|$63.00|$61.20|$45.36||$63.00|$58.50|$58.50|$63.00|$8.90|$54.00|$62.10|$66.33|$52.77
"CPT® 83605"|"HB ASSAY OF LACTIC ACID"|300.00|$254.00|$14.68|$187.20|$178.00|$172.72|$128.02||$177.80|$165.10|$165.10|$177.80|$14.68|$152.40|$175.26|$187.20|$148.92
"CPT® 83615"|"HB LACTATE (LD) (LDH) ENZYME"|300.00|$92.00|$8.30|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$8.30|$55.20|$63.48|$67.80|$53.94
"CPT® 83655"|"HB ASSAY OF LEAD"|300.00|$77.00|$16.64|$56.75|$54.00|$52.36|$38.81||$53.90|$50.05|$50.05|$53.90|$16.64|$46.20|$53.13|$56.75|$45.15
"CPT® 83690"|"HB ASSAY OF LIPASE"|300.00|$47.00|$9.47|$34.64|$33.00|$31.96|$23.69||$32.90|$30.55|$30.55|$32.90|$9.47|$28.20|$32.43|$34.64|$27.56
"CPT® 83718"|"HB ASSAY OF LIPOPROTEIN"|300.00|$107.00|$11.26|$78.86|$75.00|$72.76|$53.93||$74.90|$69.55|$69.55|$74.90|$11.26|$64.20|$73.83|$78.86|$62.73
"CPT® 83721"|"HB ASSAY OF BLOOD LIPOPROTEIN LDL"|300.00|$88.00|$13.11|$64.86|$62.00|$59.84|$44.35||$61.60|$57.20|$57.20|$61.60|$13.11|$52.80|$60.72|$64.86|$51.59
"CPT® 83735"|"HB ASSAY OF MAGNESIUM"|300.00|$92.00|$9.21|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$9.21|$55.20|$63.48|$67.80|$53.94
"CPT® 83835"|"HB ASSAY OF METANEPHRINES"|300.00|$235.00|$23.29|$173.20|$164.00|$159.80|$118.44||$164.50|$152.75|$152.75|$164.50|$23.29|$141.00|$162.15|$173.20|$137.78
"CPT® 83872"|"HB ASSAY SYNOVIAL FLUID MUCIN"|300.00|$61.00|$8.06|$44.96|$43.00|$41.48|$30.74||$42.70|$39.65|$39.65|$42.70|$8.06|$36.60|$42.09|$44.96|$35.76
"CPT® 83874"|"HB ASSAY OF MYOGLOBIN"|300.00|$145.00|$17.75|$106.87|$102.00|$98.60|$73.08||$101.50|$94.25|$94.25|$101.50|$17.75|$87.00|$100.05|$106.87|$85.01
"CPT® 83880"|"HB ASSAY OF NATRIURETIC PEPTIDE"|300.00|$205.00|$46.66|$151.09|$144.00|$139.40|$103.32||$143.50|$133.25|$133.25|$143.50|$46.66|$123.00|$141.45|$151.09|$120.19
"CPT® 83883"|"HB ASSAY NEPHELOMETRY NOT SPEC"|300.00|$117.00|$18.69|$86.23|$82.00|$79.56|$58.97||$81.90|$76.05|$76.05|$81.90|$18.69|$70.20|$80.73|$86.23|$68.60
"CPT® 83916"|"HB OLIGOCLONAL BANDS"|300.00|$143.00|$27.64|$105.39|$100.00|$97.24|$72.07||$100.10|$92.95|$92.95|$100.10|$27.64|$85.80|$98.67|$105.39|$83.84
"CPT® 83921"|"HB ORGANIC ACID SINGLE QUANT"|300.00|$202.00|$22.62|$148.87|$141.00|$137.36|$101.81||$141.40|$131.30|$131.30|$141.40|$22.62|$121.20|$139.38|$148.87|$118.43
"CPT® 83930"|"HB ASSAY OF BLOOD OSMOLALITY"|300.00|$42.00|$9.09|$30.95|$29.00|$28.56|$21.17||$29.40|$27.30|$27.30|$29.40|$9.09|$25.20|$28.98|$30.95|$24.62
"CPT® 83935"|"HB ASSAY OF URINE OSMOLALITY"|300.00|$42.00|$9.37|$30.95|$29.00|$28.56|$21.17||$29.40|$27.30|$27.30|$29.40|$9.37|$25.20|$28.98|$30.95|$24.62
"CPT® 83970"|"HB ASSAY OF PARATHORMONE"|300.00|$160.00|$56.74|$117.92|$112.00|$108.80|$80.64||$112.00|$104.00|$104.00|$112.00|$56.74|$96.00|$110.40|$117.92|$93.81
"CPT® 83986"|"HB ASSAY PH BODY FLUID NOS"|300.00|$52.00|$4.92|$38.32|$36.00|$35.36|$26.21||$36.40|$33.80|$33.80|$36.40|$4.92|$31.20|$35.88|$38.32|$30.49
"CPT® 84075"|"HB ASSAY ALKALINE PHOSPHATASE ALKALINE"|300.00|$53.00|$7.11|$39.06|$37.00|$36.04|$26.71||$37.10|$34.45|$34.45|$37.10|$7.11|$31.80|$36.57|$39.06|$31.07
"CPT® 84100"|"HB ASSAY OF PHOSPHORUS"|300.00|$80.00|$6.52|$58.96|$56.00|$54.40|$40.32||$56.00|$52.00|$52.00|$56.00|$6.52|$48.00|$55.20|$58.96|$46.90
"CPT® 84105"|"HB ASSAY OF URINE PHOSPHORUS"|300.00|$81.00|$7.11|$59.70|$57.00|$55.08|$40.82||$56.70|$52.65|$52.65|$56.70|$7.11|$48.60|$55.89|$59.70|$47.49
"CPT® 84132"|"HB ASSAY OF SERUM POTASSIUM"|300.00|$57.00|$6.32|$42.01|$40.00|$38.76|$28.73||$39.90|$37.05|$37.05|$39.90|$6.32|$34.20|$39.33|$42.01|$33.42
"CPT® 84133"|"HB ASSAY OF URINE POTASSIUM"|300.00|$87.00|$5.91|$64.12|$61.00|$59.16|$43.85||$60.90|$56.55|$56.55|$60.90|$5.91|$52.20|$60.03|$64.12|$51.01
"CPT® 84134"|"HB ASSAY OF PREALBUMIN"|300.00|$154.00|$20.05|$113.50|$108.00|$104.72|$77.62||$107.80|$100.10|$100.10|$107.80|$20.05|$92.40|$106.26|$113.50|$90.29
"CPT® 84144"|"HB ASSAY OF PROGESTERONE"|300.00|$200.00|$28.68|$147.40|$140.00|$136.00|$100.80||$140.00|$130.00|$130.00|$140.00|$28.68|$120.00|$138.00|$147.40|$117.26
"CPT® 84146"|"HB ASSAY OF PROLACTIN"|300.00|$76.00|$26.64|$56.01|$53.00|$51.68|$38.30||$53.20|$49.40|$49.40|$53.20|$26.64|$45.60|$52.44|$56.01|$44.56
"CPT® 84153"|"HB ASSAY OF PSA TOTAL"|300.00|$159.00|$25.29|$117.18|$111.00|$108.12|$80.14||$111.30|$103.35|$103.35|$111.30|$25.29|$95.40|$109.71|$117.18|$93.22
"CPT® 84154"|"HB ASSAY OF PSA FREE"|300.00|$112.00|$25.29|$82.54|$78.00|$76.16|$56.45||$78.40|$72.80|$72.80|$78.40|$25.29|$67.20|$77.28|$82.54|$65.67
"CPT® 84155"|"HB ASSAY OF PROTEIN SERUM"|300.00|$78.00|$5.04|$57.49|$55.00|$53.04|$39.31||$54.60|$50.70|$50.70|$54.60|$5.04|$46.80|$53.82|$57.49|$45.73
"CPT® 84156"|"HB ASSAY OF PROTEIN URINE"|300.00|$102.00|$5.04|$75.17|$71.00|$69.36|$51.41||$71.40|$66.30|$66.30|$71.40|$5.04|$61.20|$70.38|$75.17|$59.80
"CPT® 84157"|"HB ASSAY OF PROTEIN OTHER"|300.00|$91.00|$5.04|$67.07|$64.00|$61.88|$45.86||$63.70|$59.15|$59.15|$63.70|$5.04|$54.60|$62.79|$67.07|$53.35
"CPT® 84165"|"HB PROTEIN E-PHORESIS SERUM"|300.00|$181.00|$14.76|$133.40|$127.00|$123.08|$91.22||$126.70|$117.65|$117.65|$126.70|$14.76|$108.60|$124.89|$133.40|$106.12
"CPT® 84166"|"HB PROTEIN E-PHORESIS/URINE/CSF"|300.00|$151.00|$24.52|$111.29|$106.00|$102.68|$76.10||$105.70|$98.15|$98.15|$105.70|$24.52|$90.60|$104.19|$111.29|$88.53
"CPT® 84244"|"HB ASSAY OF RENIN"|300.00|$174.00|$30.24|$128.24|$122.00|$118.32|$87.70||$121.80|$113.10|$113.10|$121.80|$30.24|$104.40|$120.06|$128.24|$102.02
"CPT® 84252"|"HB ASSAY OF VITAMIN B-2"|300.00|$148.00|$27.82|$109.08|$104.00|$100.64|$74.59||$103.60|$96.20|$96.20|$103.60|$27.82|$88.80|$102.12|$109.08|$86.77
"CPT® 84295"|"HB ASSAY OF SERUM SODIUM"|300.00|$75.00|$6.62|$55.28|$52.00|$51.00|$37.80||$52.50|$48.75|$48.75|$52.50|$6.62|$45.00|$51.75|$55.28|$43.97
"CPT® 84300"|"HB ASSAY OF URINE SODIUM"|300.00|$74.00|$6.69|$54.54|$52.00|$50.32|$37.30||$51.80|$48.10|$48.10|$51.80|$6.69|$44.40|$51.06|$54.54|$43.39
"CPT® 84305"|"HB ASSAY OF SOMATOMEDIN"|300.00|$163.00|$29.22|$120.13|$114.00|$110.84|$82.15||$114.10|$105.95|$105.95|$114.10|$29.22|$97.80|$112.47|$120.13|$95.57
"CPT® 84376"|"HB SUGARS SINGLE QUAL"|300.00|$35.00|$7.56|$25.80|$24.00|$23.80|$17.64||$24.50|$22.75|$22.75|$24.50|$7.56|$21.00|$24.15|$25.80|$20.52
"CPT® 84402"|"HB ASSAY OF FREE TESTOSTERONE"|300.00|$149.00|$35.00|$109.81|$104.00|$101.32|$75.10||$104.30|$96.85|$96.85|$104.30|$35.00|$89.40|$102.81|$109.81|$87.36
"CPT® 84403"|"HB ASSAY OF TOTAL TESTOSTERONE"|300.00|$146.00|$35.49|$107.60|$102.00|$99.28|$73.58||$102.20|$94.90|$94.90|$102.20|$35.49|$87.60|$100.74|$107.60|$85.60
"CPT® 84425"|"HB ASSAY OF VITAMIN B-1"|300.00|$143.00|$29.19|$105.39|$100.00|$97.24|$72.07||$100.10|$92.95|$92.95|$100.10|$29.19|$85.80|$98.67|$105.39|$83.84
"CPT® 84436"|"HB ASSAY OF TOTAL THYROXINE"|300.00|$33.00|$9.44|$24.32|$23.00|$22.44|$16.63||$23.10|$21.45|$21.45|$23.10|$9.44|$19.80|$22.77|$24.32|$19.35
"CPT® 84439"|"HB ASSAY OF FREE THYROXINE"|300.00|$138.00|$12.40|$101.71|$97.00|$93.84|$69.55||$96.60|$89.70|$89.70|$96.60|$12.40|$82.80|$95.22|$101.71|$80.91
"CPT® 84443"|"HB ASSAY THYROID STIM HORMONE"|300.00|$186.00|$23.10|$137.08|$130.00|$126.48|$93.74||$130.20|$120.90|$120.90|$130.20|$23.10|$111.60|$128.34|$137.08|$109.05
"CPT® 84450"|"HB TRANSFERASE (AST) (SGOT)"|300.00|$96.00|$7.11|$70.75|$67.00|$65.28|$48.38||$67.20|$62.40|$62.40|$67.20|$7.11|$57.60|$66.24|$70.75|$56.28
"CPT® 84460"|"HB ALANINE AMINO (ALT) (SGPT)"|300.00|$108.00|$7.27|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$7.27|$64.80|$74.52|$79.60|$63.32
"CPT® 84466"|"HB ASSAY OF TRANSFERRIN"|300.00|$61.00|$17.55|$44.96|$43.00|$41.48|$30.74||$42.70|$39.65|$39.65|$42.70|$17.55|$36.60|$42.09|$44.96|$35.76
"CPT® 84478"|"HB ASSAY OF TRIGLYCERIDES"|300.00|$86.00|$7.90|$63.38|$60.00|$58.48|$43.34||$60.20|$55.90|$55.90|$60.20|$7.90|$51.60|$59.34|$63.38|$50.42
"CPT® 84480"|"HB ASSAY TRIIODOTHYRONINE (T3)"|300.00|$144.00|$19.49|$106.13|$101.00|$97.92|$72.58||$100.80|$93.60|$93.60|$100.80|$19.49|$86.40|$99.36|$106.13|$84.43
"CPT® 84481"|"HB FREE ASSAY (FT-3)"|300.00|$70.00|$23.29|$51.59|$49.00|$47.60|$35.28||$49.00|$45.50|$45.50|$49.00|$23.29|$42.00|$48.30|$51.59|$41.04
"CPT® 84482"|"HB T3 REVERSE"|300.00|$82.00|$21.67|$60.43|$57.00|$55.76|$41.33||$57.40|$53.30|$53.30|$57.40|$21.67|$49.20|$56.58|$60.43|$48.08
"CPT® 84520"|"HB ASSAY OF UREA NITROGEN"|300.00|$76.00|$5.43|$56.01|$53.00|$51.68|$38.30||$53.20|$49.40|$49.40|$53.20|$5.43|$45.60|$52.44|$56.01|$44.56
"CPT® 84540"|"HB ASSAY OF URINE/UREA-N"|300.00|$87.00|$6.53|$64.12|$61.00|$59.16|$43.85||$60.90|$56.55|$56.55|$60.90|$6.53|$52.20|$60.03|$64.12|$51.01
"CPT® 84550"|"HB ASSAY OF BLOOD/URIC ACID"|300.00|$90.00|$6.21|$66.33|$63.00|$61.20|$45.36||$63.00|$58.50|$58.50|$63.00|$6.21|$54.00|$62.10|$66.33|$52.77
"CPT® 84560"|"HB ASSAY OF URINE/URIC ACID"|300.00|$80.00|$6.53|$58.96|$56.00|$54.40|$40.32||$56.00|$52.00|$52.00|$56.00|$6.53|$48.00|$55.20|$58.96|$46.90
"CPT® 84585"|"HB ASSAY OF URINE VMA"|300.00|$127.00|$21.30|$93.60|$89.00|$86.36|$64.01||$88.90|$82.55|$82.55|$88.90|$21.30|$76.20|$87.63|$93.60|$74.46
"CPT® 84591"|"HB ASSAY OF NOS VITAMIN"|300.00|$71.00|$15.95|$52.33|$50.00|$48.28|$35.78||$49.70|$46.15|$46.15|$49.70|$15.95|$42.60|$48.99|$52.33|$41.63
"CPT® 84702"|"HB CHORIONIC GONADOTROPIN TEST"|300.00|$214.00|$20.70|$157.72|$150.00|$145.52|$107.86||$149.80|$139.10|$139.10|$149.80|$20.70|$128.40|$147.66|$157.72|$125.47
"CPT® 84703"|"HB CHORIONIC GONADOTROPIN ASSAY"|300.00|$131.00|$10.33|$96.55|$92.00|$89.08|$66.02||$91.70|$85.15|$85.15|$91.70|$10.33|$78.60|$90.39|$96.55|$76.81
"CPT® 85007"|"HB BL SMEAR W/DIFF WBC COUNT"|300.00|$83.00|$4.73|$61.17|$58.00|$56.44|$41.83||$58.10|$53.95|$53.95|$58.10|$4.73|$49.80|$57.27|$61.17|$48.66
"CPT® 85014"|"HB HEMATOCRIT"|300.00|$92.00|$3.26|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$3.26|$55.20|$63.48|$67.80|$53.94
"CPT® 85018"|"HB HEMOGLOBIN"|300.00|$45.00|$3.26|$33.17|$31.00|$30.60|$22.68||$31.50|$29.25|$29.25|$31.50|$3.26|$27.00|$31.05|$33.17|$26.38
"CPT® 85025"|"HB COMPLETE CBC W/AUTO DIFF WBC"|300.00|$92.00|$10.69|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$10.69|$55.20|$63.48|$67.80|$53.94
"CPT® 85044"|"HB MANUAL RETICULOCYTE COUNT"|300.00|$62.00|$5.91|$45.69|$43.00|$42.16|$31.25||$43.40|$40.30|$40.30|$43.40|$5.91|$37.20|$42.78|$45.69|$36.35
"CPT® 85045"|"HB AUTOMATED RETICULOCYTE COUNT"|300.00|$33.00|$5.50|$24.32|$23.00|$22.44|$16.63||$23.10|$21.45|$21.45|$23.10|$5.50|$19.80|$22.77|$24.32|$19.35
"CPT® 85049"|"HB AUTOMATED PLATELET COUNT"|300.00|$59.00|$6.15|$43.48|$41.00|$40.12|$29.74||$41.30|$38.35|$38.35|$41.30|$6.15|$35.40|$40.71|$43.48|$34.59
"CPT® 85230"|"HB CLOT FACTOR VII PROCONVERTIN"|300.00|$235.00|$24.61|$173.20|$164.00|$159.80|$118.44||$164.50|$152.75|$152.75|$164.50|$24.61|$141.00|$162.15|$173.20|$137.78
"CPT® 85300"|"HB ANTITHROMBIN III ACTIVITY"|300.00|$262.00|$16.29|$193.09|$183.00|$178.16|$132.05||$183.40|$170.30|$170.30|$183.40|$16.29|$157.20|$180.78|$193.09|$153.61
"CPT® 85301"|"HB ANTITHROMBIN III ANTIGEN"|300.00|$156.00|$14.86|$114.97|$109.00|$106.08|$78.62||$109.20|$101.40|$101.40|$109.20|$14.86|$93.60|$107.64|$114.97|$91.46
"CPT® 85302"|"HB CLOT INHIBIT PROT C ANTIGEN"|300.00|$166.00|$16.52|$122.34|$116.00|$112.88|$83.66||$116.20|$107.90|$107.90|$116.20|$16.52|$99.60|$114.54|$122.34|$97.33
"CPT® 85303"|"HB CLOT INHIBIT PROT C ACTIVITY"|300.00|$275.00|$19.01|$202.68|$192.00|$187.00|$138.60||$192.50|$178.75|$178.75|$192.50|$19.01|$165.00|$189.75|$202.68|$161.23
"CPT® 85306"|"HB CLOT INHIBIT PROT S FREE"|300.00|$289.00|$21.06|$212.99|$202.00|$196.52|$145.66||$202.30|$187.85|$187.85|$202.30|$21.06|$173.40|$199.41|$212.99|$169.44
"CPT® 85307"|"HB ASSAY ACTIVATED PROTEIN C"|300.00|$235.00|$21.06|$173.20|$164.00|$159.80|$118.44||$164.50|$152.75|$152.75|$164.50|$21.06|$141.00|$162.15|$173.20|$137.78
"CPT® 85379"|"HB FIBRIN DEGRADATION QUANT"|300.00|$65.00|$13.99|$47.91|$46.00|$44.20|$32.76||$45.50|$42.25|$42.25|$45.50|$13.99|$39.00|$44.85|$47.91|$38.11
"CPT® 85384"|"HB FIBRINOGEN ACTIVITY"|300.00|$135.00|$11.68|$99.50|$94.00|$91.80|$68.04||$94.50|$87.75|$87.75|$94.50|$11.68|$81.00|$93.15|$99.50|$79.15
"CPT® 85460"|"HB KLEIHAUER-BETKE STAIN"|300.00|$114.00|$10.64|$84.02|$80.00|$77.52|$57.46||$79.80|$74.10|$74.10|$79.80|$10.64|$68.40|$78.66|$84.02|$66.84
