Code Type|Rev Code|NDC|Code|Description|Price|Self Pay|PHCS|Multiplan|National Provider Network|Health Payors Org|Healthsouth|Medica|America's PPO|America's PPO|Medica|UBH|Medica|PreferredOne|Medica|PreferredOne|Medica|Medica|PreferredOne|BCBS|First Health/Coventry|PreferredOne|Ucare|Humana|Ucare|Healthpartners|Healthpartners|Healthpartners|Healthpartners|Healthpartners|Healthpartners|BCBS|BCBS|BCBS|Hennepin Health|Hennepin Health|Ucare|Medica|UHC|UHC|BCBS|UHC|Ucare|BCBS|UHC|Minimum|Maximum
MSDRG|||41|Periph/cranial nerve & other nerv syst proc|27775.52|14721.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34874.12|30689.69|No Volume|33531.81|No Volume|No Volume|18019.64|14721.03|34874.12
MSDRG|||54|Nervous system neoplasms|13661.64|7240.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7240.67|7240.67
MSDRG|||56|Degenerative nervous system disorders|21905.15|11609.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11609.73|11609.73
MSDRG|||57|Degenerative nervous system disorders|16401.65|8692.87|23908.95|25502.88|25502.88|28690.74|27096.81|No Volume|20721.1|19477.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8002.77|No Volume|11754.34|11754.34|7616|9244.18|5300.6|11754.34|No Volume|No Volume|No Volume|8002.77|8002.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5300.6|28690.74
MSDRG|||59|Multiple sclerosis & cerebellar ataxia|37433.36|19839.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38728.16|No Volume|16381.56|No Volume|9427.18|No Volume|15562.6|15152.55|No Volume|No Volume|No Volume|No Volume|No Volume|9038.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8201.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8201.33|38728.16
MSDRG|||60|Multiple sclerosis & cerebellar ataxia|25890.94|13722.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24668.84|No Volume|13314.66|No Volume|7662.25|No Volume|12649.01|12315.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12740.57|12969.9|5545.95|6894.92|3859.88|12969.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6743.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3859.88|24668.84
MSDRG|||64|Intracranial hemorrhage or cerebral infarction|35945.38|19051.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14235.33|No Volume|14235.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21614.36|No Volume|No Volume|6424.25|21614.36
MSDRG|||65|Intracranial hemorrhage or cerebral infarction|25579.06|13556.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14850.27|15117.57|6464.29|7937.14|4499.03|15117.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4499.03|15117.57
MSDRG|||66|Intracranial hemorrhage or cerebral infarction|14896.5|7895.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5821.96|No Volume|5821.96|10360.65|10547.14|4509.97|5719.22|3138.86|10547.14|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|10274.04|No Volume|No Volume|3138.86|10547.14
MSDRG|||70|Nonspecific cerebrovascular disorders|38653.74|20486.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20486.48|20486.48
MSDRG|||71|Nonspecific cerebrovascular disorders|16751.33|8878.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8878.2|8878.2
MSDRG|||74|Cranial & peripheral nerve disorders|15263.66|8089.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2003.22|2039.16|1031.12|1426.36|1045.52|2039.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1031.12|8089.74
MSDRG|||75|Viral meningitis|19432.3|10299.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14574.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10299.12|14574.23
MSDRG|||76|Viral meningitis|17488.34|9268.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14264.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13116.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9268.82|14264.25
MSDRG|||77|Hypertensive encephalopathy|8323.4|4411.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8323.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4411.4|8323.4
MSDRG|||91|Other disorders of nervous system|26501.29|14045.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26501.29|No Volume|23978.3|No Volume|13798.92|No Volume|22779.55|22179.35|No Volume|No Volume|No Volume|No Volume|11984.85|No Volume|11984.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|11514.85|No Volume|No Volume|No Volume|No Volume|16074.78|No Volume|No Volume|6424.25|26501.29
MSDRG|||92|Other disorders of nervous system|18230.05|9661.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14162.41|No Volume|14162.41|No Volume|8252.24|No Volume|13622.97|13263|No Volume|No Volume|No Volume|No Volume|7632.09|No Volume|7632.09|2132.66|2178.78|954.62|1332.23|973.11|2178.78|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|7332.79|No Volume|No Volume|No Volume|No Volume|13468.39|No Volume|No Volume|954.62|14162.41
MSDRG|||94|Bacterial & tuberculous infections of nervous system|9772.65|5179.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5179.5|5179.5
MSDRG|||98|Non-bacterial infect of nervous sys exc viral meningitis|32682.75|17321.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17321.86|17321.86
MSDRG|||101|Seizures|10080.48|5342.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6829.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5342.65|6829.27
MSDRG|||102|Headaches|41864.42|22188.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17233.07|17543.27|7501.53|9114.27|5220.93|17543.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5220.93|22188.14
MSDRG|||125|Other disorders of the eye|17587.04|9321.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11406.83|11612.15|4965.37|6236.05|3455.81|11612.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3455.81|11612.15
MSDRG|||146|Ear nose mouth & throat malignancy|39493.89|20931.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15486.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15486.67|20931.76
MSDRG|||151|Epistaxis|24263.22|12859.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10102|10283.83|4397.38|5591.45|3060.5|10283.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3060.5|12859.51
MSDRG|||152|Otitis media & URI|9316.82|4937.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44577.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4937.91|44577.01
MSDRG|||153|Otitis media & URI|8237.87|4366.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4390.71|No Volume|5989.66|No Volume|No Volume|4390.71|No Volume|4101.13|No Volume|5002.46|No Volume|5002.46|7978.88|7978.88|4443.3|5643.56|3092.46|7978.88|No Volume|No Volume|No Volume|No Volume|No Volume|5002.46|No Volume|No Volume|No Volume|No Volume|No Volume|5002.46|No Volume|No Volume|3092.46|7978.88
MSDRG|||154|Other ear nose mouth & throat diagnoses|62501.87|33125.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33125.99|33125.99
MSDRG|||155|Other ear nose mouth & throat diagnoses|17097.84|9061.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9138.32|No Volume|7159.76|No Volume|7159.76|13020.9|13255.27|5667.97|7033.41|3944.81|13255.27|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11557.74|No Volume|No Volume|3944.81|13255.27
MSDRG|||156|Other ear nose mouth & throat diagnoses|12364.01|6552.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6552.93|6552.93
MSDRG|||159|Dental & oral diseases|8138.58|4313.45|3472.95|3704.46|3704.46|4167.54|3936|No Volume|3334.02|3133.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1593.4|1624.75|821.51|1336.13|833.07|1624.75|No Volume|No Volume|No Volume|5768.2|5768.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|821.51|5768.2
MSDRG|||175|Pulmonary embolism|23028.7|12205.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18693.42|No Volume|18693.42|8182.71|12922.73|9567.93|18693.42|18693.42|7978.15|No Volume|No Volume|29599.17|11107.74|11761.14|11107.74|16668.49|16668.49|9085.36|10911.72|6323.25|16668.49|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|10672.14|22908.21|20159.53|No Volume|22026.47|19601.89|No Volume|11216.64|6323.25|29599.17
MSDRG|||176|Pulmonary embolism|11724.13|6213.79|8832.38|9421.16|9421.16|10598.84|10010.01|No Volume|7981.31|7502.45|9832.93|No Volume|9832.93|5563.66|7420.4|7589.76|9832.93|9832.93|5563.66|No Volume|9452.87|No Volume|6776.8|7175.43|6776.8|7549.36|7549.36|5336.49|6657.21|3714.1|7549.36|No Volume|No Volume|No Volume|5764.57|5764.57|6424.25|6511.04|2167.72|1935.28|No Volume|2082.09|11959.06|No Volume|2383.61|1935.28|11959.06
MSDRG|||177|Respiratory infections & inflammations|21555.59|11424.46|8734.69|9317|9317|10481.63|9899.32|No Volume|7570.07|7115.87|17205.98|No Volume|17205.98|19048.02|15442.5|22272.57|17205.98|17205.98|18571.81|No Volume|8790.29|No Volume|15552.79|17893.2|15552.79|21406.42|21406.42|11895.76|14101.2|8279.24|21406.42|No Volume|No Volume|No Volume|8450.22|8225.88|9716.66|13791.59|21555.59|21555.59|No Volume|21555.59|15552.79|No Volume|16655.82|7115.87|22272.57