"CPT® 85461"|"HB FETAL SCRN/RFX KLEIHAUER"|300.00|$126.00|$9.12|$92.86|$88.00|$85.68|$63.50||$88.20|$81.90|$81.90|$88.20|$9.12|$75.60|$86.94|$92.86|$73.87
"CPT® 85520"|"HB HEPARIN ASSAY"|300.00|$173.00|$18.00|$127.50|$121.00|$117.64|$87.19||$121.10|$112.45|$112.45|$121.10|$18.00|$103.80|$119.37|$127.50|$101.43
"CPT® 85576"|"HB BLOOD PLATELET AGGREGATION"|300.00|$163.00|$29.53|$120.13|$114.00|$110.84|$82.15||$114.10|$105.95|$105.95|$114.10|$29.53|$97.80|$112.47|$120.13|$95.57
"CPT® 85611"|"HB PROTHROMBIN TEST"|300.00|$90.00|$5.42|$66.33|$63.00|$61.20|$45.36||$63.00|$58.50|$58.50|$63.00|$5.42|$54.00|$62.10|$66.33|$52.77
"CPT® 85651"|"HB RBC SED RATE NONAUTOMATED"|300.00|$89.00|$4.88|$65.59|$62.00|$60.52|$44.86||$62.30|$57.85|$57.85|$62.30|$4.88|$53.40|$61.41|$65.59|$52.18
"CPT® 85652"|"HB RBC SED RATE AUTOMATED"|300.00|$54.00|$3.71|$39.80|$38.00|$36.72|$27.22||$37.80|$35.10|$35.10|$37.80|$3.71|$32.40|$37.26|$39.80|$31.66
"CPT® 85660"|"HB RBC SICKLE CELL TEST"|300.00|$99.00|$7.59|$72.96|$69.00|$67.32|$49.90||$69.30|$64.35|$64.35|$69.30|$7.59|$59.40|$68.31|$72.96|$58.04
"CPT® 85730"|"HB THROMBOPLASTIN TIME PARTIAL PLASMA OR WHOLE BLOOD"|300.00|$81.00|$8.25|$59.70|$57.00|$55.08|$40.82||$56.70|$52.65|$52.65|$56.70|$8.25|$48.60|$55.89|$59.70|$47.49
"CPT® 85732"|"HB THROMBOPLASTIN TIME PARTIAL SUBSTITUTION"|300.00|$134.00|$8.89|$98.76|$94.00|$91.12|$67.54||$93.80|$87.10|$87.10|$93.80|$8.89|$80.40|$92.46|$98.76|$78.56
"CPT® 85810"|"HB BLOOD VISCOSITY EXAMINATION"|300.00|$99.00|$16.04|$72.96|$69.00|$67.32|$49.90||$69.30|$64.35|$64.35|$69.30|$16.04|$59.40|$68.31|$72.96|$58.04
"CPT® 86003"|"HB ALLERGEN SPECIFIC IGE"|300.00|$67.00|$7.17|$49.38|$47.00|$45.56|$33.77||$46.90|$43.55|$43.55|$46.90|$7.17|$40.20|$46.23|$49.38|$39.28
"CPT® 86022"|"HB PLATELET ANTIBODIES WITH REFLEX"|300.00|$764.00|$25.25|$563.07|$535.00|$519.52|$385.06||$534.80|$496.60|$496.60|$534.80|$25.25|$458.40|$527.16|$563.07|$447.93
"CPT® 86038"|"HB ANTINUCLEAR ANTIBODIES"|300.00|$128.00|$16.62|$94.34|$90.00|$87.04|$64.51||$89.60|$83.20|$83.20|$89.60|$16.62|$76.80|$88.32|$94.34|$75.05
"CPT® 86039"|"HB ANTINUCLEAR ANTIBODIES (ANA)"|300.00|$129.00|$15.35|$95.07|$90.00|$87.72|$65.02||$90.30|$83.85|$83.85|$90.30|$15.35|$77.40|$89.01|$95.07|$75.63
"CPT® 86060"|"HB ANTISTREPTOLYSIN O TITER"|300.00|$106.00|$10.03|$78.12|$74.00|$72.08|$53.42||$74.20|$68.90|$68.90|$74.20|$10.03|$63.60|$73.14|$78.12|$62.15
"CPT® 86140"|"HB C-REACTIVE PROTEIN"|300.00|$78.00|$7.11|$57.49|$55.00|$53.04|$39.31||$54.60|$50.70|$50.70|$54.60|$7.11|$46.80|$53.82|$57.49|$45.73
"CPT® 86141"|"HB C-REACTIVE PROTEIN HS"|300.00|$122.00|$17.80|$89.91|$85.00|$82.96|$61.49||$85.40|$79.30|$79.30|$85.40|$17.80|$73.20|$84.18|$89.91|$71.53
"CPT® 86146"|"HB BETA-2 GLYCOPROTEIN ANTIBODY"|300.00|$98.00|$34.97|$72.23|$69.00|$66.64|$49.39||$68.60|$63.70|$63.70|$68.60|$34.97|$58.80|$67.62|$72.23|$57.46
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODY EA IG"|300.00|$182.00|$34.97|$134.13|$127.00|$123.76|$91.73||$127.40|$118.30|$118.30|$127.40|$34.97|$109.20|$125.58|$134.13|$106.71
"CPT® 86156"|"HB COLD AGGLUTININ SCREEN"|300.00|$98.00|$9.21|$72.23|$69.00|$66.64|$49.39||$68.60|$63.70|$63.70|$68.60|$9.21|$58.80|$67.62|$72.23|$57.46
"CPT® 86162"|"HB COMPLEMENT TOTAL (CH50)"|300.00|$187.00|$27.93|$137.82|$131.00|$127.16|$94.25||$130.90|$121.55|$121.55|$130.90|$27.93|$112.20|$129.03|$137.82|$109.64
"CPT® 86225"|"HB DNA ANTIBODY NATIVE"|300.00|$179.00|$18.88|$131.92|$125.00|$121.72|$90.22||$125.30|$116.35|$116.35|$125.30|$18.88|$107.40|$123.51|$131.92|$104.95
"CPT® 86235"|"HB NUCLEAR ANTIGEN ANTIBODY"|300.00|$174.00|$24.65|$128.24|$122.00|$118.32|$87.70||$121.80|$113.10|$113.10|$121.80|$24.65|$104.40|$120.06|$128.24|$102.02
"CPT® 86255"|"HB FLUORESCENT ANTIBODY SCREEN"|300.00|$163.00|$16.57|$120.13|$114.00|$110.84|$82.15||$114.10|$105.95|$105.95|$114.10|$16.57|$97.80|$112.47|$120.13|$95.57
"CPT® 86256"|"HB FLUORESCENT ANTIBODY TITER"|300.00|$134.00|$16.57|$98.76|$94.00|$91.12|$67.54||$93.80|$87.10|$87.10|$93.80|$16.57|$80.40|$92.46|$98.76|$78.56
"CPT® 86300"|"HB IMMUNOASSAY TUMOR CA 15-3"|300.00|$143.00|$28.61|$105.39|$100.00|$97.24|$72.07||$100.10|$92.95|$92.95|$100.10|$28.61|$85.80|$98.67|$105.39|$83.84
"CPT® 86304"|"HB IMMUNOASSAY TUMOR CA 125"|300.00|$201.00|$28.61|$148.14|$141.00|$136.68|$101.30||$140.70|$130.65|$130.65|$140.70|$28.61|$120.60|$138.69|$148.14|$117.85
"CPT® 86308"|"HB HETEROPHILE ANTIBODY SCREEN"|300.00|$97.00|$7.11|$71.49|$68.00|$65.96|$48.89||$67.90|$63.05|$63.05|$67.90|$7.11|$58.20|$66.93|$71.49|$56.87
"CPT® 86334"|"HB IMMUNOFIX E-PHORESIS SERUM"|300.00|$197.00|$30.71|$145.19|$138.00|$133.96|$99.29||$137.90|$128.05|$128.05|$137.90|$30.71|$118.20|$135.93|$145.19|$115.50
"CPT® 86335"|"HB IMMUNFIX E-PHORSIS/URINE/CSF"|300.00|$268.00|$40.34|$197.52|$188.00|$182.24|$135.07||$187.60|$174.20|$174.20|$187.60|$40.34|$160.80|$184.92|$197.52|$157.13
"CPT® 86341"|"HB ISLET CELL ANTIBODY"|300.00|$173.00|$27.20|$127.50|$121.00|$117.64|$87.19||$121.10|$112.45|$112.45|$121.10|$27.20|$103.80|$119.37|$127.50|$101.43
"CPT® 86376"|"HB MICROSOMAL ANTIBODY EACH"|300.00|$116.00|$19.99|$85.49|$81.00|$78.88|$58.46||$81.20|$75.40|$75.40|$81.20|$19.99|$69.60|$80.04|$85.49|$68.01
"CPT® 86403"|"HB PARTICLE AGGLUT ANTBDY SCRN"|300.00|$127.00|$14.01|$93.60|$89.00|$86.36|$64.01||$88.90|$82.55|$82.55|$88.90|$14.01|$76.20|$87.63|$93.60|$74.46
"CPT® 86406"|"HB PARTICLE AGGLUT ANTBDY TITR"|300.00|$299.00|$14.62|$220.36|$209.00|$203.32|$150.70||$209.30|$194.35|$194.35|$209.30|$14.62|$179.40|$206.31|$220.36|$175.30
"CPT® 86431"|"HB RHEUMATOID FACTOR QUANT"|300.00|$90.00|$7.80|$66.33|$63.00|$61.20|$45.36||$63.00|$58.50|$58.50|$63.00|$7.80|$54.00|$62.10|$66.33|$52.77
"CPT® 86480"|"HB TB TEST CELL IMMUN MEASURE"|300.00|$181.00|$85.20|$133.40|$127.00|$123.08|$91.22||$126.70|$117.65|$117.65|$126.70|$85.20|$108.60|$124.89|$133.40|$106.12
"CPT® 86481"|"HB TB AG RESPONSE T-CELL SUSP"|300.00|$79.00|$39.82|$79.00|$55.00|$53.72|$39.82||$55.30|$51.35|$51.35|$55.30|$79.00|$47.40|$54.51|$58.22|$46.32
"CPT® 86592"|"HB SYPHILIS TEST NON-TREP QUAL"|300.00|$89.00|$5.87|$65.59|$62.00|$60.52|$44.86||$62.30|$57.85|$57.85|$62.30|$5.87|$53.40|$61.41|$65.59|$52.18
"CPT® 86593"|"HB SYPHILIS TEST NON-TREP QUANT"|300.00|$96.00|$6.05|$70.75|$67.00|$65.28|$48.38||$67.20|$62.40|$62.40|$67.20|$6.05|$57.60|$66.24|$70.75|$56.28
"CPT® 86617"|"HB LYME DISEASE ANTIBODY CONFIRMATORY TEST"|300.00|$101.00|$21.30|$74.44|$71.00|$68.68|$50.90||$70.70|$65.65|$65.65|$70.70|$21.30|$60.60|$69.69|$74.44|$59.22
"CPT® 86618"|"HB LYME DISEASE ANTIBODY"|300.00|$124.00|$23.41|$91.39|$87.00|$84.32|$62.50||$86.80|$80.60|$80.60|$86.80|$23.41|$74.40|$85.56|$91.39|$72.70
"CPT® 86644"|"HB CMV ANTIBODY"|300.00|$148.00|$19.79|$109.08|$104.00|$100.64|$74.59||$103.60|$96.20|$96.20|$103.60|$19.79|$88.80|$102.12|$109.08|$86.77
"CPT® 86665"|"HB EPSTEIN-BARR CAPSID VCA"|300.00|$129.00|$24.94|$95.07|$90.00|$87.72|$65.02||$90.30|$83.85|$83.85|$90.30|$24.94|$77.40|$89.01|$95.07|$75.63
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODY"|300.00|$148.00|$19.95|$109.08|$104.00|$100.64|$74.59||$103.60|$96.20|$96.20|$103.60|$19.95|$88.80|$102.12|$109.08|$86.77
"CPT® 86695"|"HB HERPES SIMPLEX TYPE 1 TEST"|300.00|$62.00|$18.13|$45.69|$43.00|$42.16|$31.25||$43.40|$40.30|$40.30|$43.40|$18.13|$37.20|$42.78|$45.69|$36.35
"CPT® 86696"|"HB HERPES SIMPLEX TYPE 2 TEST"|300.00|$80.00|$26.60|$58.96|$56.00|$54.40|$40.32||$56.00|$52.00|$52.00|$56.00|$26.60|$48.00|$55.20|$58.96|$46.90
"CPT® 86698"|"HB HISTOPLASMA ANTIBODY"|300.00|$72.00|$17.18|$53.06|$50.00|$48.96|$36.29||$50.40|$46.80|$46.80|$50.40|$17.18|$43.20|$49.68|$53.06|$42.21
"CPT® 86703"|"HB HIV-1/HIV-2 1 RESULT ANTBDY"|300.00|$120.00|$18.85|$88.44|$84.00|$81.60|$60.48||$84.00|$78.00|$78.00|$84.00|$18.85|$72.00|$82.80|$88.44|$70.36
"CPT® 86704"|"HB HEP B CORE ANTIBODY TOTAL"|300.00|$134.00|$16.57|$98.76|$94.00|$91.12|$67.54||$93.80|$87.10|$87.10|$93.80|$16.57|$80.40|$92.46|$98.76|$78.56
"CPT® 86705"|"HB HEP B CORE ANTIBODY IGM"|300.00|$61.00|$16.18|$44.96|$43.00|$41.48|$30.74||$42.70|$39.65|$39.65|$42.70|$16.18|$36.60|$42.09|$44.96|$35.76
"CPT® 86706"|"HB HEP B SURFACE ANTIBODY"|300.00|$67.00|$14.76|$49.38|$47.00|$45.56|$33.77||$46.90|$43.55|$43.55|$46.90|$14.76|$40.20|$46.23|$49.38|$39.28
"CPT® 86707"|"HB HEPATITIS BE ANTIBODY"|300.00|$90.00|$15.90|$66.33|$63.00|$61.20|$45.36||$63.00|$58.50|$58.50|$63.00|$15.90|$54.00|$62.10|$66.33|$52.77
"CPT® 86709"|"HB HEPATITIS A IGM ANTIBODY"|300.00|$76.00|$15.47|$56.01|$53.00|$51.68|$38.30||$53.20|$49.40|$49.40|$53.20|$15.47|$45.60|$52.44|$56.01|$44.56
"CPT® 86735"|"HB MUMPS ANTIBODY"|300.00|$111.00|$17.94|$81.81|$78.00|$75.48|$55.94||$77.70|$72.15|$72.15|$77.70|$17.94|$66.60|$76.59|$81.81|$65.08
"CPT® 86762"|"HB RUBELLA ANTIBODY"|300.00|$111.00|$19.79|$81.81|$78.00|$75.48|$55.94||$77.70|$72.15|$72.15|$77.70|$19.79|$66.60|$76.59|$81.81|$65.08
"CPT® 86765"|"HB RUBEOLA ANTIBODY"|300.00|$91.00|$17.71|$67.07|$64.00|$61.88|$45.86||$63.70|$59.15|$59.15|$63.70|$17.71|$54.60|$62.79|$67.07|$53.35
"CPT® 86787"|"HB VARICELLA-ZOSTER ANTIBODY"|300.00|$132.00|$17.71|$97.28|$92.00|$89.76|$66.53||$92.40|$85.80|$85.80|$92.40|$17.71|$79.20|$91.08|$97.28|$77.39
"CPT® 86803"|"HB HEPATITIS C AB TEST"|300.00|$82.00|$19.62|$60.43|$57.00|$55.76|$41.33||$57.40|$53.30|$53.30|$57.40|$19.62|$49.20|$56.58|$60.43|$48.08
"CPT® 86832"|"HB HLA CLASS I HIGH DEFIN QUAL"|300.00|$722.00|$174.40|$532.11|$505.00|$490.96|$363.89||$505.40|$469.30|$469.30|$505.40|$174.40|$433.20|$498.18|$532.11|$423.31
"CPT® 86850"|"HB RBC ANTIBODY SCREEN"|300.00|$119.00|$17.96|$87.70|$83.00|$80.92|$59.98||$83.30|$77.35|$77.35|$83.30|$17.96|$71.40|$82.11|$87.70|$69.77
"CPT® 86860"|"HB RBC ANTIBODY ELUTION"|300.00|$143.00|$24.99|$105.39|$100.00|$97.24|$72.07||$100.10|$92.95|$92.95|$100.10|$24.99|$85.80|$98.67|$105.39|$83.84
"CPT® 86870"|"HB RBC ANTIBODY IDENTIFICATION"|300.00|$226.00|$34.30|$166.56|$158.00|$153.68|$113.90||$158.20|$146.90|$146.90|$158.20|$34.30|$135.60|$155.94|$166.56|$132.50
"CPT® 86880"|"HB COOMBS TEST DIRECT"|300.00|$92.00|$7.39|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$7.39|$55.20|$63.48|$67.80|$53.94
"CPT® 86886"|"HB COOMBS TEST INDIRECT TITER"|300.00|$111.00|$7.11|$81.81|$78.00|$75.48|$55.94||$77.70|$72.15|$72.15|$77.70|$7.11|$66.60|$76.59|$81.81|$65.08
"CPT® 86890"|"HB AUTOLOGOUS BLOOD PROCESS"|300.00|$259.00|$34.30|$190.88|$181.00|$176.12|$130.54||$181.30|$168.35|$168.35|$181.30|$34.30|$155.40|$178.71|$190.88|$151.85
"CPT® 86900"|"HB BLOOD TYPING SEROLOGIC ABO"|300.00|$51.00|$4.10|$37.59|$36.00|$34.68|$25.70||$35.70|$33.15|$33.15|$35.70|$4.10|$30.60|$35.19|$37.59|$29.90
"CPT® 86901"|"HB BLOOD TYPING SEROLOGIC RH(D)"|300.00|$55.00|$4.10|$40.54|$38.00|$37.40|$27.72||$38.50|$35.75|$35.75|$38.50|$4.10|$33.00|$37.95|$40.54|$32.25
"CPT® 86905"|"HB BLOOD TYPING RBC ANTIGENS"|300.00|$73.00|$5.25|$53.80|$51.00|$49.64|$36.79||$51.10|$47.45|$47.45|$51.10|$5.25|$43.80|$50.37|$53.80|$42.80
"CPT® 86920"|"HB COMPATIBILITY TEST SPIN"|300.00|$158.00|$17.96|$116.45|$111.00|$107.44|$79.63||$110.60|$102.70|$102.70|$110.60|$17.96|$94.80|$109.02|$116.45|$92.64
"CPT® 86922"|"HB COMPATIBILITY TEST ANTIGLOB"|300.00|$167.00|$24.99|$123.08|$117.00|$113.56|$84.17||$116.90|$108.55|$108.55|$116.90|$24.99|$100.20|$115.23|$123.08|$97.91
"CPT® 86945"|"HB BLOOD PRODUCT/IRRADIATION"|300.00|$109.00|$17.96|$80.33|$76.00|$74.12|$54.94||$76.30|$70.85|$70.85|$76.30|$17.96|$65.40|$75.21|$80.33|$63.91
"CPT® 86970"|"HB RBC PRETX INCUBATJ W/CHEMICL"|300.00|$106.00|$17.96|$78.12|$74.00|$72.08|$53.42||$74.20|$68.90|$68.90|$74.20|$17.96|$63.60|$73.14|$78.12|$62.15
"CPT® 87015"|"HB SPECIMEN INFECT AGNT CONCNTJ"|300.00|$123.00|$9.18|$90.65|$86.00|$83.64|$61.99||$86.10|$79.95|$79.95|$86.10|$9.18|$73.80|$84.87|$90.65|$72.11
"CPT® 87040"|"HB BLOOD CULTURE FOR BACTERIA"|300.00|$241.00|$14.19|$177.62|$169.00|$163.88|$121.46||$168.70|$156.65|$156.65|$168.70|$14.19|$144.60|$166.29|$177.62|$141.30
"CPT® 87045"|"HB FECES CULTURE AEROBIC BACT"|300.00|$182.00|$12.97|$134.13|$127.00|$123.76|$91.73||$127.40|$118.30|$118.30|$127.40|$12.97|$109.20|$125.58|$134.13|$106.71
"CPT® 87046"|"HB STOOL CULTR AEROBIC BACT EA"|300.00|$87.00|$12.97|$64.12|$61.00|$59.16|$43.85||$60.90|$56.55|$56.55|$60.90|$12.97|$52.20|$60.03|$64.12|$51.01
"CPT® 87070"|"HB CULTURE OTHR SPECIMN AEROBIC"|300.00|$113.00|$11.84|$83.28|$79.00|$76.84|$56.95||$79.10|$73.45|$73.45|$79.10|$11.84|$67.80|$77.97|$83.28|$66.25
"CPT® 87075"|"HB CULTR BACTERIA EXCEPT BLOOD"|300.00|$79.00|$13.01|$58.22|$55.00|$53.72|$39.82||$55.30|$51.35|$51.35|$55.30|$13.01|$47.40|$54.51|$58.22|$46.32
"CPT® 87076"|"HB CULTURE ANAEROBE IDENT EACH"|300.00|$118.00|$11.11|$86.97|$83.00|$80.24|$59.47||$82.60|$76.70|$76.70|$82.60|$11.11|$70.80|$81.42|$86.97|$69.18
"CPT® 87077"|"HB CULTURE AEROBIC IDENTIFY"|300.00|$80.00|$11.11|$58.96|$56.00|$54.40|$40.32||$56.00|$52.00|$52.00|$56.00|$11.11|$48.00|$55.20|$58.96|$46.90
"CPT® 87081"|"HB CULTURE SCREEN ONLY"|300.00|$108.00|$9.12|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$9.12|$64.80|$74.52|$79.60|$63.32
"CPT® 87086"|"HB URINE CULTURE/COLONY COUNT"|300.00|$80.00|$11.10|$58.96|$56.00|$54.40|$40.32||$56.00|$52.00|$52.00|$56.00|$11.10|$48.00|$55.20|$58.96|$46.90
"CPT® 87088"|"HB URINE BACTERIA CULTURE"|300.00|$103.00|$11.13|$75.91|$72.00|$70.04|$51.91||$72.10|$66.95|$66.95|$72.10|$11.13|$61.80|$71.07|$75.91|$60.39
"CPT® 87101"|"HB SKIN FUNGI CULTURE"|300.00|$132.00|$10.60|$97.28|$92.00|$89.76|$66.53||$92.40|$85.80|$85.80|$92.40|$10.60|$79.20|$91.08|$97.28|$77.39
"CPT® 87102"|"HB FUNGUS ISOLATION CULTURE"|300.00|$146.00|$11.55|$107.60|$102.00|$99.28|$73.58||$102.20|$94.90|$94.90|$102.20|$11.55|$87.60|$100.74|$107.60|$85.60
"CPT® 87103"|"HB BLOOD FUNGUS CULTURE"|300.00|$132.00|$12.40|$97.28|$92.00|$89.76|$66.53||$92.40|$85.80|$85.80|$92.40|$12.40|$79.20|$91.08|$97.28|$77.39
"CPT® 87106"|"HB FUNGI IDENTIFICATION YEAST"|300.00|$117.00|$14.19|$86.23|$82.00|$79.56|$58.97||$81.90|$76.05|$76.05|$81.90|$14.19|$70.20|$80.73|$86.23|$68.60
"CPT® 87116"|"HB MYCOBACTERIA CULTURE"|300.00|$204.00|$14.85|$150.35|$143.00|$138.72|$102.82||$142.80|$132.60|$132.60|$142.80|$14.85|$122.40|$140.76|$150.35|$119.61
"CPT® 87168"|"HB MACROSCOPIC EXAM ARTHROPOD"|300.00|$128.00|$5.87|$94.34|$90.00|$87.04|$64.51||$89.60|$83.20|$83.20|$89.60|$5.87|$76.80|$88.32|$94.34|$75.05
"CPT® 87172"|"HB PINWORM EXAM"|300.00|$72.00|$5.87|$53.06|$50.00|$48.96|$36.29||$50.40|$46.80|$46.80|$50.40|$5.87|$43.20|$49.68|$53.06|$42.21
"CPT® 87177"|"HB OVA AND PARASITES SMEARS"|300.00|$126.00|$12.23|$92.86|$88.00|$85.68|$63.50||$88.20|$81.90|$81.90|$88.20|$12.23|$75.60|$86.94|$92.86|$73.87
"CPT® 87181"|"HB MICROBE SUSCEPTIBLE DIFFUSE"|300.00|$55.00|$6.53|$40.54|$38.00|$37.40|$27.72||$38.50|$35.75|$35.75|$38.50|$6.53|$33.00|$37.95|$40.54|$32.25
"CPT® 87184"|"HB MICROBE SUSCEPTIBLE DISK"|300.00|$75.00|$9.49|$55.28|$52.00|$51.00|$37.80||$52.50|$48.75|$48.75|$52.50|$9.49|$45.00|$51.75|$55.28|$43.97
"CPT® 87185"|"HB MICROBE SUSCEPTIBLE ENZYME"|300.00|$81.00|$6.53|$59.70|$57.00|$55.08|$40.82||$56.70|$52.65|$52.65|$56.70|$6.53|$48.60|$55.89|$59.70|$47.49
"CPT® 87186"|"HB MICROBE SUSCEPTIBLE MIC"|300.00|$131.00|$11.88|$96.55|$92.00|$89.08|$66.02||$91.70|$85.15|$85.15|$91.70|$11.88|$78.60|$90.39|$96.55|$76.81
"CPT® 87205"|"HB SMEAR GRAM STAIN"|300.00|$39.00|$5.87|$28.74|$27.00|$26.52|$19.66||$27.30|$25.35|$25.35|$27.30|$5.87|$23.40|$26.91|$28.74|$22.87
"CPT® 87206"|"HB SMEAR FLUORESCENT/ACID STAI"|300.00|$92.00|$7.39|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$7.39|$55.20|$63.48|$67.80|$53.94
"CPT® 87207"|"HB SMEAR SPECIAL STAIN"|300.00|$108.00|$8.24|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$8.24|$64.80|$74.52|$79.60|$63.32
"CPT® 87209"|"HB SMEAR COMPLEX STAIN"|300.00|$129.00|$24.71|$95.07|$90.00|$87.72|$65.02||$90.30|$83.85|$83.85|$90.30|$24.71|$77.40|$89.01|$95.07|$75.63
"CPT® 87210"|"HB SMEAR WET MOUNT SALINE/INK"|300.00|$89.00|$5.87|$65.59|$62.00|$60.52|$44.86||$62.30|$57.85|$57.85|$62.30|$5.87|$53.40|$61.41|$65.59|$52.18
"CPT® 87220"|"HB TISSUE EXAM FOR FUNGI"|300.00|$54.00|$5.87|$39.80|$38.00|$36.72|$27.22||$37.80|$35.10|$35.10|$37.80|$5.87|$32.40|$37.26|$39.80|$31.66
"CPT® 87329"|"HB GIARDIA AG IA"|300.00|$86.00|$16.49|$63.38|$60.00|$58.48|$43.34||$60.20|$55.90|$55.90|$60.20|$16.49|$51.60|$59.34|$63.38|$50.42
"CPT® 87338"|"HB HPYLORI STOOL IA"|300.00|$139.00|$19.77|$102.44|$97.00|$94.52|$70.06||$97.30|$90.35|$90.35|$97.30|$19.77|$83.40|$95.91|$102.44|$81.50
"CPT® 87340"|"HB HEPATITIS B SURFACE AG IA"|300.00|$145.00|$14.20|$106.87|$102.00|$98.60|$73.08||$101.50|$94.25|$94.25|$101.50|$14.20|$87.00|$100.05|$106.87|$85.01
"CPT® 87350"|"HB HEPATITIS BE AG IA"|300.00|$76.00|$15.84|$56.01|$53.00|$51.68|$38.30||$53.20|$49.40|$49.40|$53.20|$15.84|$45.60|$52.44|$56.01|$44.56
"CPT® 87450"|"HB AG DETECT NOS IA SINGLE"|300.00|$78.00|$13.18|$57.49|$55.00|$53.04|$39.31||$54.60|$50.70|$50.70|$54.60|$13.18|$46.80|$53.82|$57.49|$45.73
"CPT® 87480"|"HB CANDIDA DNA DIR PROBE"|300.00|$102.00|$27.57|$75.17|$71.00|$69.36|$51.41||$71.40|$66.30|$66.30|$71.40|$27.57|$61.20|$70.38|$75.17|$59.80
"CPT® 87491"|"HB CHYLMD TRACH DNA AMP PROBE"|300.00|$128.00|$48.24|$94.34|$90.00|$87.04|$64.51||$89.60|$83.20|$83.20|$89.60|$48.24|$76.80|$88.32|$94.34|$75.05
"CPT® 87496"|"HB CYTOMEG DNA AMP PROBE"|300.00|$288.00|$48.24|$212.26|$202.00|$195.84|$145.15||$201.60|$187.20|$187.20|$201.60|$48.24|$172.80|$198.72|$212.26|$168.85
"CPT® 87497"|"HB CYTOMEG DNA QUANT"|300.00|$327.00|$58.88|$241.00|$229.00|$222.36|$164.81||$228.90|$212.55|$212.55|$228.90|$58.88|$196.20|$225.63|$241.00|$191.72
"CPT® 87502"|"HB INFLUENZA DNA AMP PROBE"|300.00|$331.00|$116.96|$243.95|$232.00|$225.08|$166.82||$231.70|$215.15|$215.15|$231.70|$116.96|$198.60|$228.39|$243.95|$194.07
"CPT® 87510"|"HB GARDNER VAG DNA DIR PROBE"|300.00|$100.00|$27.57|$73.70|$70.00|$68.00|$50.40||$70.00|$65.00|$65.00|$70.00|$27.57|$60.00|$69.00|$73.70|$58.63
"CPT® 87521"|"HB HEPATITIS C PROBE&RVRS TRNSC"|300.00|$342.00|$48.24|$252.05|$239.00|$232.56|$172.37||$239.40|$222.30|$222.30|$239.40|$48.24|$205.20|$235.98|$252.05|$200.51
"CPT® 87522"|"HB HEPATITIS C REVRS TRNSCRPJ"|300.00|$435.00|$58.88|$320.60|$304.00|$295.80|$219.24||$304.50|$282.75|$282.75|$304.50|$58.88|$261.00|$300.15|$320.60|$255.04
"CPT® 87529"|"HB HSV DNA AMP PROBE"|300.00|$217.00|$48.24|$159.93|$152.00|$147.56|$109.37||$151.90|$141.05|$141.05|$151.90|$48.24|$130.20|$149.73|$159.93|$127.23
"CPT® 87536"|"HB HIV-1 QUANT&REVRSE TRNSCRPJ"|300.00|$420.00|$116.96|$309.54|$294.00|$285.60|$211.68||$294.00|$273.00|$273.00|$294.00|$116.96|$252.00|$289.80|$309.54|$246.25
"CPT® 87556"|"HB M.TUBERCULO DNA AMP PROBE"|300.00|$407.00|$48.24|$299.96|$285.00|$276.76|$205.13||$284.90|$264.55|$264.55|$284.90|$48.24|$244.20|$280.83|$299.96|$238.62
"CPT® 87591"|"HB N.GONORRHOEAE DNA AMP PROB"|300.00|$131.00|$48.24|$96.55|$92.00|$89.08|$66.02||$91.70|$85.15|$85.15|$91.70|$48.24|$78.60|$90.39|$96.55|$76.81
"CPT® 87624"|"HB HPV HIGH-RISK TYPES"|300.00|$217.00|$47.76|$159.93|$152.00|$147.56|$109.37||$151.90|$141.05|$141.05|$151.90|$47.76|$130.20|$149.73|$159.93|$127.23
"CPT® 87633"|"HB RESP VIRUS 12-25 TARGETS"|300.00|$182.00|$91.73|$182.00|$127.00|$123.76|$91.73||$127.40|$118.30|$118.30|$127.40|$182.00|$109.20|$125.58|$134.13|$106.71
"CPT® 87641"|"HB MR-STAPH DNA AMP PROBE"|300.00|$159.00|$48.24|$117.18|$111.00|$108.12|$80.14||$111.30|$103.35|$103.35|$111.30|$48.24|$95.40|$109.71|$117.18|$93.22
"CPT® 87660"|"HB TRICHOMONAS VAGIN DIR PROBE"|300.00|$103.00|$27.57|$75.91|$72.00|$70.04|$51.91||$72.10|$66.95|$66.95|$72.10|$27.57|$61.80|$71.07|$75.91|$60.39
"CPT® 87798"|"HB DETECT AGENT NOS DNA AMP"|300.00|$199.00|$48.24|$146.66|$139.00|$135.32|$100.30||$139.30|$129.35|$129.35|$139.30|$48.24|$119.40|$137.31|$146.66|$116.67
"CPT® 87799"|"HB DETECT AGENT NOS DNA QUANT"|300.00|$300.00|$58.88|$221.10|$210.00|$204.00|$151.20||$210.00|$195.00|$195.00|$210.00|$58.88|$180.00|$207.00|$221.10|$175.89
"CPT® 87804"|"HB INFLUENZA ASSAY W/OPTIC"|300.00|$109.00|$16.49|$80.33|$76.00|$74.12|$54.94||$76.30|$70.85|$70.85|$76.30|$16.49|$65.40|$75.21|$80.33|$63.91
"CPT® 87807"|"HB RSV ASSAY W/OPTIC"|300.00|$221.00|$16.49|$162.88|$155.00|$150.28|$111.38||$154.70|$143.65|$143.65|$154.70|$16.49|$132.60|$152.49|$162.88|$129.57
"CPT® 87880"|"HB STREP A ASSAY W/OPTIC"|300.00|$89.00|$16.49|$65.59|$62.00|$60.52|$44.86||$62.30|$57.85|$57.85|$62.30|$16.49|$53.40|$61.41|$65.59|$52.18
"CPT® 88319"|"HB ENZYME HISTOCHEMISTRY"|300.00|$336.00|$23.43|$247.63|$235.00|$228.48|$169.34||$235.20|$218.40|$218.40|$235.20|$23.43|$201.60|$231.84|$247.63|$197.00
"CPT® 89050"|"HB BODY FLUID CELL COUNT"|300.00|$88.00|$6.50|$64.86|$62.00|$59.84|$44.35||$61.60|$57.20|$57.20|$61.60|$6.50|$52.80|$60.72|$64.86|$51.59
"CPT® 89051"|"HB BODY FLUID CELL COUNT WITH DIFFERENTIAL"|300.00|$145.00|$7.57|$106.87|$102.00|$98.60|$73.08||$101.50|$94.25|$94.25|$101.50|$7.57|$87.00|$100.05|$106.87|$85.01
"CPT® 89060"|"HB EXAM SYNOVIAL FLUID CRYSTALS"|300.00|$116.00|$9.83|$85.49|$81.00|$78.88|$58.46||$81.20|$75.40|$75.40|$81.20|$9.83|$69.60|$80.04|$85.49|$68.01
"CPT® 89321"|"HB SEMEN ANAL SPERM DETECTION"|300.00|$97.00|$16.57|$71.49|$68.00|$65.96|$48.89||$67.90|$63.05|$63.05|$67.90|$16.57|$58.20|$66.93|$71.49|$56.87
"HCPCS G0103"|"HB PSA SCREENING"|300.00|$145.00|$25.29|$106.87|$102.00|$98.60|$73.08||$101.50|$94.25|$94.25|$101.50|$25.29|$87.00|$100.05|$106.87|$85.01
"CPT® 80307"|"HB DRUG SCREEN CLASS LIST A"|300.00|$228.00|$79.81|$168.04|$160.00|$155.04|$114.91||$159.60|$148.20|$148.20|$159.60|$79.81|$136.80|$157.32|$168.04|$133.68
"CPT® 86906"|"HB BLOOD TYPE-RH PHENOTYPING"|300.00|$115.00|$10.66|$84.76|$80.00|$78.20|$57.96||$80.50|$74.75|$74.75|$80.50|$10.66|$69.00|$79.35|$84.76|$67.42
"CPT® 87389"|"HB HIV1 AG W/HIV1 AND HIV2 AB"|300.00|$120.00|$33.11|$88.44|$84.00|$81.60|$60.48||$84.00|$78.00|$78.00|$84.00|$33.11|$72.00|$82.80|$88.44|$70.36
"CPT® 86978"|"HB RBC ABSORPTION EA"|300.00|$289.00|$24.99|$212.99|$202.00|$196.52|$145.66||$202.30|$187.85|$187.85|$202.30|$24.99|$173.40|$199.41|$212.99|$169.44
"CPT® 87631"|"HB INFLUENZA A/B AND RSV, PCR"|300.00|$528.00|$176.34|$389.14|$370.00|$359.04|$266.11||$369.60|$343.20|$343.20|$369.60|$176.34|$316.80|$364.32|$389.14|$309.57
"CPT® 88350"|"HB IMMUNOFLUOR ANTB ADDL STAIN"|300.00|$216.00|$43.71|$159.19|$151.00|$146.88|$108.86||$151.20|$140.40|$140.40|$151.20|$43.71|$129.60|$149.04|$159.19|$126.64
"CPT® 80307"|"HB DRUG SCREEN ONE/MULT CLASS"|300.00|$184.00|$79.81|$135.61|$129.00|$125.12|$92.74||$128.80|$119.60|$119.60|$128.80|$79.81|$110.40|$126.96|$135.61|$107.88
"CPT® 81372"|"HB HLA I TYPING LOW RES COMP"|300.00|$658.00|$301.36|$484.95|$461.00|$447.44|$331.63||$460.60|$427.70|$427.70|$460.60|$301.36|$394.80|$454.02|$484.95|$385.79
"CPT® 86940"|"HB HEMOLYSINS/AGGLUTININS AUTO"|300.00|$67.00|$11.27|$49.38|$47.00|$45.56|$33.77||$46.90|$43.55|$43.55|$46.90|$11.27|$40.20|$46.23|$49.38|$39.28
"CPT® 86976"|"HB PRETREAT SERUM BY DILUTION"|300.00|$88.00|$17.96|$64.86|$62.00|$59.84|$44.35||$61.60|$57.20|$57.20|$61.60|$17.96|$52.80|$60.72|$64.86|$51.59
"CPT® 87150"|"HB CULTURE TYPE NA PRB AMP EA ORGANISM"|300.00|$145.00|$48.24|$106.87|$102.00|$98.60|$73.08||$101.50|$94.25|$94.25|$101.50|$48.24|$87.00|$100.05|$106.87|$85.01
"HCPCS G0480"|"HB ANALGESICS NON-OPIOID 1 OR 2"|300.00|$318.00|$79.94|$234.37|$223.00|$216.24|$160.27||$222.60|$206.70|$206.70|$222.60|$79.94|$190.80|$219.42|$234.37|$186.44
"CPT® 87507"|"HB IADNA-DNA/RNA PROBE TQ 12-25"|300.00|$979.00|$493.42|$721.52|$685.00|$665.72|$493.42||$685.30|$636.35|$636.35|$685.30|$567.18|$587.40|$675.51|$721.52|$573.99
"CPT® 87651"|"HB IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ"|300.00|$161.00|$48.24|$118.66|$113.00|$109.48|$81.14||$112.70|$104.65|$104.65|$112.70|$48.24|$96.60|$111.09|$118.66|$94.39
"CPT® 87635"|"HB POCT CORONAVIRUS (COVID-19) TEST"|300.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"HCPCS C9803"|"HB CLINIC VISIT FOR COVID-19 SPECIMEN COLLECTION – ANY SOURCE - NCR, WR"|300.00|$45.00|$22.68|$33.17|$31.00|$30.60|$22.68||$31.50|$29.25|$29.25|$31.50||$27.00|$31.05|$33.17|$26.38
"CPT® 80145"|"HB DRUG ASSAY ADALIMUMAB"|300.00|$462.00|$38.57|$340.49|$323.00|$314.16|$232.85||$323.40|$300.30|$300.30|$323.40|$38.57|$277.20|$318.78|$340.49|$270.87
"CPT® 87563"|"HB M. GENITALIUM AMP PROBE"|300.00|$37.00|$18.65|$35.09|$26.00|$25.16|$18.65||$25.90|$24.05|$24.05|$25.90|$35.09|$22.20|$25.53|$27.27|$21.69
"CPT® 80235"|"HB DRUG ASSAY LACOSAMIDE"|300.00|$163.00|$27.11|$120.13|$114.00|$110.84|$82.15||$114.10|$105.95|$105.95|$114.10|$27.11|$97.80|$112.47|$120.13|$95.57
"CPT® 80285"|"HB DRUG ASSAY VORICONAZOLE"|300.00|$168.00|$27.11|$123.82|$118.00|$114.24|$84.67||$117.60|$109.20|$109.20|$117.60|$27.11|$100.80|$115.92|$123.82|$98.50