MSDRG|||178|Respiratory infections & inflammations|15960.43|8459.03|2985.74|3184.77|3184.77|3582.89|3383.82|No Volume|2866.28|2694.31|15960.43|No Volume|15960.43|No Volume|10091.65|No Volume|15960.43|15960.43|No Volume|No Volume|8852.68|No Volume|9646.43|1058.83|9646.43|13425.91|13425.91|7820.43|9476.19|5442.88|13425.91|No Volume|No Volume|No Volume|1058.83|1058.83|6424.25|9268.13|11403.12|11403.12|No Volume|11403.12|17023.1|No Volume|11047.48|1058.83|17023.1
MSDRG|||179|Respiratory infections & inflammations|20717.68|10980.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10980.37|10980.37
MSDRG|||180|Respiratory neoplasms|21669.37|11484.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13146.08|13919.37|13146.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|18000.36|No Volume|No Volume|6424.25|18000.36
MSDRG|||185|Major chest trauma|17418.82|9231.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9231.97|9231.97
MSDRG|||186|Pleural effusion|10676.21|5658.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5935.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5658.39|5935.7
MSDRG|||187|Pleural effusion|16393.64|8688.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8688.63|8688.63
MSDRG|||189|Pulmonary edema & respiratory failure|17465.42|9256.67|13166.63|14044.4|14044.4|15799.95|14922.17|No Volume|11411.08|10726.42|19519.63|No Volume|17811.04|12035.86|10249.81|14073.35|16920.61|16474.78|11734.96|No Volume|11397.43|No Volume|9445.85|10001.49|9445.85|12512.75|12512.75|7646.83|5422.56|5322.05|12512.75|No Volume|No Volume|No Volume|9226.31|9226.31|6424.25|9075.43|No Volume|No Volume|No Volume|No Volume|15910.82|No Volume|No Volume|5322.05|19519.63
MSDRG|||190|Chronic obstructive pulmonary disease|24211.18|12831.93|9492.31|10125.13|10125.13|11390.78|10757.95|No Volume|8388.26|7884.99|14696.99|No Volume|14696.99|No Volume|9405.42|No Volume|14696.99|14696.99|No Volume|No Volume|No Volume|No Volume|8924.84|9449.83|8924.84|16530.8|16828.35|7195.83|8767.34|5008.17|16828.35|No Volume|No Volume|No Volume|8711.56|8711.56|6424.25|8574.84|No Volume|No Volume|No Volume|No Volume|15749.71|No Volume|No Volume|5008.17|16828.35
MSDRG|||191|Chronic obstructive pulmonary disease|11602.62|6149.39|6887.36|7346.51|7346.51|8264.83|7805.67|No Volume|5969.04|5610.91|16145.53|No Volume|12842.04|2592.17|7390.28|3536.14|12200.03|11878.58|2592.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12900.96|13133.18|5615.77|6974.17|3908.47|13133.18|No Volume|No Volume|No Volume|5217.96|5079.43|No Volume|6821.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2592.17|16145.53
MSDRG|||192|Chronic obstructive pulmonary disease|14458.67|7663.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11463.11|No Volume|No Volume|No Volume|No Volume|10247.94|10432.4|4460.91|5663.54|3104.71|10432.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3104.71|11463.11
MSDRG|||193|Simple pneumonia & pleurisy|17954.71|9516|3210.4|3424.38|3424.38|3852.44|3638.42|No Volume|3081.94|2896.99|14612.72|No Volume|14612.72|9001.81|10968.67|10525.69|14612.72|14612.72|8776.77|No Volume|9810.12|No Volume|10301.88|10907.87|10301.88|15291.56|15291.56|8387.8|10120.08|5837.76|15291.56|No Volume|No Volume|No Volume|6112.25|6112.25|6424.25|9897.88|4718.51|4200.29|No Volume|4527.58|16981.38|No Volume|4968.05|2896.99|16981.38
MSDRG|||194|Simple pneumonia & pleurisy|13909.46|7372.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12884.74|No Volume|12549.75|5805.77|7222.07|7920.04|11922.35|11608.21|5805.77|No Volume|No Volume|No Volume|7068.93|7484.75|7068.93|12840.27|13071.39|5589.35|6944.18|3890.09|13071.39|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6791.71|12802.61|11266.47|No Volume|12309.83|10860.45|No Volume|7138.23|3890.09|13071.39
MSDRG|||195|Simple pneumonia & pleurisy|13153.02|6971.1|3663.12|3907.29|3907.29|4395.72|4151.51|No Volume|3516.56|3305.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4457.18|No Volume|4457.18|9856.35|10033.76|4290.45|5470.08|2986.08|10033.76|No Volume|No Volume|No Volume|4674.67|4674.67|4457.18|No Volume|No Volume|No Volume|No Volume|No Volume|4457.18|No Volume|No Volume|2986.08|10033.76
MSDRG|||196|Interstitial lung disease|12652.66|6705.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12652.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6705.91|12652.66
MSDRG|||197|Interstitial lung disease|15327.67|8123.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8123.67|8123.67
MSDRG|||201|Pneumothorax|12708.74|6735.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9531.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6735.63|9531.56
MSDRG|||202|Bronchitis & asthma|15899.45|8426.71|11823.66|12611.9|12611.9|14188.39|13400.15|No Volume|10247.17|9632.34|9701.58|No Volume|9701.58|13053.01|8080.68|16921.73|9701.58|9701.58|12725.95|No Volume|15583.82|No Volume|7500.56|No Volume|7500.56|8189.41|8189.41|5962.98|7368.2|4150.13|8189.41|No Volume|No Volume|No Volume|4379.62|4263.35|6424.25|7206.42|14324.68|12605.91|No Volume|13773.32|13236.28|No Volume|7574.09|4150.13|16921.73
MSDRG|||203|Bronchitis & asthma|9326.66|4943.13|4181.32|4460.08|4460.08|5017.59|4738.84|No Volume|4014.07|3773.23|7994.66|No Volume|7994.66|5596|5904.02|7633.87|7994.66|7994.66|5596|No Volume|No Volume|No Volume|3669.11|5985.93|3669.11|9937.62|9937.62|9937.62|9937.62|9937.62|9937.62|No Volume|No Volume|No Volume|4835.22|4835.22|3669.11|5431.68|No Volume|No Volume|No Volume|No Volume|3669.11|No Volume|No Volume|3669.11|9937.62
MSDRG|||204|Respiratory signs & symptoms|16457.37|8722.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11740.63|11951.96|5110.67|6400.95|3556.94|11951.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3556.94|11951.96
MSDRG|||205|Other respiratory system diagnoses|43234.63|22914.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|43234.63|No Volume|24464.01|No Volume|14078.43|No Volume|23240.97|22628.62|No Volume|No Volume|No Volume|No Volume|14842.73|No Volume|14842.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14842.73|11997.28|No Volume|No Volume|No Volume|No Volume|14842.73|No Volume|No Volume|11997.28|43234.63
MSDRG|||206|Other respiratory system diagnoses|11722.96|6213.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9340.24|No Volume|9340.24|No Volume|7399.48|No Volume|9340.24|9340.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6679.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6213.17|9340.24
MSDRG|||208|Respiratory system diagnosis w ventilator support <=96 hours|19568.35|10371.23|47319.65|50474.3|50474.3|56783.58|53628.94|No Volume|41010.37|38549.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8449.67|No Volume|16897.58|16897.58|15625.14|11456.87|10874.82|16897.58|No Volume|No Volume|No Volume|12739.01|12400.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8449.67|56783.58
MSDRG|||239|Amputation for circ sys disorders exc upper limb & toe|63321.62|33560.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24130.91|No Volume|24130.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|42583.95|No Volume|No Volume|6424.25|42583.95
MSDRG|||257|Upper limb & toe amputation for circ system disorders|51504.54|27297.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|51504.54|No Volume|16883.26|No Volume|9715.9|No Volume|16039.22|15616.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8507.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8507.83|51504.54
MSDRG|||280|Acute myocardial infarction discharged alive|13105.74|6946.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22259.69|22259.69|10258.46|12243.06|7139.71|22259.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6946.04|22259.69
MSDRG|||281|Acute myocardial infarction discharged alive|12670.77|6715.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12465.77|12465.77|6093.18|5919.99|4240.75|12465.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4240.75|12465.77
MSDRG|||282|Acute myocardial infarction discharged alive|8000.39|4240.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5973.84|No Volume|5973.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|8000.39|No Volume|No Volume|4240.21|8000.39
MSDRG|||288|Acute & subacute endocarditis|82580.22|43767.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22472.87|No Volume|22472.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22472.87|No Volume|No Volume|No Volume|No Volume|No Volume|22472.87|No Volume|No Volume|22472.87|43767.52