"CPT® 87635"|"HB SARS-COV-2 RNA, QUAL RT-PCR"|300.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 87635"|"HB RAPID CORONAVIRUS (COVID 19) ASSAY"|300.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 87635"|"HB CORONAVIRUS NCOV-19 BY PCR (2019)"|300.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 87635"|"HB CORONAVIRUS SARS-COV-2 BY MULTIPLEX PCR"|300.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 80053"|"HB COMPREHEN METABOLIC PANEL"|301.00|$350.00|$14.53|$257.95|$245.00|$238.00|$176.40||$245.00|$227.50|$227.50|$245.00|$14.53|$210.00|$241.50|$257.95|$205.21
"CPT® 80165"|"HB DIPROPYLACETIC ACID FREE"|301.00|$224.00|$18.44|$165.09|$157.00|$152.32|$112.90||$156.80|$145.60|$145.60|$156.80|$18.44|$134.40|$154.56|$165.09|$131.33
"CPT® 80175"|"HB DRUG SCREEN QUAN LAMOTRIGINE"|301.00|$136.00|$18.09|$100.23|$95.00|$92.48|$68.54||$95.20|$88.40|$88.40|$95.20|$18.09|$81.60|$93.84|$100.23|$79.74
"CPT® 80177"|"HB DRUG SCRN QUAN LEVETIRACETAM"|301.00|$175.00|$18.09|$128.98|$122.00|$119.00|$88.20||$122.50|$113.75|$113.75|$122.50|$18.09|$105.00|$120.75|$128.98|$102.60
"CPT® 82024"|"HB ASSAY OF ACTH"|301.00|$273.00|$53.10|$201.20|$191.00|$185.64|$137.59||$191.10|$177.45|$177.45|$191.10|$53.10|$163.80|$188.37|$201.20|$160.06
"CPT® 82042"|"HB ASSAY OF URINE ALBUMIN"|301.00|$66.00|$7.11|$48.64|$46.00|$44.88|$33.26||$46.20|$42.90|$42.90|$46.20|$7.11|$39.60|$45.54|$48.64|$38.70
"CPT® 82150"|"HB ASSAY OF AMYLASE"|301.00|$157.00|$8.91|$115.71|$110.00|$106.76|$79.13||$109.90|$102.05|$102.05|$109.90|$8.91|$94.20|$108.33|$115.71|$92.05
"CPT® 82247"|"HB BILIRUBIN TOTAL"|301.00|$93.00|$6.90|$68.54|$65.00|$63.24|$46.87||$65.10|$60.45|$60.45|$65.10|$6.90|$55.80|$64.17|$68.54|$54.53
"CPT® 82274"|"HB ASSAY TEST FOR BLOOD FECAL"|301.00|$62.00|$21.86|$45.69|$43.00|$42.16|$31.25||$43.40|$40.30|$40.30|$43.40|$21.86|$37.20|$42.78|$45.69|$36.35
"CPT® 82530"|"HB CORTISOL FREE"|301.00|$158.00|$22.97|$116.45|$111.00|$107.44|$79.63||$110.60|$102.70|$102.70|$110.60|$22.97|$94.80|$109.02|$116.45|$92.64
"CPT® 82550"|"HB ASSAY OF CK (CPK)"|301.00|$122.00|$8.95|$89.91|$85.00|$82.96|$61.49||$85.40|$79.30|$79.30|$85.40|$8.95|$73.20|$84.18|$89.91|$71.53
"CPT® 82553"|"HB CREATINE MB FRACTION"|301.00|$179.00|$15.87|$131.92|$125.00|$121.72|$90.22||$125.30|$116.35|$116.35|$125.30|$15.87|$107.40|$123.51|$131.92|$104.95
"CPT® 82565"|"HB ASSAY OF CREATININE"|301.00|$80.00|$7.04|$58.96|$56.00|$54.40|$40.32||$56.00|$52.00|$52.00|$56.00|$7.04|$48.00|$55.20|$58.96|$46.90
"CPT® 82610"|"HB CYSTATIN C"|301.00|$109.00|$18.69|$80.33|$76.00|$74.12|$54.94||$76.30|$70.85|$70.85|$76.30|$18.69|$65.40|$75.21|$80.33|$63.91
"CPT® 82955"|"HB ASSAY OF G6PD ENZYME"|301.00|$101.00|$13.33|$74.44|$71.00|$68.68|$50.90||$70.70|$65.65|$65.65|$70.70|$13.33|$60.60|$69.69|$74.44|$59.22
"CPT® 82962"|"HB GLUCOSE BLOOD TEST"|301.00|$50.00|$3.22|$36.85|$35.00|$34.00|$25.20||$35.00|$32.50|$32.50|$35.00|$3.22|$30.00|$34.50|$36.85|$29.32
"CPT® 83013"|"HB H PYLORI (C-13) BREATH"|301.00|$317.00|$92.59|$233.63|$222.00|$215.56|$159.77||$221.90|$206.05|$206.05|$221.90|$92.59|$190.20|$218.73|$233.63|$185.86
"CPT® 83021"|"HB HEMOGLOBIN CHROMOTOGRAPHY"|301.00|$108.00|$24.82|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$24.82|$64.80|$74.52|$79.60|$63.32
"CPT® 83520"|"HB IMMUNOASSAY ANALYTE QUANTITATIVE NOS"|301.00|$167.00|$17.80|$123.08|$117.00|$113.56|$84.17||$116.90|$108.55|$108.55|$116.90|$17.80|$100.20|$115.23|$123.08|$97.91
"CPT® 83605"|"HB ASSAY OF LACTIC ACID"|301.00|$254.00|$14.68|$187.20|$178.00|$172.72|$128.02||$177.80|$165.10|$165.10|$177.80|$14.68|$152.40|$175.26|$187.20|$148.92
"CPT® 83615"|"HB LACTATE (LD) (LDH) ENZYME"|301.00|$92.00|$8.30|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$8.30|$55.20|$63.48|$67.80|$53.94
"CPT® 83789"|"HB MASS SPECTROMETRY QUAL/QUAN"|301.00|$224.00|$24.82|$165.09|$157.00|$152.32|$112.90||$156.80|$145.60|$145.60|$156.80|$24.82|$134.40|$154.56|$165.09|$131.33
"CPT® 83883"|"HB ASSAY NEPHELOMETRY NOT SPEC"|301.00|$317.00|$18.69|$233.63|$222.00|$215.56|$159.77||$221.90|$206.05|$206.05|$221.90|$18.69|$190.20|$218.73|$233.63|$185.86
"CPT® 83970"|"HB ASSAY OF PARATHORMONE"|301.00|$245.00|$56.74|$180.57|$172.00|$166.60|$123.48||$171.50|$159.25|$159.25|$171.50|$56.74|$147.00|$169.05|$180.57|$143.64
"CPT® 83986"|"HB ASSAY PH BODY FLUID NOS"|301.00|$52.00|$4.92|$38.32|$36.00|$35.36|$26.21||$36.40|$33.80|$33.80|$36.40|$4.92|$31.20|$35.88|$38.32|$30.49
"CPT® 84145"|"HB PROCALCITONIN (PCT)"|301.00|$28.00|$14.11|$28.00|$20.00|$19.04|$14.11||$19.60|$18.20|$18.20|$19.60|$28.00|$16.80|$19.32|$20.64|$16.42
"CPT® 84156"|"HB ASSAY OF PROTEIN URINE"|301.00|$102.00|$5.04|$75.17|$71.00|$69.36|$51.41||$71.40|$66.30|$66.30|$71.40|$5.04|$61.20|$70.38|$75.17|$59.80
"CPT® 84207"|"HB ASSAY OF VITAMIN B-6"|301.00|$188.00|$38.62|$138.56|$132.00|$127.84|$94.75||$131.60|$122.20|$122.20|$131.60|$38.62|$112.80|$129.72|$138.56|$110.22
"CPT® 84270"|"HB ASSAY OF SEX HORMONE GLOBUL"|301.00|$103.00|$29.87|$75.91|$72.00|$70.04|$51.91||$72.10|$66.95|$66.95|$72.10|$29.87|$61.80|$71.07|$75.91|$60.39
"CPT® 84311"|"HB SPECTROPHOTOMETRY"|301.00|$92.00|$9.61|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$9.61|$55.20|$63.48|$67.80|$53.94
"CPT® 84443"|"HB ASSAY THYROID STIM HORMONE"|301.00|$186.00|$23.10|$137.08|$130.00|$126.48|$93.74||$130.20|$120.90|$120.90|$130.20|$23.10|$111.60|$128.34|$137.08|$109.05
"CPT® 84479"|"HB ASSAY OF THYROID (T3 OR T4)"|301.00|$108.00|$8.89|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$8.89|$64.80|$74.52|$79.60|$63.32
"CPT® 84484"|"HB ASSAY OF TROPONIN QUANT"|301.00|$195.00|$13.53|$143.72|$136.00|$132.60|$98.28||$136.50|$126.75|$126.75|$136.50|$13.53|$117.00|$134.55|$143.72|$114.33
"CPT® 84681"|"HB ASSAY OF C-PEPTIDE"|301.00|$149.00|$28.61|$109.81|$104.00|$101.32|$75.10||$104.30|$96.85|$96.85|$104.30|$28.61|$89.40|$102.81|$109.81|$87.36
"CPT® 84703"|"HB CHORIONIC GONADOTROPIN ASSAY"|301.00|$131.00|$10.33|$96.55|$92.00|$89.08|$66.02||$91.70|$85.15|$85.15|$91.70|$10.33|$78.60|$90.39|$96.55|$76.81
"CPT® 87798"|"HB DETECT AGENT NOS DNA AMP"|301.00|$212.00|$48.24|$156.24|$148.00|$144.16|$106.85||$148.40|$137.80|$137.80|$148.40|$48.24|$127.20|$146.28|$156.24|$124.30
"CPT® 80307"|"HB DRUG SCREEN ONE/MULT CLASS"|301.00|$228.00|$79.81|$168.04|$160.00|$155.04|$114.91||$159.60|$148.20|$148.20|$159.60|$79.81|$136.80|$157.32|$168.04|$133.68
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG"|302.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM"|302.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG (Q)"|302.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG (V)"|302.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM (V)"|302.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 87635"|"HB SARS-COV-2 BY NAAT"|302.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 86003"|"HB ALLERGEN SPECIFIC IGE"|302.00|$67.00|$7.17|$49.38|$47.00|$45.56|$33.77||$46.90|$43.55|$43.55|$46.90|$7.17|$40.20|$46.23|$49.38|$39.28
"CPT® 86038"|"HB ANTINUCLEAR ANTIBODIES"|302.00|$128.00|$16.62|$94.34|$90.00|$87.04|$64.51||$89.60|$83.20|$83.20|$89.60|$16.62|$76.80|$88.32|$94.34|$75.05
"CPT® 86141"|"HB C-REACTIVE PROTEIN HS"|302.00|$113.00|$17.80|$83.28|$79.00|$76.84|$56.95||$79.10|$73.45|$73.45|$79.10|$17.80|$67.80|$77.97|$83.28|$66.25
"CPT® 86160"|"HB COMPLEMENT ANTIGEN"|302.00|$141.00|$16.50|$103.92|$99.00|$95.88|$71.06||$98.70|$91.65|$91.65|$98.70|$16.50|$84.60|$97.29|$103.92|$82.67
"CPT® 86200"|"HB CCP ANTIBODY"|302.00|$118.00|$17.80|$86.97|$83.00|$80.24|$59.47||$82.60|$76.70|$76.70|$82.60|$17.80|$70.80|$81.42|$86.97|$69.18
"CPT® 86255"|"HB FLUORESCENT ANTIBODY SCREEN"|302.00|$361.00|$16.57|$266.06|$253.00|$245.48|$181.94||$252.70|$234.65|$234.65|$252.70|$16.57|$216.60|$249.09|$266.06|$211.65
"CPT® 86300"|"HB IMMUNOASSAY TUMOR CA 15-3"|302.00|$143.00|$28.61|$105.39|$100.00|$97.24|$72.07||$100.10|$92.95|$92.95|$100.10|$28.61|$85.80|$98.67|$105.39|$83.84
"CPT® 86301"|"HB IMMUNOASSAY TUMOR CA 19-9"|302.00|$135.00|$28.61|$99.50|$94.00|$91.80|$68.04||$94.50|$87.75|$87.75|$94.50|$28.61|$81.00|$93.15|$99.50|$79.15
"CPT® 86376"|"HB MICROSOMAL ANTIBODY EACH"|302.00|$116.00|$19.99|$85.49|$81.00|$78.88|$58.46||$81.20|$75.40|$75.40|$81.20|$19.99|$69.60|$80.04|$85.49|$68.01
"CPT® 86611"|"HB BARTONELLA ANTIBODY"|302.00|$38.00|$13.99|$28.01|$27.00|$25.84|$19.15||$26.60|$24.70|$24.70|$26.60|$13.99|$22.80|$26.22|$28.01|$22.28
"CPT® 86692"|"HB HEPATITIS DELTA AGENT ANTBDY"|302.00|$145.00|$23.59|$106.87|$102.00|$98.60|$73.08||$101.50|$94.25|$94.25|$101.50|$23.59|$87.00|$100.05|$106.87|$85.01
"CPT® 86708"|"HB HEPATITIS A ANTIBODY"|302.00|$137.00|$17.03|$100.97|$96.00|$93.16|$69.05||$95.90|$89.05|$89.05|$95.90|$17.03|$82.20|$94.53|$100.97|$80.32
"CPT® 86800"|"HB THYROGLOBULIN ANTIBODY"|302.00|$135.00|$21.86|$99.50|$94.00|$91.80|$68.04||$94.50|$87.75|$87.75|$94.50|$21.86|$81.00|$93.15|$99.50|$79.15
"CPT® 86977"|"HB RBC SERUM PRETX INCUBJ/INHIB"|302.00|$129.00|$34.30|$95.07|$90.00|$87.72|$65.02||$90.30|$83.85|$83.85|$90.30|$34.30|$77.40|$89.01|$95.07|$75.63
"CPT® 87340"|"HB HEPATITIS B SURFACE AG IA"|302.00|$76.00|$14.20|$56.01|$53.00|$51.68|$38.30||$53.20|$49.40|$49.40|$53.20|$14.20|$45.60|$52.44|$56.01|$44.56
"HCPCS G0452"|"HB MOLECULAR PATHOLOGY INTERPR"|302.00|$527.00|$18.71|$388.40|$369.00|$358.36|$265.61||$368.90|$342.55|$342.55|$368.90|$18.71|$316.20|$363.63|$388.40|$308.98
"CPT® 86902"|"HB ANTIGEN SCREEN 1-HBC"|302.00|$182.00|$5.25|$134.13|$127.00|$123.76|$91.73||$127.40|$118.30|$118.30|$127.40|$5.25|$109.20|$125.58|$134.13|$106.71
"CPT® 86971"|"HB CHEM TRMNT RBC TYPING AB SCRN"|302.00|$171.00|$17.96|$126.03|$120.00|$116.28|$86.18||$119.70|$111.15|$111.15|$119.70|$17.96|$102.60|$117.99|$126.03|$100.26
"CPT® 86769"|"HB COVID ANTIBODIES (IGG, IGM, IGA)"|302.00|$165.00|$83.16|$121.61|$115.00|$112.20|$83.16||$115.50|$107.25|$107.25|$115.50||$99.00|$113.85|$121.61|$96.74
"CPT® 86022"|"HB HIT AB, REFLEX SEROTONIN RELEASE ASSAY"|302.00|$257.00|$25.25|$189.41|$180.00|$174.76|$129.53||$179.90|$167.05|$167.05|$179.90|$25.25|$154.20|$177.33|$189.41|$150.68
"CPT® 86022"|"HB HIT AB HEPARIN INDUCED THROMBOCYTOPENIA ANTIBODY"|302.00|$257.00|$25.25|$189.41|$180.00|$174.76|$129.53||$179.90|$167.05|$167.05|$179.90|$25.25|$154.20|$177.33|$189.41|$150.68
"CPT® 85025"|"HB COMPLETE CBC W/AUTO DIFF WBC"|305.00|$106.00|$10.69|$78.12|$74.00|$72.08|$53.42||$74.20|$68.90|$68.90|$74.20|$10.69|$63.60|$73.14|$78.12|$62.15
"CPT® 85379"|"HB FIBRIN DEGRADATION QUANT"|305.00|$119.00|$13.99|$87.70|$83.00|$80.92|$59.98||$83.30|$77.35|$77.35|$83.30|$13.99|$71.40|$82.11|$87.70|$69.77
"CPT® 85576"|"HB BLOOD PLATELET AGGREGATION"|305.00|$163.00|$29.53|$120.13|$114.00|$110.84|$82.15||$114.10|$105.95|$105.95|$114.10|$29.53|$97.80|$112.47|$120.13|$95.57
"CPT® 85613"|"HB RUSSELL VIPER VENOM DILUTED"|305.00|$120.00|$13.16|$88.44|$84.00|$81.60|$60.48||$84.00|$78.00|$78.00|$84.00|$13.16|$72.00|$82.80|$88.44|$70.36
"CPT® 85660"|"HB RBC SICKLE CELL TEST"|305.00|$99.00|$7.59|$72.96|$69.00|$67.32|$49.90||$69.30|$64.35|$64.35|$69.30|$7.59|$59.40|$68.31|$72.96|$58.04
"CPT® 85670"|"HB THROMBIN TIME PLASMA"|305.00|$64.00|$7.93|$47.17|$45.00|$43.52|$32.26||$44.80|$41.60|$41.60|$44.80|$7.93|$38.40|$44.16|$47.17|$37.52
"CPT® 85732"|"HB THROMBOPLASTIN TIME PARTIAL SUBSTITUTION EACH"|305.00|$126.00|$8.89|$92.86|$88.00|$85.68|$63.50||$88.20|$81.90|$81.90|$88.20|$8.89|$75.60|$86.94|$92.86|$73.87
"CPT® 85027"|"HB COMPLETE CBC AUTOMATED"|305.00|$83.00|$8.89|$61.17|$58.00|$56.44|$41.83||$58.10|$53.95|$53.95|$58.10|$8.89|$49.80|$57.27|$61.17|$48.66
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$72.00|$5.40|$53.06|$50.00|$48.96|$36.29||$50.40|$46.80|$46.80|$50.40|$5.40|$43.20|$49.68|$53.06|$42.21
"CPT® 87483"|"HB CSF MENINGITIS PANEL, NAT"|305.00|$453.00|$228.31|$453.00|$317.00|$308.04|$228.31||$317.10|$294.45|$294.45|$317.10|$453.00|$271.80|$312.57|$333.86|$265.59
"CPT® 83520"|"HB IMMUNOASSAY QUANT NOS NONAB"|306.00|$1808.00|$17.80|$1332.50|$1266.00|$803.00|$911.23||$1265.60|$1175.20|$1175.20|$1265.60|$17.80|$1084.80|$1247.52|$1332.50|$1060.03
"CPT® 87486"|"HB CHYLMD PNEUM DNA AMP PROBE"|306.00|$90.00|$45.36|$66.33|$63.00|$61.20|$45.36||$63.00|$58.50|$58.50|$63.00|$48.24|$54.00|$62.10|$66.33|$52.77
"CPT® 87493"|"HB C DIFF AMPLIFIED PROBE"|306.00|$70.00|$35.28|$51.59|$49.00|$47.60|$35.28||$49.00|$45.50|$45.50|$49.00|$48.24|$42.00|$48.30|$51.59|$41.04