MSDRG|||291|Heart failure & shock|22522.63|11936.99|7980.04|8511.98|8511.98|9575.99|9043.98|No Volume|7660.8|7201.13|33022.27|No Volume|19499.37|No Volume|11221.4|No Volume|18524.53|18036.45|No Volume|No Volume|7162.47|20224.14|10391.27|11002.52|10391.27|19446.81|19796.85|8465.16|7630.34|5891.6|19796.85|No Volume|No Volume|No Volume|10171.73|10171.73|6424.25|9983.77|19152.92|17505.45|No Volume|19126.6|18337.54|No Volume|10493.15|5891.6|33022.27
MSDRG|||292|Heart failure & shock|15866.11|8409.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17164.17|No Volume|13016.54|No Volume|7490.7|No Volume|12365.81|12039.99|No Volume|No Volume|No Volume|No Volume|7191.72|7614.77|7191.72|13084.48|13320|5695.65|7064.81|3964.07|13320|No Volume|No Volume|No Volume|No Volume|No Volume|5567.2|6909.7|11363.4|11363.4|No Volume|11363.4|7191.72|No Volume|7262.23|3964.07|17164.17
MSDRG|||293|Heart failure & shock|12943.63|6860.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5373.6|No Volume|5373.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|9482.83|No Volume|No Volume|5373.6|9482.83
MSDRG|||299|Peripheral vascular disorders|13641.3|7229.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15877.16|No Volume|8928.75|No Volume|8928.75|20948.17|21325.23|9118.7|10949.56|6346.45|21325.23|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11658.66|No Volume|No Volume|6346.45|21325.23
MSDRG|||300|Peripheral vascular disorders|17192.03|9111.78|10688.82|11401.41|11401.41|12826.59|12114|No Volume|9366.9|8804.89|15135.65|No Volume|15135.65|No Volume|8721.71|No Volume|14397.99|14018.63|No Volume|No Volume|No Volume|No Volume|7837.81|2079.66|7837.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2079.66|2079.66|6424.25|7762.17|No Volume|No Volume|No Volume|No Volume|13831.43|No Volume|No Volume|2079.66|15135.65
MSDRG|||301|Peripheral vascular disorders|7817.39|4143.22|12142.31|12951.79|12951.78|14570.78|13761.28|No Volume|10523.34|9891.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5406.49|5724.52|5406.49|7016.81|7016.81|4565.33|5311.08|3177.39|7016.81|No Volume|No Volume|No Volume|5724.52|5724.52|6424.25|No Volume|1470.48|1308.98|No Volume|1410.99|7817.39|No Volume|1514.6|1308.98|14570.78
MSDRG|||303|Atherosclerosis|8354.61|4427.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2907.99|No Volume|3966.99|No Volume|No Volume|2907.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2907.99|4427.94
MSDRG|||304|Hypertension|16612.14|8804.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8804.43|8804.43
MSDRG|||305|Hypertension|11979.12|6348.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2313|No Volume|7081.44|8511.76|6535.24|11611.46|7024.44|6995.44|8511.76|No Volume|9044.6|No Volume|5927.32|No Volume|5927.32|10570.18|10760.44|4601.18|5822.72|3202.34|10760.44|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|2313|No Volume|No Volume|No Volume|No Volume|9819.98|No Volume|No Volume|2313|11611.46
MSDRG|||308|Cardiac arrhythmia & conduction disorders|18279.77|9688.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12849.33|No Volume|12849.33|16353.44|10036.41|32486.73|12849.33|12849.33|15943.68|No Volume|No Volume|No Volume|9242.39|No Volume|9242.39|17162.27|17471.19|7470.7|9079.29|5199.48|17471.19|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|8879.95|No Volume|No Volume|No Volume|No Volume|16310.11|No Volume|No Volume|5199.48|32486.73
MSDRG|||309|Cardiac arrhythmia & conduction disorders|15111.18|8008.93|6772.23|7223.71|7223.71|8126.72|7675.23|No Volume|6501.36|6111.3|10506.3|No Volume|10506.3|No Volume|6271.4|No Volume|10352.96|10080.18|No Volume|No Volume|10964.46|10731.57|6107.55|6466.81|6107.55|10928.54|11125.25|4757.17|5999.77|3310.91|11125.25|No Volume|No Volume|No Volume|8690.74|8690.74|6424.25|5868.03|11117.35|9783.42|No Volume|10689.44|10778.02|No Volume|6167.42|3310.91|11125.25
MSDRG|||310|Cardiac arrhythmia & conduction disorders|10754.31|5699.78|5493.72|5859.95|5859.95|6592.46|6226.2|No Volume|5273.94|4957.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6404.56|No Volume|4676.01|1757.5|4676.01|8081.89|8227.36|3518.03|4593.49|2448.49|8227.36|No Volume|No Volume|No Volume|1757.5|1757.5|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|8251.78|No Volume|No Volume|1757.5|8251.78
MSDRG|||312|Syncope & collapse|13179.39|6985.08|10528.55|11230.45|11230.45|12634.25|11932.35|No Volume|9124.74|8577.27|11973.17|No Volume|11973.17|No Volume|7006.16|No Volume|11565.92|11261.18|No Volume|No Volume|No Volume|No Volume|8018.26|No Volume|19656.87|11799.87|12012.27|5136.46|6430.21|3574.89|12012.27|No Volume|No Volume|No Volume|10528.55|10528.55|8205.87|6289.03|No Volume|No Volume|No Volume|No Volume|6276.53|No Volume|No Volume|3574.89|19656.87
MSDRG|||314|Other circulatory system diagnoses|24997.58|13248.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7757.71|No Volume|7757.71|No Volume|7264|No Volume|7757.71|7757.71|No Volume|No Volume|No Volume|No Volume|15359.5|No Volume|15359.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6616.84|No Volume|No Volume|No Volume|No Volume|24633.63|No Volume|No Volume|6424.25|24633.63
MSDRG|||315|Other circulatory system diagnoses|11918.92|6317.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16792.84|No Volume|14181.36|No Volume|8161.02|No Volume|13472.39|13117.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7362.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6317.03|16792.84
MSDRG|||316|Other circulatory system diagnoses|14737|7810.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11118.83|9784.72|No Volume|10690.87|No Volume|No Volume|6063.96|6063.96|11118.83
MSDRG|||326|Stomach esophageal & duodenal proc|53608.43|28412.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38910.84|No Volume|38910.84|47999.33|47999.33|33151.76|38224.18|23073.04|47999.33|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|53608.43|No Volume|No Volume|6424.25|53608.43
MSDRG|||327|Stomach esophageal & duodenal proc|31167.33|16518.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15144.35|No Volume|22639.23|No Volume|No Volume|14765.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26872.63|26872.63|16183.7|18967.47|11263.56|26872.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11263.56|26872.63
MSDRG|||328|Stomach esophageal & duodenal proc|31182.15|16526.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22758.75|23168.41|9906.84|11844.03|6894.99|23168.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6894.99|23168.41
MSDRG|||329|Major small & large bowel procedures|57328.98|30384.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46611.45|No Volume|41490|30479.86|23874|35639.66|39414|38376|29717.86|No Volume|No Volume|No Volume|36270.85|No Volume|36270.85|60611.54|60611.54|30866.58|27545.89|21482.59|60611.54|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|20352.76|44167.18|44167.18|No Volume|44167.18|33839.48|No Volume|36626.45|6424.25|60611.54
MSDRG|||330|Major small & large bowel procedures|60883.07|32268.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|100815.5|No Volume|47277.14|No Volume|29376.82|No Volume|44911.29|43412.09|No Volume|No Volume|38061.73|31767.39|18973.22|No Volume|18973.22|36512.26|37169.48|15893.72|18638.4|11061.75|37169.48|No Volume|No Volume|No Volume|No Volume|No Volume|15007.86|18229.18|No Volume|No Volume|No Volume|No Volume|18973.22|No Volume|No Volume|11061.75|100815.5
MSDRG|||331|Major small & large bowel procedures|44929.46|23812.61|35234.52|37583.49|37583.49|42281.42|39932.46|No Volume|30536.58|28704.41|34594.99|No Volume|24868.27|No Volume|14311.07|No Volume|23625.03|23002.56|No Volume|No Volume|18291.45|No Volume|12886.63|No Volume|12886.63|24408.94|24848.3|10625.17|12659.22|7394.93|24848.3|No Volume|No Volume|No Volume|36780.68|36780.68|6424.25|12381.27|25369.33|22325.36|No Volume|24392.87|22741.11|No Volume|13012.97|6424.25|42281.42
MSDRG|||335|Peritoneal adhesiolysis|52667.46|27913.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36867.22|No Volume|43108.32|No Volume|No Volume|35945.54|No Volume|No Volume|No Volume|30006.24|No Volume|30006.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|42289.45|42289.45|No Volume|42289.45|52952.18|No Volume|30300.42|6424.25|52952.18
MSDRG|||336|Peritoneal adhesiolysis|53824.88|28527.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31203.31|No Volume|39730.6|No Volume|No Volume|30421.47|No Volume|31443.7|No Volume|17079.51|No Volume|17079.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|33866.82|29803.26|No Volume|32563.29|30140.32|No Volume|17246.96|6424.25|39730.6