"CPT® 87496"|"HB CYTOMEG DNA AMP PROBE"|306.00|$288.00|$48.24|$212.26|$202.00|$195.84|$145.15||$201.60|$187.20|$187.20|$201.60|$48.24|$172.80|$198.72|$212.26|$168.85
"CPT® 87498"|"HB ENTEROVIRUS PROBE&REVRS TRNS"|306.00|$397.00|$48.24|$292.59|$278.00|$269.96|$200.09||$277.90|$258.05|$258.05|$277.90|$48.24|$238.20|$273.93|$292.59|$232.76
"CPT® 87503"|"HB INFLUENZA DNA AMP PROB ADDL"|306.00|$85.00|$28.55|$62.65|$59.00|$57.80|$42.84||$59.50|$55.25|$55.25|$59.50|$28.55|$51.00|$58.65|$62.65|$49.84
"CPT® 87517"|"HB HEPATITIS B DNA QUANT"|306.00|$449.00|$58.88|$330.91|$314.00|$305.32|$226.30||$314.30|$291.85|$291.85|$314.30|$58.88|$269.40|$309.81|$330.91|$263.25
"CPT® 87532"|"HB HHV-6 DNA AMP PROBE"|306.00|$396.00|$48.24|$291.85|$277.00|$269.28|$199.58||$277.20|$257.40|$257.40|$277.20|$48.24|$237.60|$273.24|$291.85|$232.17
"CPT® 87581"|"HB M.PNEUMON DNA AMP PROBE"|306.00|$175.00|$48.24|$128.98|$122.00|$119.00|$88.20||$122.50|$113.75|$113.75|$122.50|$48.24|$105.00|$120.75|$128.98|$102.60
"CPT® 87625"|"HB HPV TYPES 16 & 18 ONLY"|306.00|$217.00|$47.76|$159.93|$152.00|$147.56|$109.37||$151.90|$141.05|$141.05|$151.90|$47.76|$130.20|$149.73|$159.93|$127.23
"CPT® 87633"|"HB RESP VIRUS 12-25 TARGETS"|306.00|$730.00|$367.92|$572.91|$511.00|$496.40|$367.92||$511.00|$474.50|$474.50|$511.00|$572.91|$438.00|$503.70|$538.01|$428.00
"CPT® 87653"|"HB STREP B DNA AMP PROBE"|306.00|$95.00|$47.88|$70.02|$66.00|$64.60|$47.88||$66.50|$61.75|$61.75|$66.50|$48.24|$57.00|$65.55|$70.02|$55.70
"CPT® 87661"|"HB TRICHOMONAS VAGINALIS AMPLIF"|306.00|$129.00|$47.87|$95.07|$90.00|$87.72|$65.02||$90.30|$83.85|$83.85|$90.30|$47.87|$77.40|$89.01|$95.07|$75.63
"CPT® 87804"|"HB INFLUENZA ASSAY W/OPTIC"|306.00|$52.00|$16.49|$38.32|$36.00|$35.36|$26.21||$36.40|$33.80|$33.80|$36.40|$16.49|$31.20|$35.88|$38.32|$30.49
"CPT® 87880"|"HB STREP A ASSAY W/OPTIC"|306.00|$89.00|$16.49|$65.59|$62.00|$60.52|$44.86||$62.30|$57.85|$57.85|$62.30|$16.49|$53.40|$61.41|$65.59|$52.18
"CPT® 81003"|"HB URINALYSIS AUTO W/O SCOPE"|307.00|$65.00|$3.09|$47.91|$46.00|$44.20|$32.76||$45.50|$42.25|$42.25|$45.50|$3.09|$39.00|$44.85|$47.91|$38.11
"CPT® 81015"|"HB MICROSCOPIC EXAM OF URINE"|307.00|$51.00|$4.18|$37.59|$36.00|$34.68|$25.70||$35.70|$33.15|$33.15|$35.70|$4.18|$30.60|$35.19|$37.59|$29.90
"CPT® 83519"|"HB RIA NONANTIBODY"|309.00|$1566.00|$18.57|$1154.14|$1096.00|$803.00|$789.26||$1096.20|$1017.90|$1017.90|$1096.20|$18.57|$939.60|$1080.54|$1154.14|$918.15
"CPT® 84311"|"HB SPECTROPHOTOMETRY"|309.00|$98.00|$9.61|$72.23|$69.00|$66.64|$49.39||$68.60|$63.70|$63.70|$68.60|$9.61|$58.80|$67.62|$72.23|$57.46
"CPT® 81206"|"HB BCR/ABL1 GENE MAJOR BP"|310.00|$328.00|$165.31|$241.74|$230.00|$223.04|$165.31||$229.60|$213.20|$213.20|$229.60|$213.20|$196.80|$226.32|$241.74|$192.31
"CPT® 81207"|"HB BCR/ABL1 GENE MINOR BP"|310.00|$221.00|$111.38|$162.88|$155.00|$150.28|$111.38||$154.70|$143.65|$143.65|$154.70|$143.65|$132.60|$152.49|$162.88|$129.57
"CPT® 81210"|"HB BRAF GENE"|310.00|$559.00|$281.74|$411.98|$391.00|$380.12|$281.74||$391.30|$363.35|$363.35|$391.30|$363.35|$335.40|$385.71|$411.98|$327.74
"CPT® 81235"|"HB EGFR GENE COM VARIANTS"|310.00|$1063.00|$535.75|$783.43|$744.00|$722.84|$535.75||$744.10|$690.95|$690.95|$744.10|$690.95|$637.80|$733.47|$783.43|$623.24
"CPT® 81240"|"HB F2 GENE"|310.00|$378.00|$190.51|$278.59|$265.00|$257.04|$190.51||$264.60|$245.70|$245.70|$264.60|$245.70|$226.80|$260.82|$278.59|$221.62
"CPT® 81241"|"HB F5 GENE"|310.00|$366.00|$184.46|$269.74|$256.00|$248.88|$184.46||$256.20|$237.90|$237.90|$256.20|$237.90|$219.60|$252.54|$269.74|$214.59
"CPT® 81256"|"HB HFE GENE"|310.00|$397.00|$200.09|$292.59|$278.00|$269.96|$200.09||$277.90|$258.05|$258.05|$277.90|$258.05|$238.20|$273.93|$292.59|$232.76
"CPT® 81270"|"HB JAK2 GENE"|310.00|$512.00|$258.05|$377.34|$358.00|$348.16|$258.05||$358.40|$332.80|$332.80|$358.40|$332.80|$307.20|$353.28|$377.34|$300.19
"CPT® 81275"|"HB KRAS GENE VARIANTS EXON 2"|310.00|$446.00|$224.78|$328.70|$312.00|$303.28|$224.78||$312.20|$289.90|$289.90|$312.20|$289.90|$267.60|$307.74|$328.70|$261.49
"CPT® 81288"|"HB MLH1 GENE"|310.00|$1039.00|$523.66|$765.74|$727.00|$706.52|$523.66||$727.30|$675.35|$675.35|$727.30|$675.35|$623.40|$716.91|$765.74|$609.17
"CPT® 81301"|"HB MICROSATELLITE INSTABILITY"|310.00|$263.00|$132.55|$193.83|$184.00|$178.84|$132.55||$184.10|$170.95|$170.95|$184.10|$170.95|$157.80|$181.47|$193.83|$154.20
"CPT® 81315"|"HB PML/RARALPHA COM BREAKPOINTS"|310.00|$704.00|$354.82|$518.85|$493.00|$478.72|$354.82||$492.80|$457.60|$457.60|$492.80|$457.60|$422.40|$485.76|$518.85|$412.76
"CPT® 81403"|"HB MOPATH PROCEDURE LEVEL 4"|310.00|$428.00|$215.71|$315.44|$300.00|$291.04|$215.71||$299.60|$278.20|$278.20|$299.60|$278.20|$256.80|$295.32|$315.44|$250.94
"CPT® 81479"|"HB UNLISTED MOLECULAR PATHOLOGY"|310.00|$222.00|$111.89|$163.61|$155.00|$150.96|$111.89||$155.40|$144.30|$144.30|$155.40|$144.30|$133.20|$153.18|$163.61|$130.16
"CPT® 81507"|"HB FETAL ANEUPLOIDY TRISOM RISK 21 18 13"|310.00|$717.00|$361.37|$528.43|$502.00|$487.56|$361.37||$501.90|$466.05|$466.05|$501.90|$466.05|$430.20|$494.73|$528.43|$420.38
"CPT® 88300"|"HB SURGICAL PATH GROSS"|310.00|$134.00|$67.54|$98.76|$94.00|$91.12|$67.54||$93.80|$87.10|$87.10|$93.80|$87.10|$80.40|$92.46|$98.76|$78.56
"CPT® 88302"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL II"|310.00|$229.00|$115.42|$168.77|$160.00|$155.72|$115.42||$160.30|$148.85|$148.85|$160.30|$148.85|$137.40|$158.01|$168.77|$134.26
"CPT® 88304"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL III"|310.00|$288.00|$145.15|$212.26|$202.00|$195.84|$145.15||$201.60|$187.20|$187.20|$201.60|$187.20|$172.80|$198.72|$212.26|$168.85
"CPT® 88305"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL IV"|310.00|$374.00|$188.50|$275.64|$262.00|$254.32|$188.50||$261.80|$243.10|$243.10|$261.80|$243.10|$224.40|$258.06|$275.64|$219.28
"CPT® 88307"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL V"|310.00|$579.00|$291.82|$426.72|$405.00|$393.72|$291.82||$405.30|$376.35|$376.35|$405.30|$376.35|$347.40|$399.51|$426.72|$339.47
"CPT® 88309"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL VI"|310.00|$744.00|$374.98|$548.33|$521.00|$505.92|$374.98||$520.80|$483.60|$483.60|$520.80|$483.60|$446.40|$513.36|$548.33|$436.21
"CPT® 88311"|"HB DECALCIFY TISSUE"|310.00|$92.00|$46.37|$67.80|$64.00|$62.56|$46.37||$64.40|$59.80|$59.80|$64.40|$59.80|$55.20|$63.48|$67.80|$53.94
"CPT® 88325"|"HB COMPREHENSIVE REVIEW OF DATA"|310.00|$322.00|$162.29|$237.31|$225.00|$218.96|$162.29||$225.40|$209.30|$209.30|$225.40|$209.30|$193.20|$222.18|$237.31|$188.79
"CPT® 88334"|"HB INTRAOP CYTO PATH CONSULT 2"|310.00|$145.00|$73.08|$106.87|$102.00|$98.60|$73.08||$101.50|$94.25|$94.25|$101.50|$94.25|$87.00|$100.05|$106.87|$85.01
"CPT® 88341"|"HB IMMUNOHISTO ANTB ADDL SLIDE"|310.00|$334.00|$168.34|$246.16|$234.00|$227.12|$168.34||$233.80|$217.10|$217.10|$233.80|$217.10|$200.40|$230.46|$246.16|$195.82
"CPT® 88342"|"HB IMMUNOHISTO ANTB 1ST STAIN"|310.00|$280.00|$141.12|$206.36|$196.00|$190.40|$141.12||$196.00|$182.00|$182.00|$196.00|$182.00|$168.00|$193.20|$206.36|$164.16
"CPT® 88344"|"HB IMMUNOHISTO ANTIBODY SLIDE"|310.00|$334.00|$168.34|$246.16|$234.00|$227.12|$168.34||$233.80|$217.10|$217.10|$233.80|$217.10|$200.40|$230.46|$246.16|$195.82
"CPT® 88360"|"HB TUMOR IMMUNOHISTOCHEM/MANUAL"|310.00|$253.00|$127.51|$186.46|$177.00|$172.04|$127.51||$177.10|$164.45|$164.45|$177.10|$164.45|$151.80|$174.57|$186.46|$148.33
"CPT® 88364"|"HB INSITU HYBRIDIZATION (FISH)"|310.00|$443.00|$223.27|$326.49|$310.00|$301.24|$223.27||$310.10|$287.95|$287.95|$310.10|$287.95|$265.80|$305.67|$326.49|$259.73
"CPT® 88381"|"HB MICRODISSECTION MANUAL"|310.00|$213.00|$107.35|$156.98|$149.00|$144.84|$107.35||$149.10|$138.45|$138.45|$149.10|$138.45|$127.80|$146.97|$156.98|$124.88
"CPT® 81479"|"HB UNLISTED MOLECULAR PATHOLOGY"|310.00|$237.00|$119.45|$174.67|$166.00|$161.16|$119.45||$165.90|$154.05|$154.05|$165.90|$154.05|$142.20|$163.53|$174.67|$138.95
"CPT® 81479"|"HB MOLECULAR PATHOLOGY PROMETHEUS"|310.00|$38.00|$19.15|$28.01|$27.00|$25.84|$19.15||$26.60|$24.70|$24.70|$26.60|$24.70|$22.80|$26.22|$28.01|$22.28
"CPT® 81479"|"HB MOLECULAR PATHOLOGY MEDFUSION"|310.00|$222.00|$111.89|$163.61|$155.00|$150.96|$111.89||$155.40|$144.30|$144.30|$155.40|$144.30|$133.20|$153.18|$163.61|$130.16
"CPT® 88106"|"HB CYTOPATH FL NONGYN FILTER"|311.00|$132.00|$66.53|$97.28|$92.00|$89.76|$66.53||$92.40|$85.80|$85.80|$92.40|$85.80|$79.20|$91.08|$97.28|$77.39
"CPT® 88112"|"HB CYTOPATH CELL ENHANCE TECH"|311.00|$218.00|$109.87|$160.67|$153.00|$148.24|$109.87||$152.60|$141.70|$141.70|$152.60|$141.70|$130.80|$150.42|$160.67|$127.81
"CPT® 88141"|"HB CYTOPATH C/V INTERPRET"|311.00|$128.00|$64.51|$94.34|$90.00|$87.04|$64.51||$89.60|$83.20|$83.20|$89.60|$83.20|$76.80|$88.32|$94.34|$75.05
"CPT® 88142"|"HB CYTOPATH C/V THIN LAYER"|311.00|$108.00|$54.43|$79.60|$76.00|$73.44|$54.43||$75.60|$70.20|$70.20|$75.60|$70.20|$64.80|$74.52|$79.60|$63.32
"CPT® 88161"|"HB CYTOPATH SMEAR OTHER SOURCE PREP SCREENING INTERPRETATION"|311.00|$101.00|$50.90|$74.44|$71.00|$68.68|$50.90||$70.70|$65.65|$65.65|$70.70|$65.65|$60.60|$69.69|$74.44|$59.22
"CPT® 88164"|"HB CYTOPATH TBS C/V MANUAL"|311.00|$64.00|$32.26|$47.17|$45.00|$43.52|$32.26||$44.80|$41.60|$41.60|$44.80|$41.60|$38.40|$44.16|$47.17|$37.52
"CPT® 88173"|"HB CYTOPATH EVAL FNA REPORT"|311.00|$299.00|$150.70|$220.36|$209.00|$203.32|$150.70||$209.30|$194.35|$194.35|$209.30|$194.35|$179.40|$206.31|$220.36|$175.30
"CPT® 88175"|"HB CYTOPATH C/V AUTO FLUID REDO"|311.00|$130.00|$65.52|$95.81|$91.00|$88.40|$65.52||$91.00|$84.50|$84.50|$91.00|$84.50|$78.00|$89.70|$95.81|$76.22
"CPT® 88182"|"HB CELL MARKER STUDY"|311.00|$198.00|$99.79|$145.93|$139.00|$134.64|$99.79||$138.60|$128.70|$128.70|$138.60|$128.70|$118.80|$136.62|$145.93|$116.09
"CPT® 88184"|"HB FLOWCYTOMETRY/ TC 1 MARKER"|311.00|$151.00|$76.10|$111.29|$106.00|$102.68|$76.10||$105.70|$98.15|$98.15|$105.70|$98.15|$90.60|$104.19|$111.29|$88.53
"CPT® 88185"|"HB FLOWCYTOMETRY/TC ADD-ON"|311.00|$137.00|$69.05|$100.97|$96.00|$93.16|$69.05||$95.90|$89.05|$89.05|$95.90|$89.05|$82.20|$94.53|$100.97|$80.32
"CPT® 88237"|"HB TISSUE CULTURE BONE MARROW"|311.00|$523.00|$263.59|$385.45|$366.00|$355.64|$263.59||$366.10|$339.95|$339.95|$366.10|$339.95|$313.80|$360.87|$385.45|$306.63
"CPT® 88264"|"HB CHROMOSOME ANALYSIS 20-25"|311.00|$671.00|$338.18|$494.53|$470.00|$456.28|$338.18||$469.70|$436.15|$436.15|$469.70|$436.15|$402.60|$462.99|$494.53|$393.41
"CPT® 88271"|"HB CYTOGENETICS DNA PROBE"|311.00|$149.00|$75.10|$109.81|$104.00|$101.32|$75.10||$104.30|$96.85|$96.85|$104.30|$96.85|$89.40|$102.81|$109.81|$87.36
"CPT® 88274"|"HB CYTOGENETICS 25-99"|311.00|$229.00|$115.42|$168.77|$160.00|$155.72|$115.42||$160.30|$148.85|$148.85|$160.30|$148.85|$137.40|$158.01|$168.77|$134.26
"CPT® 88275"|"HB CYTOGENETICS 100-300"|311.00|$302.00|$152.21|$222.57|$211.00|$205.36|$152.21||$211.40|$196.30|$196.30|$211.40|$196.30|$181.20|$208.38|$222.57|$177.06
"CPT® 88342"|"HB IMMUNOHISTO ANTB 1ST STAIN"|311.00|$280.00|$141.12|$206.36|$196.00|$190.40|$141.12||$196.00|$182.00|$182.00|$196.00|$182.00|$168.00|$193.20|$206.36|$164.16
"HCPCS G0123"|"HB SCREEN CERV/VAG THIN LAYER"|311.00|$97.00|$48.89|$71.49|$68.00|$65.96|$48.89||$67.90|$63.05|$63.05|$67.90|$63.05|$58.20|$66.93|$71.49|$56.87
"HCPCS G0124"|"HB SCREEN C/V THIN LAYER BY MD"|311.00|$126.00|$63.50|$92.86|$88.00|$85.68|$63.50||$88.20|$81.90|$81.90|$88.20|$81.90|$75.60|$86.94|$92.86|$73.87
"HCPCS G0145"|"HB PAP TEST, LIQUID SCREEN W/IMAGING"|311.00|$120.00|$60.48|$88.44|$84.00|$81.60|$60.48||$84.00|$78.00|$78.00|$84.00|$78.00|$72.00|$82.80|$88.44|$70.36
"HCPCS P3000"|"HB SCREEN PAP BY TECH W MD SUPV"|311.00|$93.00|$46.87|$68.54|$65.00|$63.24|$46.87||$65.10|$60.45|$60.45|$65.10|$60.45|$55.80|$64.17|$68.54|$54.53
"CPT® 88172"|"HB FNA ADEQUACY-1ST EPISODE"|311.00|$461.00|$232.34|$339.76|$323.00|$313.48|$232.34||$322.70|$299.65|$299.65|$322.70|$299.65|$276.60|$318.09|$339.76|$270.28
"CPT® 88177"|"HB FNA ADEQUACY-ADDL EPISODE"|311.00|$149.00|$75.10|$109.81|$104.00|$101.32|$75.10||$104.30|$96.85|$96.85|$104.30|$96.85|$89.40|$102.81|$109.81|$87.36
"CPT® 88184"|"HB FLOWCYTOMETRY/ TC 1 MARKER"|312.00|$151.00|$76.10|$111.29|$106.00|$102.68|$76.10||$105.70|$98.15|$98.15|$105.70|$98.15|$90.60|$104.19|$111.29|$88.53
"CPT® 88185"|"HB FLOWCYTOMETRY/TC ADD-ON"|312.00|$137.00|$69.05|$100.97|$96.00|$93.16|$69.05||$95.90|$89.05|$89.05|$95.90|$89.05|$82.20|$94.53|$100.97|$80.32
"CPT® 88233"|"HB TISSUE CULTURE SKIN/BIOPSY"|312.00|$198.00|$99.79|$145.93|$139.00|$134.64|$99.79||$138.60|$128.70|$128.70|$138.60|$128.70|$118.80|$136.62|$145.93|$116.09
"CPT® 88237"|"HB TISSUE CULTURE BONE MARROW"|312.00|$523.00|$263.59|$385.45|$366.00|$355.64|$263.59||$366.10|$339.95|$339.95|$366.10|$339.95|$313.80|$360.87|$385.45|$306.63
"CPT® 88262"|"HB CHROMOSOME ANALYSIS 15-20"|312.00|$390.00|$196.56|$287.43|$273.00|$265.20|$196.56||$273.00|$253.50|$253.50|$273.00|$253.50|$234.00|$269.10|$287.43|$228.66
"CPT® 88264"|"HB CHROMOSOME ANALYSIS 20-25"|312.00|$671.00|$338.18|$494.53|$470.00|$456.28|$338.18||$469.70|$436.15|$436.15|$469.70|$436.15|$402.60|$462.99|$494.53|$393.41
"CPT® 88271"|"HB CYTOGENETICS DNA PROBE"|312.00|$149.00|$75.10|$109.81|$104.00|$101.32|$75.10||$104.30|$96.85|$96.85|$104.30|$96.85|$89.40|$102.81|$109.81|$87.36
"CPT® 88275"|"HB CYTOGENETICS 100-300"|312.00|$302.00|$152.21|$222.57|$211.00|$205.36|$152.21||$211.40|$196.30|$196.30|$211.40|$196.30|$181.20|$208.38|$222.57|$177.06
"CPT® 88305"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL IV"|312.00|$374.00|$188.50|$275.64|$262.00|$254.32|$188.50||$261.80|$243.10|$243.10|$261.80|$243.10|$224.40|$258.06|$275.64|$219.28
"CPT® 88312"|"HB SPECIAL STAINS GROUP 1"|312.00|$208.00|$104.83|$153.30|$146.00|$141.44|$104.83||$145.60|$135.20|$135.20|$145.60|$135.20|$124.80|$143.52|$153.30|$121.95
"CPT® 88313"|"HB SPECIAL STAINS GROUP 2"|312.00|$196.00|$98.78|$144.45|$137.00|$133.28|$98.78||$137.20|$127.40|$127.40|$137.20|$127.40|$117.60|$135.24|$144.45|$114.91
"CPT® 88314"|"HB HISTOCHEMICAL STAINS ADD-ON"|312.00|$346.00|$174.38|$255.00|$242.00|$235.28|$174.38||$242.20|$224.90|$224.90|$242.20|$224.90|$207.60|$238.74|$255.00|$202.86
"CPT® 88319"|"HB ENZYME HISTOCHEMISTRY"|312.00|$583.00|$293.83|$429.67|$408.00|$396.44|$293.83||$408.10|$378.95|$378.95|$408.10|$378.95|$349.80|$402.27|$429.67|$341.81
"CPT® 88321"|"HB MICROSLIDE CONSULTATION SLIDES PREPPED"|312.00|$237.00|$119.45|$174.67|$166.00|$161.16|$119.45||$165.90|$154.05|$154.05|$165.90|$154.05|$142.20|$163.53|$174.67|$138.95
"CPT® 88323"|"HB MICROSLIDE CONSULTATION SLIDES NEEDING PREP"|312.00|$226.00|$113.90|$166.56|$158.00|$153.68|$113.90||$158.20|$146.90|$146.90|$158.20|$146.90|$135.60|$155.94|$166.56|$132.50
"CPT® 88325"|"HB COMPREHENSIVE REVIEW OF DATA"|312.00|$322.00|$162.29|$237.31|$225.00|$218.96|$162.29||$225.40|$209.30|$209.30|$225.40|$209.30|$193.20|$222.18|$237.31|$188.79
"CPT® 88331"|"HB PATH CONSULT INTRAOP 1 BLOC"|312.00|$258.00|$130.03|$190.15|$181.00|$175.44|$130.03||$180.60|$167.70|$167.70|$180.60|$167.70|$154.80|$178.02|$190.15|$151.27
"CPT® 88332"|"HB PATH CONSULT INTRAOP ADDL"|312.00|$196.00|$98.78|$144.45|$137.00|$133.28|$98.78||$137.20|$127.40|$127.40|$137.20|$127.40|$117.60|$135.24|$144.45|$114.91
"CPT® 88333"|"HB INTRAOP CYTO PATH CONSULT 1"|312.00|$149.00|$75.10|$109.81|$104.00|$101.32|$75.10||$104.30|$96.85|$96.85|$104.30|$96.85|$89.40|$102.81|$109.81|$87.36
"CPT® 88342"|"HB IMMUNOHISTO ANTB 1ST STAIN"|312.00|$280.00|$141.12|$206.36|$196.00|$190.40|$141.12||$196.00|$182.00|$182.00|$196.00|$182.00|$168.00|$193.20|$206.36|$164.16
"CPT® 88346"|"HB IMMUNOFLUOR ANTB 1ST STAIN"|312.00|$238.00|$119.95|$175.41|$167.00|$161.84|$119.95||$166.60|$154.70|$154.70|$166.60|$154.70|$142.80|$164.22|$175.41|$139.54
"CPT® 88348"|"HB ELECTRON MICROSCOPY"|312.00|$1009.00|$508.54|$743.63|$706.00|$686.12|$508.54||$706.30|$655.85|$655.85|$706.30|$655.85|$605.40|$696.21|$743.63|$591.58
"CPT® 88361"|"HB TUMOR IMMUNOHISTOCHEM/COMPUT"|312.00|$276.00|$139.10|$203.41|$193.00|$187.68|$139.10||$193.20|$179.40|$179.40|$193.20|$179.40|$165.60|$190.44|$203.41|$161.82
"CPT® 88362"|"HB NERVE TEASING PREPARATIONS"|312.00|$435.00|$219.24|$320.60|$304.00|$295.80|$219.24||$304.50|$282.75|$282.75|$304.50|$282.75|$261.00|$300.15|$320.60|$255.04
"CPT® 88363"|"HB XM ARCHIVE TISSUE MOLEC ANAL"|312.00|$64.00|$32.26|$47.17|$45.00|$43.52|$32.26||$44.80|$41.60|$41.60|$44.80|$41.60|$38.40|$44.16|$47.17|$37.52
"CPT® 88365"|"HB INSITU HYBRIDIZATION (FISH) INITIAL SINGLE PROBE"|312.00|$263.00|$132.55|$193.83|$184.00|$178.84|$132.55||$184.10|$170.95|$170.95|$184.10|$170.95|$157.80|$181.47|$193.83|$154.20
"CPT® 88368"|"HB INSITU HYBRIDIZATION MANUAL"|312.00|$394.00|$198.58|$290.38|$276.00|$267.92|$198.58||$275.80|$256.10|$256.10|$275.80|$256.10|$236.40|$271.86|$290.38|$231.00
"CPT® 88377"|"HB M/PHMTRC ALYS ISHQUANT/SEMIQ"|312.00|$1211.00|$610.34|$892.51|$848.00|$803.00|$610.34||$847.70|$787.15|$787.15|$847.70|$787.15|$726.60|$835.59|$892.51|$710.01
"CPT® 88380"|"HB MICRODISSECTION LASER"|312.00|$766.00|$386.06|$564.54|$536.00|$520.88|$386.06||$536.20|$497.90|$497.90|$536.20|$497.90|$459.60|$528.54|$564.54|$449.11
"CPT® 88381"|"HB MICRODISSECTION MANUAL"|312.00|$213.00|$107.35|$156.98|$149.00|$144.84|$107.35||$149.10|$138.45|$138.45|$149.10|$138.45|$127.80|$146.97|$156.98|$124.88
"CPT® 88305"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL IV"|314.00|$374.00|$188.50|$275.64|$262.00|$254.32|$188.50||$261.80|$243.10|$243.10|$261.80|$243.10|$224.40|$258.06|$275.64|$219.28
"CPT® 70250"|"HB XRAY SKULL; LESS THAN 4 VIEWS"|320.00|$439.00|$221.26|$323.54|$307.00|$298.52|$221.26||$307.30|$285.35|$285.35|$307.30|$239.00|$263.40|$302.91|$323.54|$257.39
"CPT® 70260"|"HB XRAY SKULL COMPLETE; MINIMUM OF 4 VIEWS"|320.00|$638.00|$239.00|$470.21|$447.00|$433.84|$321.55||$446.60|$414.70|$414.70|$446.60|$239.00|$382.80|$440.22|$470.21|$374.06
"CPT® 71100"|"HB X-RAY EXAM RIBS UNI 2 VIEWS"|320.00|$422.00|$212.69|$311.01|$295.00|$286.96|$212.69||$295.40|$274.30|$274.30|$295.40|$239.00|$253.20|$291.18|$311.01|$247.42
"CPT® 71101"|"HB X-RAY EXAM UNILAT RIBS/CHEST"|320.00|$543.00|$239.00|$400.19|$380.00|$369.24|$273.67||$380.10|$352.95|$352.95|$380.10|$239.00|$325.80|$374.67|$400.19|$318.36
"CPT® 72020"|"HB X-RAY EXAM OF SPINE 1 VIEW"|320.00|$375.00|$189.00|$276.38|$262.00|$255.00|$189.00||$262.50|$243.75|$243.75|$262.50|$239.00|$225.00|$258.75|$276.38|$219.86
"CPT® 72040"|"HB X-RAY EXAM NECK SPINE 2-3 VW"|320.00|$449.00|$226.30|$330.91|$314.00|$305.32|$226.30||$314.30|$291.85|$291.85|$314.30|$239.00|$269.40|$309.81|$330.91|$263.25
"CPT® 72050"|"HB X-RAY EXAM NECK SPINE 4/5VWS"|320.00|$655.00|$239.00|$482.74|$458.00|$445.40|$330.12||$458.50|$425.75|$425.75|$458.50|$239.00|$393.00|$451.95|$482.74|$384.03
"CPT® 72052"|"HB X-RAY EXAM NECK SPINE 6/>VWS"|320.00|$750.00|$239.00|$552.75|$525.00|$510.00|$378.00||$525.00|$487.50|$487.50|$525.00|$239.00|$450.00|$517.50|$552.75|$439.73
"CPT® 72070"|"HB X-RAY EXAM THORAC SPINE 2VWS"|320.00|$746.00|$239.00|$549.80|$522.00|$507.28|$375.98||$522.20|$484.90|$484.90|$522.20|$239.00|$447.60|$514.74|$549.80|$437.38
"CPT® 72072"|"HB X-RAY EXAM THORAC SPINE 3VWS"|320.00|$437.00|$220.25|$322.07|$306.00|$297.16|$220.25||$305.90|$284.05|$284.05|$305.90|$239.00|$262.20|$301.53|$322.07|$256.21
"CPT® 72100"|"HB X-RAY EXAM L-S SPINE 2/3 VWS"|320.00|$499.00|$239.00|$367.76|$349.00|$339.32|$251.50||$349.30|$324.35|$324.35|$349.30|$239.00|$299.40|$344.31|$367.76|$292.56
"CPT® 72110"|"HB X-RAY EXAM L-2 SPINE 4/>VWS"|320.00|$615.00|$239.00|$453.26|$430.00|$418.20|$309.96||$430.50|$399.75|$399.75|$430.50|$239.00|$369.00|$424.35|$453.26|$360.57
"CPT® 72170"|"HB XRAY PELVIS 1 OR 2 VIEWS"|320.00|$340.00|$171.36|$250.58|$238.00|$231.20|$171.36||$238.00|$221.00|$221.00|$238.00|$239.00|$204.00|$234.60|$250.58|$199.34
"CPT® 72202"|"HB X-RAY EXAM SI JOINTS 3/> VWS"|320.00|$433.00|$218.23|$319.12|$303.00|$294.44|$218.23||$303.10|$281.45|$281.45|$303.10|$239.00|$259.80|$298.77|$319.12|$253.87
"CPT® 72220"|"HB X-RAY EXAM SACRUM TAILBONE"|320.00|$424.00|$213.70|$312.49|$297.00|$288.32|$213.70||$296.80|$275.60|$275.60|$296.80|$239.00|$254.40|$292.56|$312.49|$248.59
"CPT® 73000"|"HB X-RAY EXAM OF COLLAR BONE"|320.00|$252.00|$127.01|$239.00|$176.00|$171.36|$127.01||$176.40|$163.80|$163.80|$176.40|$239.00|$151.20|$173.88|$185.72|$147.75
"CPT® 73010"|"HB X-RAY EXAM OF SHOULDER BLADE"|320.00|$404.00|$203.62|$297.75|$283.00|$274.72|$203.62||$282.80|$262.60|$262.60|$282.80|$239.00|$242.40|$278.76|$297.75|$236.87
"CPT® 73030"|"HB X-RAY EXAM OF SHOULDER MINIMUM 2 VIEWS"|320.00|$241.00|$121.46|$239.00|$169.00|$163.88|$121.46||$168.70|$156.65|$156.65|$168.70|$239.00|$144.60|$166.29|$177.62|$141.30
"CPT® 73060"|"HB X-RAY HUMERUS MINIMUM 2 VIEW"|320.00|$402.00|$202.61|$296.27|$281.00|$273.36|$202.61||$281.40|$261.30|$261.30|$281.40|$239.00|$241.20|$277.38|$296.27|$235.69
"CPT® 73070"|"HB X-RAY EXAM OF ELBOW 2 VIEWS"|320.00|$369.00|$185.98|$271.95|$258.00|$250.92|$185.98||$258.30|$239.85|$239.85|$258.30|$239.00|$221.40|$254.61|$271.95|$216.34
"CPT® 73080"|"HB X-RAY EXAM OF ELBOW 3 VIEWS"|320.00|$326.00|$164.30|$240.26|$228.00|$221.68|$164.30||$228.20|$211.90|$211.90|$228.20|$239.00|$195.60|$224.94|$240.26|$191.13
"CPT® 73090"|"HB X-RAY EXAM OF FOREARM 2 VIEWS"|320.00|$396.00|$199.58|$291.85|$277.00|$269.28|$199.58||$277.20|$257.40|$257.40|$277.20|$239.00|$237.60|$273.24|$291.85|$232.17
"CPT® 73110"|"HB X-RAY EXAM OF WRIST 3 VIEWS"|320.00|$288.00|$145.15|$239.00|$202.00|$195.84|$145.15||$201.60|$187.20|$187.20|$201.60|$239.00|$172.80|$198.72|$212.26|$168.85
"CPT® 73130"|"HB X-RAY EXAM OF HAND 3 VIEWS"|320.00|$288.00|$145.15|$239.00|$202.00|$195.84|$145.15||$201.60|$187.20|$187.20|$201.60|$239.00|$172.80|$198.72|$212.26|$168.85
"CPT® 73140"|"HB X-RAY EXAM OF FINGER(S) MIN 2 VIEWS"|320.00|$337.00|$169.85|$248.37|$236.00|$229.16|$169.85||$235.90|$219.05|$219.05|$235.90|$239.00|$202.20|$232.53|$248.37|$197.58
"CPT® 73560"|"HB X-RAY EXAM OF KNEE 1 OR 2"|320.00|$390.00|$196.56|$287.43|$273.00|$265.20|$196.56||$273.00|$253.50|$253.50|$273.00|$239.00|$234.00|$269.10|$287.43|$228.66
"CPT® 73562"|"HB X-RAY EXAM OF KNEE 3"|320.00|$451.00|$227.30|$332.39|$316.00|$306.68|$227.30||$315.70|$293.15|$293.15|$315.70|$239.00|$270.60|$311.19|$332.39|$264.42
"CPT® 73564"|"HB X-RAY EXAM KNEE 4 OR MORE"|320.00|$556.00|$239.00|$409.77|$389.00|$378.08|$280.22||$389.20|$361.40|$361.40|$389.20|$239.00|$333.60|$383.64|$409.77|$325.98
"CPT® 73590"|"HB X-RAY EXAM OF LOWER LEG"|320.00|$415.00|$209.16|$305.86|$290.00|$282.20|$209.16||$290.50|$269.75|$269.75|$290.50|$239.00|$249.00|$286.35|$305.86|$243.31
"CPT® 73610"|"HB X-RAY EXAM OF ANKLE 3 VIEWS"|320.00|$349.00|$175.90|$257.21|$244.00|$237.32|$175.90||$244.30|$226.85|$226.85|$244.30|$239.00|$209.40|$240.81|$257.21|$204.62
"CPT® 73630"|"HB X-RAY EXAM OF FOOT 3 VIEWS"|320.00|$326.00|$164.30|$240.26|$228.00|$221.68|$164.30||$228.20|$211.90|$211.90|$228.20|$239.00|$195.60|$224.94|$240.26|$191.13
"CPT® 73660"|"HB X-RAY EXAM OF TOE(S)"|320.00|$335.00|$168.84|$246.90|$234.00|$227.80|$168.84||$234.50|$217.75|$217.75|$234.50|$239.00|$201.00|$231.15|$246.90|$196.41
"CPT® 74018"|"HB XRAY EXAM ABDOMEN 1 VIEW"|320.00|$334.00|$168.34|$246.16|$234.00|$227.12|$168.34||$233.80|$217.10|$217.10|$233.80|$239.00|$200.40|$230.46|$246.16|$195.82
"CPT® 74022"|"HB X-RAY EXAM SERIES ABDOMEN"|320.00|$652.00|$239.00|$480.52|$456.00|$443.36|$328.61||$456.40|$423.80|$423.80|$456.40|$239.00|$391.20|$449.88|$480.52|$382.27
"CPT® 74230"|"HB CINE/VID X-RAY THROAT/ESOPH"|320.00|$1430.00|$149.75|$1053.91|$1001.00|$803.00|$720.72||$1001.00|$149.75|$929.50|$172.00|$239.00|$858.00|$986.70|$1053.91|$838.41
"CPT® 73551"|"HB X-RAY EXAM OF FEMUR 1 VIEW"|320.00|$401.00|$202.10|$295.54|$281.00|$272.68|$202.10||$280.70|$260.65|$260.65|$280.70|$239.00|$240.60|$276.69|$295.54|$235.11
"CPT® 73502"|"HB X-RAY EXAM HIP UNILATERAL 2-3 VIEWS"|320.00|$569.00|$239.00|$419.35|$398.00|$386.92|$286.78||$398.30|$369.85|$369.85|$398.30|$239.00|$341.40|$392.61|$419.35|$333.60
"CPT® 73521"|"HB X-RAY EXAM HIPS BILATERAL 2 VIEWS"|320.00|$849.00|$239.00|$625.71|$594.00|$577.32|$427.90||$594.30|$551.85|$551.85|$594.30|$239.00|$509.40|$585.81|$625.71|$497.77
"CPT® 73552"|"HB X-RAY EXAM OF FEMUR MIN 2 VIEWS"|320.00|$385.00|$194.04|$283.75|$270.00|$261.80|$194.04||$269.50|$250.25|$250.25|$269.50|$239.00|$231.00|$265.65|$283.75|$225.73
"CPT® 74021"|"HB XRAY EXAM ABDOMEN 3+ VIEWS"|320.00|$382.00|$192.53|$281.53|$267.00|$259.76|$192.53||$267.40|$248.30|$248.30|$267.40|$239.00|$229.20|$263.58|$281.53|$223.97