MSDRG|||337|Peritoneal adhesiolysis|47925.56|25400.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22577.03|No Volume|40900.28|No Volume|No Volume|22011.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23693.67|24120.15|10313.81|12305.87|7178.23|24120.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24219.62|21313.59|No Volume|23287.41|No Volume|No Volume|12649.75|7178.23|40900.28
MSDRG|||338|Appendectomy w complicated principal diag|76627.37|40612.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|40069.17|No Volume|62719.5|No Volume|No Volume|39065.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39065.18|62719.5
MSDRG|||339|Appendectomy w complicated principal diag|37693.78|19977.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30454.32|No Volume|24648.69|No Volume|14184.71|No Volume|23416.43|22799.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24797.65|25244|10794.37|12851.26|7512.69|25244|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12569.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7512.69|30454.32
MSDRG|||340|Appendectomy w complicated principal diag|22916.87|12145.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19775.77|No Volume|17863.39|No Volume|10279.94|No Volume|16970.35|16523.21|No Volume|No Volume|No Volume|No Volume|9198.86|No Volume|9198.86|17881.88|18203.75|7783.95|9434.8|5417.49|18203.75|No Volume|No Volume|No Volume|No Volume|No Volume|9198.86|9227.65|18223.31|16036.76|No Volume|17521.9|9198.86|No Volume|9698.45|5417.49|19775.77
MSDRG|||341|Appendectomy w/o complicated principal diag|29621.03|15699.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18462.7|No Volume|18462.7|No Volume|18462.7|No Volume|18462.7|18462.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18462.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15699.15|18462.7
MSDRG|||342|Appendectomy w/o complicated principal diag|16963.65|8990.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8990.73|8990.73
MSDRG|||343|Appendectomy w/o complicated principal diag|18400.27|9752.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12518.6|No Volume|17077.45|No Volume|No Volume|12518.6|No Volume|10418.86|No Volume|6815.11|No Volume|6815.11|16640.62|16641.02|7243.63|8821.6|5041.44|16641.02|No Volume|No Volume|No Volume|No Volume|No Volume|6815.11|No Volume|16457.95|14483.22|No Volume|15824.48|6815.11|No Volume|9068.11|5041.44|17077.45
MSDRG|||344|Minor small & large bowel procedures|61602.91|32649.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32649.54|32649.54
MSDRG|||345|Minor small & large bowel procedures|36667.78|19433.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|45472.08|No Volume|No Volume|No Volume|No Volume|23601.19|24026.01|10273.55|12260.19|7150.21|24026.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23405.18|20596.87|No Volume|22504.31|No Volume|No Volume|12602.79|7150.21|45472.08
MSDRG|||346|Minor small & large bowel procedures|21146.96|11207.89|39270.77|41888.82|41888.82|47124.93|44506.88|No Volume|34034.67|31992.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10517|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10517|10517|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10517|47124.93
MSDRG|||347|Anal & stomal procedures|46488.84|24639.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24639.09|24639.09
MSDRG|||350|Inguinal & femoral hernia procedures|32315.13|17127.02|53511.41|57078.83|57078.83|64213.69|60646.26|No Volume|46376.56|43593.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24236.35|No Volume|No Volume|19416.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19416.05|19416.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17127.02|64213.69
MSDRG|||351|Inguinal & femoral hernia procedures|39098.61|20722.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11208.76|11868.1|11208.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|19780.16|No Volume|No Volume|6424.25|20722.26
MSDRG|||352|Inguinal & femoral hernia procedures|24729.99|13106.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13106.89|13106.89
MSDRG|||354|Hernia procedures except inguinal & femoral|42202.07|22367.1|31606.55|33713.66|33713.65|37927.86|35820.76|No Volume|27392.34|25748.83|No Volume|No Volume|No Volume|16140.54|No Volume|22018.39|No Volume|No Volume|16140.54|No Volume|No Volume|No Volume|13125.72|13897.82|13125.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13897.82|13897.82|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|23163.03|No Volume|No Volume|6424.25|37927.86
MSDRG|||355|Hernia procedures except inguinal & femoral|32292.57|17115.06|41023.81|41023.81|41023.81|41023.81|41023.81|No Volume|41023.81|41023.81|No Volume|No Volume|No Volume|18896.58|No Volume|32573.97|No Volume|No Volume|18423.1|No Volume|No Volume|No Volume|7698.55|No Volume|7698.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|41023.81|41023.81|7698.55|No Volume|20163.73|17744.36|No Volume|19387.63|7698.55|No Volume|10688.32|7698.55|41023.81
MSDRG|||356|Other digestive system O.R. procedures|26139.36|13853.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16204.82|No Volume|16204.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|26139.36|No Volume|No Volume|6424.25|26139.36
MSDRG|||357|Other digestive system O.R. procedures|39064.79|20704.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27345.35|No Volume|31974.53|No Volume|No Volume|26661.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32518.28|33103.61|14155.15|16665.33|9851.73|33103.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9851.73|33103.61
MSDRG|||368|Major esophageal disorders|17424.23|9234.84|13068.17|13939.38|13939.38|15681.81|14810.6|No Volume|11325.76|10646.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8039.93|7826.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7826.48|15681.81
MSDRG|||369|Major esophageal disorders|28034.61|14858.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14858.34|14858.34
MSDRG|||371|Major gastrointestinal disorders & peritoneal infections|19723.21|10453.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19723.21|No Volume|19723.21|No Volume|14463.38|No Volume|19723.21|19723.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12634.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10453.3|19723.21
MSDRG|||372|Major gastrointestinal disorders & peritoneal infections|14314.61|7586.74|8957.6|9554.78|9554.78|10749.13|10151.95|No Volume|7763.26|7297.48|No Volume|No Volume|No Volume|7759|No Volume|10584.57|No Volume|No Volume|7759|No Volume|No Volume|No Volume|No Volume|8515|No Volume|14314.61|14314.61|6431.59|7900.03|4476.27|14314.61|No Volume|No Volume|No Volume|8515|8515|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4476.27|14314.61
MSDRG|||373|Major gastrointestinal disorders & peritoneal infections|23509.77|12460.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6002.19|No Volume|6002.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|10592.1|No Volume|No Volume|6002.19|12460.18
MSDRG|||374|Digestive malignancy|16109.91|8538.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14830.35|No Volume|14830.35|No Volume|14830.35|No Volume|14830.35|14830.35|No Volume|No Volume|No Volume|No Volume|8676.41|No Volume|8676.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|14830.35|No Volume|No Volume|No Volume|No Volume|13956.46|No Volume|No Volume|6424.25|14830.35
MSDRG|||375|Digestive malignancy|13780.63|7303.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9338.69|No Volume|10919.6|No Volume|No Volume|9105.23|No Volume|14509.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7303.73|14509.2
MSDRG|||377|G.I. hemorrhage|18148.4|9618.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9400.55|16787.1|9400.55|3287.66|3353.81|1508.92|2078.7|1529.96|3353.81|No Volume|No Volume|No Volume|No Volume|No Volume|9400.55|No Volume|26686.68|23484.64|No Volume|25659.51|9400.55|No Volume|13605.14|1508.92|26686.68
MSDRG|||378|G.I. hemorrhage|15943.55|8450.08|8655.53|9232.56|9232.56|10386.63|9809.6|No Volume|7501.46|7051.38|21480.33|No Volume|14443.11|No Volume|8311.65|No Volume|13721.06|13359.53|No Volume|No Volume|15418.15|No Volume|7791.96|8250.31|7791.96|14278.05|14535.05|6215.21|7654.46|4325.67|14535.05|No Volume|No Volume|No Volume|8250.31|8250.31|6424.25|7486.4|No Volume|No Volume|No Volume|No Volume|13750.52|No Volume|No Volume|4325.67|21480.33
MSDRG|||379|G.I. hemorrhage|12990.59|6885.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21825.11|No Volume|9264.71|7794.35|5331.61|10632.8|8801.54|8569.63|7794.35|No Volume|8832.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5095.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5095.86|21825.11
MSDRG|||380|Complicated peptic ulcer|32263.21|17099.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15171.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15171.2|17099.5
MSDRG|||381|Complicated peptic ulcer|13456.27|7131.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13456.27|No Volume|13456.27|No Volume|8868.16|No Volume|13456.27|13456.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8104.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7131.82|13456.27
MSDRG|||382|Complicated peptic ulcer|12711.11|6736.89|14298.11|15251.32|15251.32|17157.74|16204.53|No Volume|12391.7|11648.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6736.88|No Volume|4048.62|4130.42|1834.54|2480.38|1860.1|4130.42|No Volume|No Volume|No Volume|6736.88|6736.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1834.54|17157.74
MSDRG|||383|Uncomplicated peptic ulcer|12127.05|6427.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6427.34|6427.34
MSDRG|||386|Inflammatory bowel disease|19382.73|10272.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14164.91|No Volume|14164.91|No Volume|8314.16|No Volume|13725.2|13363.57|No Volume|No Volume|No Volume|No Volume|5522.38|No Volume|5522.38|14236.14|14492.39|6196.97|7633.76|4312.98|14492.39|No Volume|No Volume|No Volume|No Volume|No Volume|5522.38|7466.15|14738.57|12970.14|No Volume|14171.28|5522.38|No Volume|7847.08|4312.98|14738.57
MSDRG|||387|Inflammatory bowel disease|14612.96|7744.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7678.21|7678.21|No Volume|7678.21|No Volume|No Volume|5759.43|5759.43|7744.87
MSDRG|||388|G.I. obstruction|19772.27|10479.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11694.18|No Volume|11694.18|20073.51|20073.51|9592.97|11487.81|6676.54|20073.51|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|16914.76|No Volume|No Volume|6424.25|20073.51
MSDRG|||389|G.I. obstruction|17801.58|9434.84|13351.19|14241.26|14241.27|16021.42|15131.35|No Volume|11674.27|10973.82|20498.57|No Volume|11950.62|7316.12|6877.28|9980.41|11353.17|11054.03|7316.12|No Volume|No Volume|No Volume|6713.59|No Volume|6713.59|12133.67|12352.07|5281.76|6595.11|3676.01|12352.07|No Volume|No Volume|No Volume|5933.53|5933.53|6424.25|6450.31|8477.33|8477.33|No Volume|8477.33|10982.1|No Volume|6779.41|3676.01|20498.57
MSDRG|||390|G.I. obstruction|13261.73|7028.72|13451.11|14347.85|14347.85|16141.33|15244.59|No Volume|11657.63|10958.17|16189.05|No Volume|8472.17|7980.51|4875.52|13527.71|8048.62|7836.55|7780.55|No Volume|No Volume|No Volume|4823.52|5107.26|4823.52|8375.22|8525.97|3645.72|4738.4|2537.36|8525.97|No Volume|No Volume|No Volume|3413.51|3413.51|6424.25|4634.36|8642.87|7605.84|No Volume|8310.21|8512.09|No Volume|4870.81|2537.36|16189.05
MSDRG|||391|Esophagitis gastroent & misc digest disorders|22049.53|11686.25|25063.69|26734.6|26734.6|30076.43|28405.51|No Volume|21721.86|20418.56|23789.73|No Volume|18096.06|13305.99|10413.84|15558.51|17191.39|16738.42|12973.34|No Volume|No Volume|No Volume|9586.1|10149.99|9586.1|15383.89|15383.89|7768.22|9416.94|5406.55|15383.89|No Volume|No Volume|No Volume|10149.99|10149.99|6424.25|9210.18|No Volume|No Volume|No Volume|No Volume|15670.21|No Volume|No Volume|5406.55|30076.43
MSDRG|||392|Esophagitis gastroent & misc digest disorders|16185.12|8578.11|17500.07|18666.74|18666.73|21000.08|19833.41|No Volume|15166.72|14256.75|18615.79|No Volume|11115.9|10485.09|6396.93|13651.65|10560.19|10281.94|10222.38|No Volume|3922.18|No Volume|6145.33|6506.82|6145.33|11003.68|11201.74|4789.88|6036.88|3333.67|11201.74|No Volume|No Volume|No Volume|6506.82|6506.82|6424.25|5904.33|11339.87|9979.24|No Volume|10903.4|10844.69|No Volume|6205.57|3333.67|21000.08
MSDRG|||393|Other digestive system diagnoses|24505.26|12987.79|4052.86|4323.03|4323.03|4863.4|4593.22|No Volume|3890.71|3657.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23542.25|No Volume|No Volume|No Volume|11028.95|11028.95|10218.2|5994.44|7111.69|11028.95|No Volume|No Volume|No Volume|4857.3|4857.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3657.28|23542.25
MSDRG|||394|Other digestive system diagnoses|16817.65|8913.35|10501.58|11201.68|11201.68|12601.89|11901.79|No Volume|9101.37|8555.29|20841.59|No Volume|13649.12|6561.8|7854.73|8951.39|12966.76|12625.11|6561.8|No Volume|No Volume|No Volume|7428.63|7865.61|7428.63|13555.55|13799.54|5900.71|7297.54|4106.79|13799.54|No Volume|No Volume|No Volume|4638.23|4638.23|6471.87|7137.31|13924.13|12253.42|No Volume|13388.19|7428.63|No Volume|7501.46|4106.79|20841.59
MSDRG|||395|Other digestive system diagnoses|9519.84|5045.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8969.15|No Volume|12235.42|No Volume|No Volume|8784.67|No Volume|No Volume|No Volume|4934.81|No Volume|4934.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|8708.49|No Volume|No Volume|4934.81|12235.42
MSDRG|||414|Cholecystectomy except by laparoscope w/o c.d.e.|42852.4|22711.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22711.77|22711.77
MSDRG|||415|Cholecystectomy except by laparoscope w/o c.d.e.|41812.74|22160.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28249.86|No Volume|35511.77|No Volume|No Volume|27542.02|No Volume|No Volume|No Volume|No Volume|16433.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16433.81|35511.77
MSDRG|||416|Cholecystectomy except by laparoscope w/o c.d.e.|53123.46|28155.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28155.43|28155.43
MSDRG|||417|Laparoscopic cholecystectomy w/o c.d.e.|31443.31|16664.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18129.57|No Volume|18129.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|31443.31|No Volume|No Volume|6424.25|31443.31
MSDRG|||418|Laparoscopic cholecystectomy w/o c.d.e.|30167.56|15988.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30507.53|No Volume|24548.35|18476.44|14126.97|21604.24|23321.1|22706.63|18014.53|No Volume|22550.67|No Volume|11674.61|No Volume|11674.61|18475.62|18475.62|10497.48|12514.32|7306.06|18475.62|No Volume|No Volume|No Volume|No Volume|No Volume|11674.61|12239.55|25042.96|22038.15|No Volume|24079.06|11674.61|No Volume|12864.02|7306.06|30507.53
MSDRG|||419|Laparoscopic cholecystectomy w/o c.d.e.|24556.41|13014.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6710|No Volume|19173.59|No Volume|18627.39|No Volume|19116.59|19087.59|No Volume|No Volume|12485.78|No Volume|9150.5|No Volume|9150.5|18883.26|19223.16|8219.85|9929.48|5720.87|19223.16|No Volume|No Volume|No Volume|No Volume|No Volume|9150.5|15712.73|17881.72|17576.81|No Volume|17769.39|9150.5|No Volume|16980.63|5720.87|19223.16
MSDRG|||432|Cirrhosis & alcoholic hepatitis|20886.69|11069.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14456.9|No Volume|16904.25|No Volume|No Volume|14095.48|No Volume|No Volume|No Volume|6249.66|No Volume|6249.66|24035.27|24035.27|11469.3|13617.22|7982.43|24035.27|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|6357.13|No Volume|No Volume|6249.66|24035.27
MSDRG|||433|Cirrhosis & alcoholic hepatitis|12943.61|6860.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8588.11|No Volume|12876.61|12876.61|6491.34|7967.85|4517.86|12876.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4517.86|12876.61
MSDRG|||434|Cirrhosis & alcoholic hepatitis|9591.08|5083.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5083.27|5083.27
MSDRG|||435|Malignancy of hepatobiliary system or pancreas|24155.85|12802.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12802.6|12802.6
MSDRG|||438|Disorders of pancreas except malignancy|23749.63|12587.3|12627.76|13469.61|13469.61|15153.31|14311.46|No Volume|10944.07|10287.42|41968.26|No Volume|23213.39|10112.24|13358.73|11824.09|22052.88|21471.83|9859.43|No Volume|No Volume|No Volume|5567.2|No Volume|5567.2|13794.71|13794.71|10305.01|12295.88|7172.1|13794.71|No Volume|No Volume|No Volume|7523.13|7323.4|5567.2|12025.91|No Volume|No Volume|No Volume|No Volume|5567.2|No Volume|No Volume|5567.2|41968.26
MSDRG|||439|Disorders of pancreas except malignancy|15418.3|8171.7|13502.41|14402.57|14402.57|16202.89|15302.73|No Volume|11702.08|10999.97|17965.16|No Volume|12279.26|5649.62|7066.41|7707.02|11665.39|11358.02|5649.62|No Volume|No Volume|No Volume|5567.2|7166.21|5567.2|12242.04|12462.4|5328.94|6648.65|3708.85|12462.4|No Volume|No Volume|No Volume|4383.79|4267.41|8427.47|6502.67|12526.67|11023.64|No Volume|12044.52|5567.2|No Volume|6834.44|3708.85|17965.16
MSDRG|||440|Disorders of pancreas except malignancy|14812.16|7850.44|12262.4|13079.89|13079.88|14714.87|13897.39|No Volume|10627.41|9989.77|20349.2|No Volume|8811|6854.69|5070.51|9350.94|8370.51|8149.96|6854.69|No Volume|14551.26|No Volume|No Volume|5384.24|No Volume|8895.42|9055.54|3872.16|4995.38|2694.96|9055.54|No Volume|No Volume|No Volume|4952.18|4952.18|No Volume|4885.7|8988.53|7910.02|No Volume|8642.56|No Volume|No Volume|5134.97|2694.96|20349.2