"CPT® 71045"|"HB X-RAY CHEST SINGLE VIEW"|324.00|$346.00|$174.38|$255.00|$242.00|$235.28|$174.38||$242.20|$224.90|$224.90|$242.20|$239.00|$207.60|$238.74|$255.00|$202.86
"CPT® 71046"|"HB-XRAY EXAM CHEST 2 VIEWS"|324.00|$470.00|$236.88|$346.39|$329.00|$319.60|$236.88||$329.00|$305.50|$305.50|$329.00|$239.00|$282.00|$324.30|$346.39|$275.56
"CPT® 36570"|"HB INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR"|361.00|$8482.00|$803.00|$6251.23|$5937.00|$803.00|$4274.93||$5937.40|$5513.30|$5513.30|$5937.40|$5513.30|$5089.20|$5852.58|$6251.23|$4973.00
"HCPCS P9012"|"HB CRYOPRECIPITATE EACH UNIT"|390.00|$593.00|$298.87|$437.04|$415.00|$403.24|$298.87||$415.10|$385.45|$385.45|$415.10|$385.45|$355.80|$409.17|$437.04|$347.68
"HCPCS P9016"|"HB RBC LEUKOCYTES REDUCED"|390.00|$475.00|$239.40|$350.08|$332.00|$323.00|$239.40||$332.50|$308.75|$308.75|$332.50|$308.75|$285.00|$327.75|$350.08|$278.49
"HCPCS P9017"|"HB PLASMA 1 DONOR FRZ W/IN 8 HR"|390.00|$191.00|$96.26|$140.77|$134.00|$129.88|$96.26||$133.70|$124.15|$124.15|$133.70|$124.15|$114.60|$131.79|$140.77|$111.98
"HCPCS P9021"|"HB RED BLOOD CELLS UNIT"|390.00|$405.00|$204.12|$298.49|$284.00|$275.40|$204.12||$283.50|$263.25|$263.25|$283.50|$263.25|$243.00|$279.45|$298.49|$237.45
"HCPCS P9022"|"HB WASHED RED BLOOD CELLS UNIT"|390.00|$761.00|$383.54|$560.86|$533.00|$517.48|$383.54||$532.70|$494.65|$494.65|$532.70|$494.65|$456.60|$525.09|$560.86|$446.17
"HCPCS P9035"|"HB PLATELET PHERES LEUKOREDUCED"|390.00|$1404.00|$707.62|$1034.75|$983.00|$803.00|$707.62||$982.80|$912.60|$912.60|$982.80|$912.60|$842.40|$968.76|$1034.75|$823.17
"HCPCS P9037"|"HB PLATE PHERES LEUKOREDU IRRAD"|390.00|$1589.00|$800.86|$1171.09|$1112.00|$803.00|$800.86||$1112.30|$1032.85|$1032.85|$1112.30|$1032.85|$953.40|$1096.41|$1171.09|$931.63
"HCPCS P9040"|"HB RBC LEUKOREDUCED IRRADIATED"|390.00|$665.00|$335.16|$490.11|$465.00|$452.20|$335.16||$465.50|$432.25|$432.25|$465.50|$432.25|$399.00|$458.85|$490.11|$389.89
"HCPCS P9017"|"HB PLASMA, THAWED, CONVALESCENT COVID"|390.00|$322.00|$162.29|$237.31|$225.00|$218.96|$162.29||$225.40|$209.30|$209.30|$225.40|$209.30|$193.20|$222.18|$237.31|$188.79
"CPT® 51798"|"HB US URINE CAPACITY MEASURE"|402.00|$112.00|$56.45|$82.54|$78.00|$76.16|$56.45||$78.40|$72.80|$72.80|$78.40|$72.80|$67.20|$77.28|$82.54|$65.67
"CPT® 76700"|"HB US EXAM ABDOM COMPLETE"|402.00|$1150.00|$579.60|$847.55|$805.00|$782.00|$579.60||$805.00|$747.50|$747.50|$805.00|$747.50|$690.00|$793.50|$847.55|$674.25
"CPT® 76705"|"HB US EXAM ABDOMINAL, LIMITED"|402.00|$866.00|$436.46|$638.24|$606.00|$588.88|$436.46||$606.20|$562.90|$562.90|$606.20|$562.90|$519.60|$597.54|$638.24|$507.74
"CPT® 76775"|"HB US EXAM ABDO BACK WALL LIM"|402.00|$774.00|$390.10|$570.44|$542.00|$526.32|$390.10||$541.80|$503.10|$503.10|$541.80|$503.10|$464.40|$534.06|$570.44|$453.80
"CPT® 76830"|"HB TRANSVAGINAL US NON-OB"|402.00|$843.00|$424.87|$621.29|$590.00|$573.24|$424.87||$590.10|$547.95|$547.95|$590.10|$547.95|$505.80|$581.67|$621.29|$494.25
"CPT® 76856"|"HB US EXAM PELVIC COMPLETE"|402.00|$959.00|$483.34|$706.78|$671.00|$652.12|$483.34||$671.30|$623.35|$623.35|$671.30|$623.35|$575.40|$661.71|$706.78|$562.26
"CPT® 76870"|"HB US EXAM SCROTUM"|402.00|$884.00|$445.54|$651.51|$619.00|$601.12|$445.54||$618.80|$574.60|$574.60|$618.80|$574.60|$530.40|$609.96|$651.51|$518.29
"CPT® 76942"|"HB US GUIDANCE NEEDLE PLACEMENT; S&I"|402.00|$982.00|$494.93|$723.73|$687.00|$667.76|$494.93||$687.40|$638.30|$638.30|$687.40|$638.30|$589.20|$677.58|$723.73|$575.75
"CPT® 94664"|"HB EVALUATE PT USE OF INHALER"|410.00|$81.00|$40.82|$59.70|$57.00|$55.08|$40.82||$56.70|$52.65|$52.65|$56.70|$52.65|$48.60|$55.89|$59.70|$47.49
"CPT® 94667"|"HB CHEST WALL MANIPULATION INITIAL"|410.00|$106.00|$53.42|$78.12|$74.00|$72.08|$53.42||$74.20|$68.90|$68.90|$74.20|$68.90|$63.60|$73.14|$78.12|$62.15
"CPT® 94668"|"HB CHEST WALL MANIPULATION SUBSEQUENT"|410.00|$63.00|$31.75|$46.43|$44.00|$42.84|$31.75||$44.10|$40.95|$40.95|$44.10|$40.95|$37.80|$43.47|$46.43|$36.94
"CPT® 94669"|"HB MECHANICAL CHEST WALL OSCILL"|410.00|$201.00|$101.30|$148.14|$141.00|$136.68|$101.30||$140.70|$130.65|$130.65|$140.70|$130.65|$120.60|$138.69|$148.14|$117.85
"CPT® 94660"|"HB HOME CPAP-BIPAP"|410.00|$375.00|$189.00|$276.38|$262.00|$255.00|$189.00||$262.50|$243.75|$243.75|$262.50|$243.75|$225.00|$258.75|$276.38|$219.86
"CPT® 31502"|"HB CHANGE OF WINDPIPE AIRWAY"|410.00|$668.00|$336.67|$492.32|$468.00|$454.24|$336.67||$467.60|$434.20|$434.20|$467.60|$434.20|$400.80|$460.92|$492.32|$391.65
"CPT® 94003"|"HB VENT MGMT INPAT SUBQ DAY"|410.00|$1408.00|$709.63|$1037.70|$986.00|$803.00|$709.63||$985.60|$915.20|$915.20|$985.60|$915.20|$844.80|$971.52|$1037.70|$825.51
"CPT® 94640"|"HB AIRWAY INHALATION TREATMENT"|410.00|$78.00|$39.31|$57.49|$55.00|$53.04|$39.31||$54.60|$50.70|$50.70|$54.60|$50.70|$46.80|$53.82|$57.49|$45.73
"CPT® 94660"|"HB POS AIRWAY PRESSURE CPAP"|410.00|$363.00|$182.95|$267.53|$254.00|$246.84|$182.95||$254.10|$235.95|$235.95|$254.10|$235.95|$217.80|$250.47|$267.53|$212.83
"CPT® 97010"|"HB HOT OR COLD PACKS THERAPY"|420.00|$71.00|$35.78|$71.00|$50.00|$48.28|$35.78|$49.70|$49.70|$46.15|$46.15|$49.70|$71.00|$42.60|$48.99|$52.33|$41.63
"CPT® 97012"|"HB MECHANICAL TRACTION THERAPY"|420.00|$112.00|$17.30|$112.00|$78.00|$76.16|$56.45|$78.40|$78.40|$17.30|$72.80|$78.40|$112.00|$67.20|$77.28|$82.54|$65.67
"CPT® 97026"|"HB INFRARED THERAPY"|420.00|$75.00|$37.80|$75.00|$52.00|$51.00|$37.80|$52.50|$52.50|$48.75|$48.75|$52.50|$75.00|$45.00|$51.75|$55.28|$43.97
"CPT® 97032"|"HB ELECTRICAL STIMULATION"|420.00|$108.00|$17.30|$108.00|$76.00|$73.44|$54.43|$75.60|$75.60|$17.30|$70.20|$75.60|$108.00|$64.80|$74.52|$79.60|$63.32
"CPT® 97033"|"HB IONTOPHORESIS ELECTRIC CURRENT THERAPY"|420.00|$120.00|$24.38|$120.00|$84.00|$81.60|$60.48|$84.00|$84.00|$24.38|$78.00|$84.00|$120.00|$72.00|$82.80|$88.44|$70.36
"CPT® 97035"|"HB ULTRASOUND THERAPY"|420.00|$112.00|$16.12|$112.00|$78.00|$76.16|$56.45|$78.40|$78.40|$16.12|$72.80|$25.00|$112.00|$67.20|$77.28|$82.54|$65.67
"CPT® 97110"|"HB THERAPEUTIC EXERCISES"|420.00|$120.00|$35.94|$120.00|$84.00|$81.60|$60.48|$84.00|$84.00|$35.94|$78.00|$57.00|$120.00|$72.00|$82.80|$88.44|$70.36
"CPT® 97112"|"HB NEUROMUSCULAR REEDUCATION"|420.00|$120.00|$40.87|$120.00|$84.00|$81.60|$60.48|$84.00|$84.00|$40.87|$78.00|$62.00|$120.00|$72.00|$82.80|$88.44|$70.36
"CPT® 97113"|"HB AQUATIC THERAPY/EXERCISES"|420.00|$125.00|$45.49|$125.00|$88.00|$85.00|$63.00|$87.50|$87.50|$45.49|$81.25|$69.00|$125.00|$75.00|$86.25|$92.13|$73.29
"CPT® 97116"|"HB GAIT TRAINING THERAPY"|420.00|$125.00|$35.52|$125.00|$88.00|$85.00|$63.00|$87.50|$87.50|$35.52|$81.25|$52.00|$125.00|$75.00|$86.25|$92.13|$73.29
"CPT® 97124"|"HB MASSAGE THERAPY"|420.00|$120.00|$33.41|$120.00|$84.00|$81.60|$60.48|$84.00|$84.00|$33.41|$78.00|$84.00|$120.00|$72.00|$82.80|$88.44|$70.36
"CPT® 97542"|"HB WHEELCHAIR MNGMENT TRAINING"|420.00|$119.00|$38.81|$119.00|$83.00|$80.92|$59.98|$83.30|$83.30|$38.81|$77.35|$83.30|$119.00|$71.40|$82.11|$87.70|$69.77
"CPT® 97761"|"HB PROSTHETIC TRAINING INITIAL ENCTR"|420.00|$120.00|$47.96|$120.00|$84.00|$81.60|$60.48|$84.00|$84.00|$47.96|$78.00|$84.00|$120.00|$72.00|$82.80|$88.44|$70.36
"CPT® 97763"|"HB ORTHC/PROSTC MGMT SBSQ ENC"|420.00|$120.00|$60.48|$120.00|$84.00|$81.60|$60.48|$84.00|$84.00|$78.00|$78.00|$84.00|$120.00|$72.00|$82.80|$88.44|$70.36
"HCPCS G8978"|"HB MOBILITY CURRENT STATUS"|420.00|$0.00|$0.01|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.01|$0.01|$0.01|$0.01|$0.01|||
"HCPCS G8979"|"HB MOBILITY GOAL STATUS"|420.00|$0.00|$0.01|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.01|$0.01|$0.01|$0.01|$0.01|||
"CPT® 29365"|"HB APPLICATION CYLINDER CAST THIGH ANKLE"|420.00|$525.00|$219.00|$386.93|$368.00|$357.00|$264.60|$367.50|$367.50|$341.25|$341.25|$367.50|$219.00|$315.00|$362.25|$386.93|$307.81
"CPT® 97014"|"HB ELECTRIC STIMULATION THERAPY UNATTENDED"|421.00|$110.00|$55.44|$110.00|$77.00|$74.80|$55.44|$77.00|$77.00|$71.50|$71.50|$77.00|$110.00|$66.00|$75.90|$81.07|$64.49
"CPT® 97140"|"HB MANUAL THERAPY 1/> REGIONS"|421.00|$124.00|$32.43|$124.00|$87.00|$84.32|$62.50|$86.80|$86.80|$32.43|$80.60|$86.80|$124.00|$74.40|$85.56|$91.39|$72.70
"CPT® 97530"|"HB THERAPEUTIC ACTIVITIES"|421.00|$119.00|$46.81|$119.00|$83.00|$80.92|$59.98|$83.30|$83.30|$46.81|$77.35|$83.30|$119.00|$71.40|$82.11|$87.70|$69.77
"CPT® 97535"|"HB SELF CARE MNGMENT TRAINING"|421.00|$120.00|$40.12|$120.00|$84.00|$81.60|$60.48|$84.00|$84.00|$40.12|$78.00|$84.00|$120.00|$72.00|$82.80|$88.44|$70.36
"CPT® 97750"|"HB PHYSICAL PERFORMANCE TEST"|421.00|$138.00|$21.41|$138.00|$97.00|$93.84|$69.55|$96.60|$96.60|$21.41|$89.70|$96.60|$138.00|$82.80|$95.22|$101.71|$80.91
"CPT® 97760"|"HB ORTHOTIC MGMT AND TRAINING INITIAL ENCTR"|421.00|$120.00|$55.89|$120.00|$84.00|$81.60|$60.48|$84.00|$84.00|$55.89|$78.00|$84.00|$120.00|$72.00|$82.80|$88.44|$70.36
"CPT® G0283"|"HB ELECTRIC STIMULATION THERAPY UNATTENDED – NON WOUND"|421.00|$96.00|$16.59|$96.00|$67.00|$65.28|$48.38|$67.20|$67.20|$16.59|$62.40|$67.20|$96.00|$57.60|$66.24|$70.75|$56.28
"CPT® 97150"|"HB GROUP THERAPEUTIC PROCEDURES"|423.00|$199.00|$21.41|$199.00|$139.00|$135.32|$100.30|$139.30|$139.30|$21.41|$129.35|$139.30|$199.00|$119.40|$137.31|$146.66|$116.67
"CPT® 97161"|"HB PT EVAL LOW COMPLEX"|424.00|$492.00|$99.11|$362.60|$344.00|$334.56|$247.97|$344.40|$344.40|$99.11|$319.80|$344.40|$219.00|$295.20|$339.48|$362.60|$288.46
"CPT® 97162"|"HB PT EVAL MOD COMPLEX"|424.00|$616.00|$99.11|$453.99|$431.00|$418.88|$310.46|$431.20|$431.20|$99.11|$400.40|$431.20|$219.00|$369.60|$425.04|$453.99|$361.16
"CPT® 97163"|"HB PT EVAL HIGH COMPLEX"|424.00|$738.00|$99.11|$543.91|$517.00|$501.84|$371.95|$516.60|$516.60|$99.11|$479.70|$516.60|$219.00|$442.80|$509.22|$543.91|$432.69
"CPT® 97164"|"HB PT RE-EVAL EST PLAN CARE"|424.00|$269.00|$67.34|$219.00|$188.00|$182.92|$135.58|$188.30|$188.30|$67.34|$174.85|$188.30|$219.00|$161.40|$185.61|$198.25|$157.71
"CPT® 97799"|"HB BEHIND THE WHEEL EVALUATION OUT OF AREA - 15 MIN"|430.00|$119.00|$59.98|$119.00|$83.00|$80.92|$59.98|$83.30|$83.30|$77.35|$77.35|$83.30|$119.00|$71.40|$82.11|$87.70|$69.77
"CPT® 97799"|"HB MJ DRIVERS FITTING"|430.00|$79.00|$35.78|$71.00|$55.00|$48.28|$35.78|$49.70|$49.70|$46.15|$46.15|$49.70|$71.00|$42.60|$54.51|$58.22|$46.32
"CPT® 97799"|"HB MJ DRIVERS BTW TRAINING"|430.00|$79.00|$35.78|$71.00|$55.00|$48.28|$35.78|$49.70|$49.70|$46.15|$46.15|$49.70|$71.00|$42.60|$54.51|$58.22|$46.32
"CPT® 97799"|"HB BEHIND THE WHEEL TRAINING OUT OF AREA"|430.00|$56.00|$28.22|$56.00|$39.00|$38.08|$28.22|$39.20|$39.20|$36.40|$36.40|$39.20|$56.00|$33.60|$38.64|$41.27|$32.83
"CPT® 97799"|"HB MJ DRIVERS TRAVEL"|430.00|$79.00|$35.78|$71.00|$55.00|$48.28|$35.78|$49.70|$49.70|$46.15|$46.15|$49.70|$71.00|$42.60|$54.51|$58.22|$46.32
"CPT® 97799"|"HB TRAVEL OUT OF AREA - 15 MIN"|430.00|$79.00|$39.82|$79.00|$55.00|$53.72|$39.82|$55.30|$55.30|$51.35|$51.35|$55.30|$79.00|$47.40|$54.51|$58.22|$46.32
"CPT® 97799"|"HB MJ DRIVERS OVERNIGHT PER DIEM"|430.00|$222.00|$100.80|$200.00|$155.00|$136.00|$100.80|$140.00|$140.00|$130.00|$130.00|$140.00|$200.00|$120.00|$153.18|$163.61|$130.16
"CPT® 97129"|"HB THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES"|430.00|$150.00|$75.60|$150.00|$105.00|$102.00|$75.60|$105.00|$105.00|$97.50|$97.50|$105.00|$150.00|$90.00|$103.50|$110.55|$87.95
"CPT® 97130"|"HB THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES"|430.00|$150.00|$75.60|$150.00|$105.00|$102.00|$75.60|$105.00|$105.00|$97.50|$97.50|$105.00|$150.00|$90.00|$103.50|$110.55|$87.95
"CPT® 97533"|"HB SENSORY INTEGRATION"|431.00|$141.00|$50.08|$141.00|$99.00|$95.88|$71.06|$98.70|$98.70|$50.08|$91.65|$98.70|$141.00|$84.60|$97.29|$103.92|$82.67
"CPT® 97799"|"HB MJ DRIVERS BTW VAN EVAL"|434.00|$98.00|$57.46|$490.00|$69.00|$476.00|$352.80|$490.00|$490.00|$455.00|$455.00|$490.00|$219.00|$420.00|$67.62|$72.23|$57.46
"CPT® 97799"|"HB MJ DRIVERS BRIEF DRIVER SCREENING"|434.00|$65.00|$38.11|$90.00|$46.00|$61.20|$45.36|$63.00|$63.00|$58.50|$58.50|$63.00|$90.00|$54.00|$44.85|$47.91|$38.11
"CPT® 97799"|"HB MJ DRIVERS BTW CAR EVAL"|434.00|$83.00|$48.66|$219.00|$58.00|$204.00|$151.20|$210.00|$210.00|$195.00|$195.00|$210.00|$219.00|$180.00|$57.27|$61.17|$48.66