MSDRG|||441|Disorders of liver except maligcirralc hepa|17888.43|9480.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5948.18|No Volume|5948.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5948.18|No Volume|27944.69|24591.7|No Volume|26869.1|5948.18|No Volume|14196.59|5948.18|27944.69
MSDRG|||442|Disorders of liver except maligcirralc hepa|10826.58|5738.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12200.88|12200.88|5871.14|7263.99|4086.21|12200.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4086.21|12200.88
MSDRG|||443|Disorders of liver except maligcirralc hepa|19268.78|10212.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10212.45|10212.45
MSDRG|||444|Disorders of the biliary tract|19160.39|10155.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19160.39|19160.39|10228.27|12208.78|7118.69|19160.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7118.69|19160.39
MSDRG|||445|Disorders of the biliary tract|9547.14|5059.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5059.98|5059.98
MSDRG|||446|Disorders of the biliary tract|13971.88|7405.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6517.38|No Volume|6517.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11501.26|No Volume|No Volume|6424.25|11501.26
MSDRG|||453|Combined anterior/posterior spinal fusion|88436.4|46871.29|107325.89|114480.94|114480.94|128791.06|121636.01|No Volume|93015.78|87434.84|88436.4|No Volume|88436.4|No Volume|76937.19|No Volume|88436.4|88436.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|67617.12|67617.12|No Volume|66264.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46871.29|128791.06
MSDRG|||454|Combined anterior/posterior spinal fusion|77628.69|41143.21|62794.18|66980.46|66980.46|75353.02|71166.73|No Volume|54421.63|51156.35|64304.14|No Volume|64304.14|No Volume|51032.32|No Volume|64304.14|64304.14|No Volume|No Volume|60409.61|53142.61|45120.22|47774.35|45120.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36576.92|36576.92|6424.25|43350.8|77628.69|77628.69|No Volume|77628.69|68522.73|No Volume|45562.58|6424.25|77628.69
MSDRG|||455|Combined anterior/posterior spinal fusion|66583.98|35289.51|47482.25|50647.73|50647.73|56978.7|53813.21|No Volume|41151.28|38682.22|62777.14|No Volume|62777.14|47035.11|40093.77|54997.48|62777.14|62777.14|45859.23|No Volume|No Volume|No Volume|35588.5|37681.95|35588.5|57134.94|57134.94|30275.95|34960.47|21071.52|57134.94|No Volume|No Volume|No Volume|36858.72|36858.72|6424.25|34192.88|No Volume|No Volume|No Volume|No Volume|62803.24|No Volume|No Volume|6424.25|62803.24
MSDRG|||457|Spinal fus exc cerv w spinal curv/malig/infec or ext fus|58910.48|31222.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31222.55|31222.55
MSDRG|||460|Spinal fusion except cervical|49727.2|26355.42|36684.4|39130.02|39130.02|44021.28|41575.65|No Volume|31793.14|29885.58|41240.79|No Volume|41240.79|36993.57|32911.04|43256.05|41240.79|41240.79|36068.73|No Volume|34057.36|38836.94|29390.76|31119.63|29390.76|51462.38|51462.38|24911.15|28872.1|17337.72|51462.38|No Volume|No Volume|No Volume|15123.55|14722.04|6424.25|28238.18|39215.75|39215.75|No Volume|39215.75|50114.99|No Volume|29678.9|6424.25|51462.38
MSDRG|||462|Bilateral or multiple major joint procs of lower extremity|55046.72|29174.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|55046.72|No Volume|45722.96|No Volume|26312.43|No Volume|43437.12|42292.63|No Volume|No Volume|No Volume|No Volume|No Volume|24779.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22485.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22485.23|55046.72
MSDRG|||463|Wnd debrid & skn grft exc hand for musculo-conn tiss dis|38985.48|20662.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20662.3|20662.3
MSDRG|||464|Wnd debrid & skn grft exc hand for musculo-conn tiss dis|59133.96|31341|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28949.45|28949.45|18572.66|21678.66|12926.24|28949.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12926.24|31341
MSDRG|||465|Wnd debrid & skn grft exc hand for musculo-conn tiss dis|24530.98|13001.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14528.91|No Volume|14528.91|19290.85|19290.85|12046.72|14272.52|8384.31|19290.85|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|25639.25|No Volume|No Volume|6424.25|25639.25
MSDRG|||467|Revision of hip or knee replacement|78819.53|41774.35|49747.48|53063.98|53063.97|59696.97|56380.48|No Volume|43114.48|40527.63|65617.85|No Volume|52005.1|36505.55|29927.64|49799.65|49405.2|48103.47|36505.55|No Volume|No Volume|No Volume|26133.1|27670.35|26133.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27670.35|27670.35|6424.25|25108.28|No Volume|No Volume|No Volume|No Volume|46117.24|No Volume|No Volume|6424.25|65617.85
MSDRG|||468|Revision of hip or knee replacement|51713.63|27408.22|64935.59|69264.63|69264.63|77922.71|73593.67|No Volume|56277.51|52900.88|86253.82|No Volume|40775.77|No Volume|23465.44|No Volume|38737.26|37716.6|No Volume|No Volume|No Volume|No Volume|21046.4|No Volume|21046.4|35441.83|35441.83|17688.28|20675|12310.73|35441.83|No Volume|No Volume|No Volume|20297.65|20297.65|6424.25|20221.06|No Volume|No Volume|No Volume|No Volume|37140.71|No Volume|No Volume|6424.25|86253.82
MSDRG|||469|Major joint replacement or reattachment of lower extremity|47162.68|24996.22|53968.57|57566.47|57566.47|64762.28|61164.38|No Volume|46772.76|43966.4|36843.84|No Volume|36843.84|No Volume|24978|No Volume|36843.84|36843.84|No Volume|No Volume|33845.3|No Volume|20031.04|24806.57|20031.04|43718.45|43718.45|19750.16|23014.99|13745.76|43718.45|No Volume|No Volume|No Volume|71357.78|71357.78|6424.25|14580.5|45423.12|40266.84|No Volume|43995.88|35348.89|No Volume|23658.12|6424.25|71357.78
MSDRG|||470|Major joint replacement or reattachment of lower extremity|38881.79|20607.35|29906.09|31899.82|31899.83|35887.31|33893.56|No Volume|25918.61|24363.51|41613.73|No Volume|27628.35|24736.74|15899.43|33745.04|26247.12|25555.55|24736.74|No Volume|28817.12|32061.46|14915.5|15792.88|14915.5|28443.38|28955.36|12381.35|13983.43|8617.2|28955.36|No Volume|No Volume|No Volume|15792.88|15792.88|6424.25|14330.58|28185.02|24803.19|No Volume|27100.17|26321.47|No Volume|14374.19|6424.25|41613.73
MSDRG|||471|Cervical spinal fusion|96598.86|51197.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|72169.08|73468.12|31415.08|36253.24|21864.33|73468.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21864.33|73468.12
MSDRG|||472|Cervical spinal fusion|50208.73|26610.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20946|No Volume|28573.84|No Volume|No Volume|20946|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|43949.68|44407.57|19131.22|22312.55|13314.99|44407.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13314.99|44407.57
MSDRG|||473|Cervical spinal fusion|51251.02|27163.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|51251.02|No Volume|36939.59|21654.73|21257.82|29540.66|35092.86|34168.23|21654.73|No Volume|35849.66|No Volume|No Volume|No Volume|No Volume|22358.35|22699.5|9548.7|12963.06|9682.13|22699.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18128.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9548.7|51251.02
MSDRG|||475|Amputation for musculoskeletal sys & conn tissue dis|34464.28|18266.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34464.28|No Volume|31899.33|No Volume|18357.27|No Volume|30304.58|29506.11|No Volume|No Volume|No Volume|No Volume|11786.67|No Volume|11786.67|24855.98|24855.98|13215.42|15598.86|9197.69|24855.98|No Volume|No Volume|No Volume|No Volume|No Volume|11786.67|15256.37|32542.06|28637.45|No Volume|31289.51|11786.67|No Volume|16034.75|9197.69|34464.28
MSDRG|||478|Biopsies of musculoskeletal system & connective tissue|17937.42|9506.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17937.42|17937.42|14574.7|17141.46|10143.73|17937.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9506.83|17937.42
MSDRG|||480|Hip & femur procedures except major joint|36730.01|19466.91|31800.22|33920.23|33920.23|38160.27|36040.25|No Volume|27560.2|25906.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18655.08|19752.43|18655.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21624.34|21624.34|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|32920.72|No Volume|No Volume|6424.25|38160.27
MSDRG|||481|Hip & femur procedures except major joint|36276.94|19226.78|28771.3|30689.38|30689.39|34525.57|32607.47|No Volume|24935.14|23439.04|No Volume|No Volume|No Volume|28746.92|No Volume|35299.9|No Volume|No Volume|28026.63|No Volume|No Volume|No Volume|15092.85|16711.55|15092.85|27809.44|27809.44|13132.39|13133.46|9139.91|27809.44|No Volume|No Volume|No Volume|16711.55|16711.55|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|26634.44|No Volume|No Volume|6424.25|35299.9
MSDRG|||482|Hip & femur procedures except major joint|24003.18|12721.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12342.99|No Volume|16837.9|No Volume|No Volume|12342.99|No Volume|No Volume|No Volume|12567.64|13306.92|12567.64|23774.59|24202.53|10349.04|12345.86|7202.74|24202.53|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|22178.2|No Volume|No Volume|6424.25|24202.53
MSDRG|||483|Major joint/limb reattachment procedure of upper extremities|42923.59|22749.5|34408.69|36702.6|36702.6|41290.43|38996.51|No Volume|29820.87|28031.64|43408.84|No Volume|34701.57|No Volume|19969.89|No Volume|32966.73|32098.12|No Volume|No Volume|No Volume|No Volume|17994.39|19052.88|17994.39|34565.85|35188.03|15046.45|17676.84|10472.06|35188.03|No Volume|No Volume|No Volume|19052.88|19052.88|6424.25|17288.73|35400.76|31153.15|No Volume|34038.18|31754.81|No Volume|18170.81|6424.25|43408.84
MSDRG|||485|Knee procedures w pdx of infection|66724.43|35363.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35363.95|35363.95
MSDRG|||486|Knee procedures w pdx of infection|41843.63|22177.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17194.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17194.74|22177.12
MSDRG|||487|Knee procedures w pdx of infection|45609.36|24172.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|45609.36|No Volume|23853.24|No Volume|13726.95|No Volume|22660.74|22063.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11808.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11808.78|45609.36
MSDRG|||488|Knee procedures w/o pdx of infection|25994.75|13777.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19108.87|No Volume|14921.31|No Volume|14921.31|25994.75|25994.75|12386.39|13779.44|8620.7|25994.75|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|23713.61|No Volume|No Volume|6424.25|25994.75
MSDRG|||489|Knee procedures w/o pdx of infection|26691.15|14146.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9760.51|No Volume|9760.51|18192.55|18520.02|7919.19|9588.27|5511.61|18520.02|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|17224.43|No Volume|No Volume|5511.61|18520.02
MSDRG|||492|Lower extrem & humer proc except hipfootfemur|34452.52|18259.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|42952.69|No Volume|50223.96|No Volume|No Volume|41878.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18259.84|50223.96
MSDRG|||493|Lower extrem & humer proc except hipfootfemur|37442.26|19844.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17339.66|No Volume|17339.66|33263.9|33862.65|14479.72|17033.67|10077.63|33862.65|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|30599.41|No Volume|No Volume|6424.25|33862.65
MSDRG|||494|Lower extrem & humer proc except hipfootfemur|27369.85|14506.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37298.15|No Volume|26930.33|No Volume|15497.74|No Volume|25584|24909.91|No Volume|No Volume|No Volume|No Volume|13774.63|No Volume|13774.63|18831.06|18831.06|11393.81|13531.55|7929.89|18831.06|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|13234.45|No Volume|No Volume|No Volume|No Volume|24308.17|No Volume|No Volume|6424.25|37298.15
MSDRG|||495|Local excision & removal int fix devices exc hip & femur|41528.16|22009.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22009.92|22009.92
MSDRG|||496|Local excision & removal int fix devices exc hip & femur|22238.01|11786.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29485.23|30015.96|12834.87|15166.97|8932.84|30015.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8932.84|30015.96
MSDRG|||497|Local excision & removal int fix devices exc hip & femur|25363.71|13442.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19022.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13442.77|19022.79
MSDRG|||500|Soft tissue procedures|46267.89|24521.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22522.26|No Volume|22522.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|39745.17|No Volume|No Volume|6424.25|39745.17
MSDRG|||501|Soft tissue procedures|38147.56|20218.21|23129.12|24671.06|24671.06|27754.94|26213|No Volume|20045.24|18842.54|38147.56|No Volume|25375.79|No Volume|14603.14|No Volume|24107.18|23472|No Volume|No Volume|No Volume|No Volume|No Volume|13401|No Volume|24247.1|24683.55|10554.72|12579.28|7345.9|24683.55|No Volume|No Volume|No Volume|13401|13401|No Volume|12303.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7345.9|38147.56
MSDRG|||502|Soft tissue procedures|21166.77|11218.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16607.85|No Volume|20441.5|19084.12|19427.63|8307.28|10028.72|5781.72|19427.63|No Volume|No Volume|No Volume|No Volume|No Volume|16553.27|No Volume|No Volume|No Volume|No Volume|No Volume|14832.54|No Volume|No Volume|5781.72|20441.5
MSDRG|||505|Foot procedures|36024.94|19093.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36024.94|No Volume|25796.05|No Volume|14844.99|No Volume|24506.43|23860.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12327.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12327.52|36024.94
MSDRG|||506|Major thumb or joint procedures|24820.65|13154.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24820.65|No Volume|21459.63|No Volume|12349.48|No Volume|20386.8|19849.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9933.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9933.51|24820.65
MSDRG|||511|Shoulderelbow or forearm procexc major joint proc|25559.19|13546.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7825.93|No Volume|7825.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7825.93|No Volume|No Volume|No Volume|No Volume|No Volume|7825.93|No Volume|No Volume|7825.93|13546.37
MSDRG|||512|Shoulderelbow or forearm procexc major joint proc|25116.56|13311.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21874.41|22268.15|9521.89|11407.13|6627.07|22268.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6627.07|22268.15
MSDRG|||513|Hand or wrist proc except major thumb or joint proc|31616.75|16756.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16756.88|16756.88
MSDRG|||515|Other musculoskelet sys & conn tiss O.R. proc|18328.56|9714.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14542|12798|No Volume|13984|No Volume|No Volume|15749.18|9714.14|15749.18
MSDRG|||516|Other musculoskelet sys & conn tiss O.R. proc|35325.47|18722.5|26494.1|28260.38|28260.37|31792.93|30026.64|No Volume|22961.56|21583.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29642.94|No Volume|14702.6|15567.45|14702.6|28020|28524.35|12197.06|14443.14|8488.93|28524.35|No Volume|No Volume|No Volume|13427.73|13427.73|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|25945.76|No Volume|No Volume|6424.25|31792.93
MSDRG|||517|Other musculoskelet sys & conn tiss O.R. proc|24344.13|12902.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10896.28|No Volume|10896.28|20451.09|20819.2|8902.32|10704|6195.86|20819.2|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|19228.73|No Volume|No Volume|6195.86|20819.2
MSDRG|||535|Fractures of hip & pelvis|19410.23|10287.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17731.6|18050.76|7718.53|9360.56|5371.96|18050.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5371.96|18050.76
MSDRG|||536|Fractures of hip & pelvis|21715.86|11509.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11509.41|11509.41
MSDRG|||542|Pathological fractures & musculoskelet & conn tiss malig|22281.59|11809.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11809.24|11809.24
MSDRG|||543|Pathological fractures & musculoskelet & conn tiss malig|19852.61|10521.88|14889.46|15882.09|15882.09|17867.35|16874.72|No Volume|12904.21|12129.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8287.55|8775.05|8287.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8775.05|8775.05|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|14625.09|No Volume|No Volume|6424.25|17867.35
MSDRG|||544|Pathological fractures & musculoskelet & conn tiss malig|25820.32|13684.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13684.77|13684.77
MSDRG|||545|Connective tissue disorders|14698.8|7790.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7790.36|7790.36
MSDRG|||546|Connective tissue disorders|22596.96|11976.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16946.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11976.39|16946.98