"CPT® 97799"|"HB MJ DRIVERS OT EVAL SELF-PAY"|434.00|$333.00|$151.20|$245.42|$233.00|$204.00|$151.20|$210.00|$210.00|$195.00|$195.00|$210.00|$219.00|$180.00|$229.77|$245.42|$195.24
"CPT® 97165"|"HB DRIVERS OT EVAL LOW COMPLEXITY"|434.00|$495.00|$106.62|$364.82|$346.00|$336.60|$249.48|$346.50|$346.50|$106.62|$321.75|$346.50|$219.00|$297.00|$341.55|$364.82|$290.22
"CPT® 97166"|"HB DRIVERS OT EVAL MOD COMPLEXITY"|434.00|$607.00|$106.62|$447.36|$425.00|$412.76|$305.93|$424.90|$424.90|$106.62|$394.55|$424.90|$219.00|$364.20|$418.83|$447.36|$355.88
"CPT® 97167"|"HB DRIVERS OT EVAL HIGH COMPLEXITY"|434.00|$717.00|$106.62|$528.43|$502.00|$487.56|$361.37|$501.90|$501.90|$106.62|$466.05|$501.90|$219.00|$430.20|$494.73|$528.43|$420.38
"CPT® 92507"|"HB SPEECH/HEARING THERAPY INDIVIDUAL"|440.00|$380.00|$91.84|$280.06|$266.00|$258.40|$191.52|$266.00|$266.00|$91.84|$247.00|$151.00|$219.00|$228.00|$262.20|$280.06|$222.79
"CPT® 92526"|"HB ORAL FUNCTION THERAPY"|440.00|$234.00|$100.53|$219.00|$164.00|$159.12|$117.94|$163.80|$163.80|$100.53|$152.10|$163.80|$219.00|$140.40|$161.46|$172.46|$137.19
"CPT® 92612"|"HB ENDOSCOPY SWALLOW TST (FEES) W/RECORDING"|440.00|$817.00|$219.00|$602.13|$572.00|$555.56|$411.77|$571.90|$571.90|$225.46|$531.05|$571.90|$219.00|$490.20|$563.73|$602.13|$479.01
"CPT® 92616"|"HB FEES W/LARYNGEAL SENSE TEST"|440.00|$696.00|$219.00|$512.95|$487.00|$473.28|$350.78|$487.20|$487.20|$452.40|$452.40|$487.20|$219.00|$417.60|$480.24|$512.95|$408.06
"CPT® 92614"|"HB ENDO LARYNGOSCOPIC SENSORY"|440.00|$544.00|$219.00|$400.93|$381.00|$369.92|$274.18|$380.80|$380.80|$353.60|$353.60|$380.80|$219.00|$326.40|$375.36|$400.93|$318.95
"CPT® 96125"|"HB STANDARDIZED COGNITIVE PERFORMANCE TESTING"|440.00|$417.00|$128.70|$307.33|$292.00|$283.56|$210.17|$291.90|$291.90|$128.70|$271.05|$291.90|$219.00|$250.20|$287.73|$307.33|$244.49
"CPT® 92609"|"HB THERAPEUTIC SPEECH DEVICE SERVICE"|440.00|$425.00|$126.97|$313.23|$298.00|$289.00|$214.20|$297.50|$297.50|$126.97|$276.25|$297.50|$219.00|$255.00|$293.25|$313.23|$249.18
"CPT® 31579"|"HB LARYNGOSCOPY TELESCOPIC W/STROBOSCOPY"|440.00|$1147.00|$219.00|$845.34|$803.00|$779.96|$578.09|$802.90|$802.90|$745.55|$745.55|$802.90|$219.00|$688.20|$791.43|$845.34|$672.49
"CPT® 92512"|"HB NASAL FUNCTION STUDIES"|440.00|$271.00|$136.58|$219.00|$190.00|$184.28|$136.58|$189.70|$189.70|$176.15|$176.15|$189.70|$219.00|$162.60|$186.99|$199.73|$158.89
"CPT® 92613"|"HB FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I&R"|440.00|$89.00|$44.86|$89.00|$62.00|$60.52|$44.86|$62.30|$62.30|$57.85|$57.85|$62.30|$89.00|$53.40|$61.41|$65.59|$52.18
"CPT® 92508"|"HB SPEECH/HEARING THERAPY GROUP 2 OR MORE INDIVIDUALS"|443.00|$190.00|$27.60|$190.00|$133.00|$129.20|$95.76|$133.00|$133.00|$27.60|$123.50|$133.00|$190.00|$114.00|$131.10|$140.03|$111.40
"CPT® 92522"|"HB EVALUATE SPEECH PRODUCTION"|444.00|$464.00|$107.55|$341.97|$325.00|$315.52|$233.86|$324.80|$324.80|$107.55|$301.60|$324.80|$219.00|$278.40|$320.16|$341.97|$272.04
"CPT® 92523"|"HB SPEECH SOUND LANG COMPREHEN"|444.00|$473.00|$219.00|$348.60|$331.00|$321.64|$238.39|$331.10|$331.10|$228.26|$307.45|$331.10|$219.00|$283.80|$326.37|$348.60|$277.32
"CPT® 92524"|"HB BEHAVRAL QUALIT ANALYS VOICE"|444.00|$399.00|$103.59|$294.06|$279.00|$271.32|$201.10|$279.30|$279.30|$103.59|$259.35|$279.30|$219.00|$239.40|$275.31|$294.06|$233.93
"CPT® 92610"|"HB EVALUATE SWALLOWING FUNCTION"|444.00|$727.00|$101.22|$535.80|$509.00|$494.36|$366.41|$508.90|$508.90|$101.22|$472.55|$508.90|$219.00|$436.20|$501.63|$535.80|$426.24
"CPT® 92607"|"HB EVAL FOR SPEECH DEVICE 1ST HOUR"|444.00|$975.00|$152.23|$718.58|$682.00|$663.00|$491.40|$682.50|$682.50|$152.23|$633.75|$682.50|$219.00|$585.00|$672.75|$718.58|$571.64
"CPT® 92608"|"HB EVAL FOR SPEECH DEVICE EA ADDL 30 MIN"|444.00|$239.00|$60.54|$219.00|$167.00|$162.52|$120.46|$167.30|$167.30|$60.54|$155.35|$167.30|$219.00|$143.40|$164.91|$176.14|$140.13
"CPT® 94010"|"HB SPIROMETRY TIMED VITAL CAPACITY WITH OR WITHOUT MAXIMAL VOLUNTARY VENTILATION"|460.00|$151.00|$76.10|$111.29|$106.00|$102.68|$76.10||$105.70|$98.15|$98.15|$105.70|$98.15|$90.60|$104.19|$111.29|$88.53
"CPT® 94150"|"HB VITAL CAPACITY TEST"|460.00|$71.00|$35.78|$52.33|$50.00|$48.28|$35.78||$49.70|$46.15|$46.15|$49.70|$46.15|$42.60|$48.99|$52.33|$41.63
"CPT® 94760"|"HB PULSE OXIMETRY; SINGLE"|460.00|$99.00|$49.90|$72.96|$69.00|$67.32|$49.90||$69.30|$64.35|$64.35|$69.30|$64.35|$59.40|$68.31|$72.96|$58.04
"CPT® 94761"|"HB PULSE OXIMETRY W/EXERCISE; MULTIPLE"|460.00|$154.00|$77.62|$113.50|$108.00|$104.72|$77.62||$107.80|$100.10|$100.10|$107.80|$100.10|$92.40|$106.26|$113.50|$90.29
"CPT® 94762"|"HB PULSE OXIMETRY; CONTINOUS OVERNIGHT"|460.00|$142.00|$71.57|$104.65|$99.00|$96.56|$71.57||$99.40|$92.30|$92.30|$99.40|$92.30|$85.20|$97.98|$104.65|$83.25
"CPT® 95992"|"HB CANALITH REPOSITIONING PROCEDURE"|470.00|$165.00|$51.69|$165.00|$115.00|$112.20|$83.16|$115.50|$115.50|$51.69|$107.25|$115.50|$165.00|$99.00|$113.85|$121.61|$96.74
"CPT® 36571"|"HB INSERTION CVA DEVICE"|490.00|$10356.00|$803.00|$7632.37|$7249.00|$803.00|$5219.42||$7249.20|$6731.40|$6731.40|$7249.20|$6731.40|$6213.60|$7145.64|$7632.37|$6071.72
"CPT® 90384"|"HB RH IMMUNE GLOBULIN"|636.00|$311.00|$156.74|$229.21|$218.00|$208.37|$156.74|$217.70|$217.70|$202.15|$202.15|$217.70|$202.15|$186.60|$214.59|$229.21|$182.34
"CPT® 93005"|"HB ELECTROCARDIOGRAM TRACING"|730.00|$125.00|$63.00|$92.13|$88.00|$85.00|$63.00||$87.50|$81.25|$81.25|$87.50|$81.25|$75.00|$86.25|$92.13|$73.29
"CPT® 93271"|"HB ECG/MONITORING AND ANALYSIS"|731.00|$2400.00|$803.00|$1768.80|$1680.00|$803.00|$1209.60||$1680.00|$1560.00|$1560.00|$1680.00|$1560.00|$1440.00|$1656.00|$1768.80|$1407.12
"CPT® 10160"|"HB PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST"|761.00|$594.00|$299.38|$437.78|$416.00|$403.92|$299.38||$415.80|$386.10|$386.10|$415.80|$386.10|$356.40|$409.86|$437.78|$348.26
"CPT® 11721"|"HB DEBRIDE NAIL 6 OR MORE"|761.00|$243.00|$122.47|$179.09|$170.00|$165.24|$122.47||$170.10|$157.95|$157.95|$170.10|$157.95|$145.80|$167.67|$179.09|$142.47
"CPT® 29065"|"HB APPLICATION OF LONG ARM CAST"|761.00|$640.00|$115.07|$471.68|$448.00|$435.20|$322.56||$448.00|$115.07|$416.00|$448.00|$416.00|$384.00|$441.60|$471.68|$375.23
"CPT® 29075"|"HB APPLICATION OF FOREARM CAST"|761.00|$519.00|$103.98|$382.50|$363.00|$352.92|$261.58||$363.30|$103.98|$337.35|$363.30|$337.35|$311.40|$358.11|$382.50|$304.29
"CPT® 29105"|"HB APPLY LONG ARM SPLINT"|761.00|$472.00|$98.10|$347.86|$330.00|$320.96|$237.89||$330.40|$98.10|$306.80|$330.40|$306.80|$283.20|$325.68|$347.86|$276.73
"CPT® 29125"|"HB APPLICATION, SPLINT; FOREARM TO HAND-STATIC"|761.00|$350.00|$76.95|$257.95|$245.00|$238.00|$176.40||$245.00|$76.95|$227.50|$245.00|$227.50|$210.00|$241.50|$257.95|$205.21
"CPT® 29130"|"HB APPLICATION, SPLINT; FINGER-STATIC"|761.00|$224.00|$49.39|$165.09|$157.00|$152.32|$112.90||$156.80|$49.39|$145.60|$156.80|$145.60|$134.40|$154.56|$165.09|$131.33
"CPT® 29345"|"HB APPLICATION, CAST; THIGH TO TOES-LONG LEG"|761.00|$642.00|$323.57|$473.15|$449.00|$436.56|$323.57||$449.40|$417.30|$417.30|$449.40|$417.30|$385.20|$442.98|$473.15|$376.40
"CPT® 29405"|"HB APPLICATION, CAST; BELOW KNEES TO TOES-SHORT LEG"|761.00|$455.00|$229.32|$335.34|$318.00|$309.40|$229.32||$318.50|$295.75|$295.75|$318.50|$295.75|$273.00|$313.95|$335.34|$266.77
"CPT® 29505"|"HB APPLICATION LONG LEG SPLINT"|761.00|$363.00|$182.95|$267.53|$254.00|$246.84|$182.95||$254.10|$235.95|$235.95|$254.10|$235.95|$217.80|$250.47|$267.53|$212.83
"CPT® 29515"|"HB APPLICATION LOWER LEG SPLINT"|761.00|$269.00|$135.58|$198.25|$188.00|$182.92|$135.58||$188.30|$174.85|$174.85|$188.30|$174.85|$161.40|$185.61|$198.25|$157.71
"CPT® 29581"|"HB APPLY MULTLAY COMPRS LWR LEG"|761.00|$646.00|$325.58|$476.10|$452.00|$439.28|$325.58||$452.20|$419.90|$419.90|$452.20|$419.90|$387.60|$445.74|$476.10|$378.75
"CPT® 31500"|"HB INSERT EMERGENCY AIRWAY"|761.00|$867.00|$436.97|$638.98|$607.00|$589.56|$436.97||$606.90|$563.55|$563.55|$606.90|$563.55|$520.20|$598.23|$638.98|$508.32
"CPT® 31575"|"HB LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGNOSTIC"|761.00|$545.00|$274.68|$401.67|$382.00|$370.60|$274.68||$381.50|$354.25|$354.25|$381.50|$354.25|$327.00|$376.05|$401.67|$319.53
"CPT® 36410"|"HB NON-ROUTINE BL DRAW 3/> YRS"|761.00|$1223.00|$616.39|$901.35|$856.00|$803.00|$616.39||$856.10|$794.95|$794.95|$856.10|$794.95|$733.80|$843.87|$901.35|$717.04
"CPT® 36568"|"HB INSJ PICC <5 YR W/O IMAGING"|761.00|$4170.00|$803.00|$3073.29|$2919.00|$803.00|$2101.68||$2919.00|$2710.50|$2710.50|$2919.00|$2710.50|$2502.00|$2877.30|$3073.29|$2444.87
"CPT® 36569"|"HB INSJ PICC 5 YR + W/O IMAGING"|761.00|$3944.00|$803.00|$2906.73|$2761.00|$803.00|$1987.78||$2760.80|$2563.60|$2563.60|$2760.80|$2563.60|$2366.40|$2721.36|$2906.73|$2312.37
"CPT® 36593"|"HB DECLOT VASCULAR IMPLANTED DEVICE OR CATHETER"|761.00|$716.00|$360.86|$527.69|$501.00|$486.88|$360.86||$501.20|$465.40|$465.40|$501.20|$465.40|$429.60|$494.04|$527.69|$419.79
"CPT® 51701"|"HB INSERT NON-DWELLING BLADDER CATHETER"|761.00|$260.00|$131.04|$191.62|$182.00|$176.80|$131.04||$182.00|$169.00|$169.00|$182.00|$169.00|$156.00|$179.40|$191.62|$152.44
"CPT® 51702"|"HB INSERT BLADDER CATHETER; SIMPLE"|761.00|$341.00|$171.86|$251.32|$239.00|$231.88|$171.86||$238.70|$221.65|$221.65|$238.70|$221.65|$204.60|$235.29|$251.32|$199.93
"CPT® 92511"|"HB NASOPHARYNGOSCOPY"|761.00|$367.00|$184.97|$270.48|$257.00|$249.56|$184.97||$256.90|$238.55|$238.55|$256.90|$238.55|$220.20|$253.23|$270.48|$215.17
"CPT® 29131"|"HB APPLICATION FINGER SPLINT; DYNAMIC"|761.00|$356.00|$179.42|$262.37|$249.00|$242.08|$179.42||$249.20|$231.40|$231.40|$249.20|$231.40|$213.60|$245.64|$262.37|$208.72
"CPT® 29085"|"HB CASTING FOREARM GAUNTLET"|761.00|$705.00|$114.04|$519.59|$493.00|$479.40|$355.32||$493.50|$114.04|$458.25|$493.50|$458.25|$423.00|$486.45|$519.59|$413.34
"CPT® 29126"|"HB APPLY FOREARM SPLINT,DYNAMIC"|761.00|$431.00|$91.44|$317.65|$302.00|$293.08|$217.22||$301.70|$91.44|$280.15|$301.70|$280.15|$258.60|$297.39|$317.65|$252.70
"CPT® 36572"|"HB INSJ PICC W/IMAGING <5 YR"|761.00|$4032.00|$803.00|$2971.58|$2822.00|$803.00|$2032.13||$2822.40|$2620.80|$2620.80|$2822.40|$2620.80|$2419.20|$2782.08|$2971.58|$2363.96
"CPT® 36573"|"HB INSJ PICC W/IMAGING 5 YR+"|761.00|$4647.00|$803.00|$3424.84|$3253.00|$803.00|$2342.09||$3252.90|$3020.55|$3020.55|$3252.90|$3020.55|$2788.20|$3206.43|$3424.84|$2724.54
"HCPCS Q3014"|"HB TELEHEALTH FACILITY FEE"|780.00|$100.00|$50.40|$73.70|$70.00|$68.00|$50.40||$70.00|$65.00|$65.00|$70.00|$65.00|$60.00|$69.00|$73.70|$58.63
"CPT® 90945"|"HB DIALYSIS PERITONEAL NON-ESRD ONE EVAL"|802.00|$1075.00|$541.80|$792.28|$752.00|$731.00|$541.80||$752.50|$698.75|$698.75|$752.50|$698.75|$645.00|$741.75|$792.28|$630.27
"CPT® 90935"|"HB HEMODIALYSIS NON-ESRD ONE EVAL"|809.00|$1901.00|$803.00|$1401.04|$1331.00|$803.00|$958.10||$1330.70|$1235.65|$1235.65|$1330.70|$1235.65|$1140.60|$1311.69|$1401.04|$1114.56
"CPT® 95249"|"HB CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT"|920.00|$178.00|$89.71|$131.19|$125.00|$121.04|$89.71||$124.60|$115.70|$115.70|$124.60|$115.70|$106.80|$122.82|$131.19|$104.36
"CPT® 93880"|"HB EXTRACRANIAL BILAT STUDY"|921.00|$1359.00|$684.94|$1001.58|$951.00|$803.00|$684.94||$951.30|$883.35|$883.35|$951.30|$883.35|$815.40|$937.71|$1001.58|$796.78
"CPT® 93970"|"HB US DOPP VENUS EXT BIL"|921.00|$1474.00|$742.90|$1086.34|$1032.00|$803.00|$742.90||$1031.80|$958.10|$958.10|$1031.80|$958.10|$884.40|$1017.06|$1086.34|$864.21
"CPT® 93971"|"HB US DOPP VENUS EXT UNI"|921.00|$1011.00|$509.54|$745.11|$708.00|$687.48|$509.54||$707.70|$657.15|$657.15|$707.70|$657.15|$606.60|$697.59|$745.11|$592.75
"CPT® 93975"|"HB ARTERIAL DUPLEX ABDOMEN/PELVIC/RETROPERITONEAL; COMPLETE"|921.00|$1349.00|$679.90|$994.21|$944.00|$803.00|$679.90||$944.30|$876.85|$876.85|$944.30|$876.85|$809.40|$930.81|$994.21|$790.92
"CPT® 93976"|"HB ARTERIAL DUPLEX ABDOMEN/PELVIC/RETROPERITONEAL; LIMITED"|921.00|$951.00|$479.30|$700.89|$666.00|$646.68|$479.30||$665.70|$618.15|$618.15|$665.70|$618.15|$570.60|$656.19|$700.89|$557.57
"CPT® 97802"|"HB MEDICAL NUTRITION INDIV IN"|942.00|$145.00|$73.08|$106.87|$102.00|$98.60|$73.08||$101.50|$94.25|$94.25|$101.50|$94.25|$87.00|$100.05|$106.87|$85.01
"CPT® 97803"|"HB MED NUTRITION INDIV SUBSEQ"|942.00|$127.00|$64.01|$93.60|$89.00|$86.36|$64.01||$88.90|$82.55|$82.55|$88.90|$82.55|$76.20|$87.63|$93.60|$74.46