MSDRG|||548|Septic arthritis|17861.28|9466.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17721.28|No Volume|17721.28|No Volume|16984.83|No Volume|17721.28|17721.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14434.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9466.48|17721.28
MSDRG|||551|Medical back problems|36267.24|19221.64|27200.43|29013.79|29013.79|32640.52|30827.16|No Volume|23573.7|22159.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11111.56|12876.8|11111.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12876.8|12876.8|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|19608.64|No Volume|No Volume|6424.25|32640.52
MSDRG|||552|Medical back problems|18292.01|9694.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|62777.14|No Volume|62777.14|No Volume|40093.77|No Volume|62777.14|62777.14|No Volume|No Volume|No Volume|No Volume|3860.71|7664|3860.71|13176.96|13414.14|5735.91|7110.49|3992.09|13414.14|No Volume|No Volume|No Volume|No Volume|No Volume|3860.71|34192.88|3466.14|3085.47|No Volume|3325.9|3860.71|No Volume|3594.16|3085.47|62777.14
MSDRG|||554|Bone diseases & arthropathies|15599.86|8267.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15520.3|No Volume|11494|No Volume|6614.51|No Volume|10919.38|10631.67|No Volume|No Volume|9833.33|No Volume|6332.08|No Volume|6332.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6083.76|No Volume|No Volume|No Volume|No Volume|11174.26|No Volume|No Volume|6083.76|15520.3
MSDRG|||555|Signs & symptoms of musculoskeletal system & conn tissue|53306.51|28252.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28252.45|28252.45
MSDRG|||556|Signs & symptoms of musculoskeletal system & conn tissue|15647.23|8293.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8293.03|8293.03
MSDRG|||557|Tendonitis myositis & bursitis|13737.57|7280.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7901.42|No Volume|7901.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7901.42|No Volume|No Volume|No Volume|No Volume|No Volume|7901.42|No Volume|No Volume|7280.91|7901.42
MSDRG|||558|Tendonitis myositis & bursitis|14322.35|7590.85|12575.28|13413.63|13413.63|15090.34|14251.99|No Volume|11001.83|10341.72|8148.47|No Volume|8148.47|3782.71|7182.74|5160.25|8148.47|8148.47|3782.71|No Volume|No Volume|No Volume|5444.54|No Volume|5444.54|12447.23|12671.28|5418.26|6750.01|3771.01|12671.28|No Volume|No Volume|No Volume|4404.08|4404.08|5444.54|6601.81|1327.5|1187.34|No Volume|1275.86|5444.54|No Volume|1428.44|1187.34|15090.34
MSDRG|||560|Aftercare musculoskeletal system & connective tissue|10934.2|5795.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5795.13|5795.13
MSDRG|||562|Fx sprn strn & disl except femur hip pelvis & thigh|26020.75|13791|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13791|13791
MSDRG|||563|Fx sprn strn & disl except femur hip pelvis & thigh|15752.85|8349.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6817.5|No Volume|6817.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|7741.31|No Volume|No Volume|6424.25|8349.01
MSDRG|||564|Other musculoskeletal sys & connective tissue diagnoses|85928.23|45541.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11598.98|No Volume|11598.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|20468.79|No Volume|No Volume|6424.25|45541.96
MSDRG|||565|Other musculoskeletal sys & connective tissue diagnoses|15127.17|8017.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4930.19|No Volume|4930.19|14168.23|14423.25|6167.4|7600.21|4292.4|14423.25|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|14928.46|13137.25|No Volume|14353.86|8700.34|No Volume|7812.59|4292.4|14928.46
MSDRG|||566|Other musculoskeletal sys & connective tissue diagnoses|20135.49|10671.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6865.86|No Volume|18366.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7209.72|No Volume|No Volume|No Volume|No Volume|No Volume|8931.07|No Volume|No Volume|6865.86|18366.08
MSDRG|||575|Skin graft for skin ulcer or cellulitis|25445.28|13486|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25388.65|25445.28|11051.64|13143.2|7691.74|25445.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7691.74|25445.28
MSDRG|||579|Other skin subcut tiss & breast proc|32166.07|17048.02|19361.01|20651.74|20651.74|23233.21|21942.48|No Volume|16779.54|15772.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14475.91|17295.77|14475.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17295.77|17295.77|14475.91|No Volume|No Volume|No Volume|No Volume|No Volume|14475.91|No Volume|No Volume|14475.91|23233.21
MSDRG|||580|Other skin subcut tiss & breast proc|22388.41|11865.86|16701.31|17814.73|17814.72|20041.57|18928.16|No Volume|14474.47|13606.01|40420.58|No Volume|23271.56|No Volume|13392.21|No Volume|22108.14|21525.64|No Volume|No Volume|No Volume|No Volume|No Volume|12723.27|No Volume|23245.72|23664.14|10118.82|9003.52|7042.52|23664.14|No Volume|No Volume|No Volume|12723.27|12723.27|No Volume|11819.24|20897.78|20891.92|No Volume|20897.78|No Volume|No Volume|12422.26|7042.52|40420.58
MSDRG|||581|Other skin subcut tiss & breast proc|31096.05|16480.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16480.91|16480.91
MSDRG|||584|Breast biopsy local excision & other breast procedures|51298.45|27188.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14061.91|No Volume|14061.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14061.91|No Volume|No Volume|No Volume|No Volume|No Volume|14061.91|No Volume|No Volume|14061.91|27188.18
MSDRG|||585|Breast biopsy local excision & other breast procedures|23188.65|12289.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5115.46|No Volume|5115.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5115.46|No Volume|No Volume|No Volume|No Volume|No Volume|5115.46|No Volume|No Volume|5115.46|12289.98
MSDRG|||592|Skin ulcers|27232.82|14433.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14433.39|14433.39
MSDRG|||596|Major skin disorders|37710.71|19986.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37710.71|No Volume|14384.95|No Volume|8278.18|No Volume|13665.8|13305.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7388.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7388.65|37710.71
MSDRG|||597|Malignant breast disorders|10962.91|5810.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7698.94|No Volume|7698.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|10962.91|No Volume|No Volume|5810.34|10962.91
MSDRG|||602|Cellulitis|21756.78|11531.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25319.25|No Volume|20891.04|No Volume|12022.27|No Volume|19846.63|19323.71|No Volume|No Volume|No Volume|33287.99|No Volume|No Volume|No Volume|16628.68|16628.68|8993.53|10807.52|6259.34|16628.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10570.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6259.34|33287.99
MSDRG|||603|Cellulitis|14717.23|7800.13|8918.69|9513.23|9513.23|10702.39|10107.81|No Volume|7901.11|7427.03|13526.91|No Volume|12285.08|7015.95|7069.76|9570.93|11670.91|11363.4|7015.95|No Volume|No Volume|12783.31|4442.65|8231.62|4442.65|12188.58|12407.97|5305.67|6622.24|3692.65|12407.97|No Volume|No Volume|No Volume|6686.49|6686.49|6424.25|6476.84|No Volume|No Volume|No Volume|No Volume|7839.97|No Volume|No Volume|3692.65|13526.91
MSDRG|||605|Trauma to the skin subcut tiss & breast|9244.91|4899.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9244.91|9244.91|5508.21|6852.09|3833.61|9244.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3833.61|9244.91
MSDRG|||607|Minor skin disorders|16564.41|8779.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11937.15|12152.01|5196.22|6498.03|3616.48|12152.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12247.78|10778.21|No Volume|11776.36|No Volume|No Volume|6679.61|3616.48|12247.78
MSDRG|||617|Amputat of lower limb for endocrinenutrit& metabol dis|29180.34|15465.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22784.29|No Volume|26641.34|No Volume|No Volume|22214.68|No Volume|No Volume|No Volume|8191.53|No Volume|8191.53|23294.17|23294.17|12902.8|15244.07|8980.12|23294.17|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|14455.64|No Volume|No Volume|6424.25|26641.34
MSDRG|||622|Skin grafts & wound debrid for endoc nutrit & metab dis|63234.54|33514.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|54555.98|55537.98|23748.12|27552.19|16528.27|55537.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16528.27|55537.98
MSDRG|||623|Skin grafts & wound debrid for endoc nutrit & metab dis|24497.99|12983.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13733.88|No Volume|16058.83|No Volume|No Volume|13390.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12983.93|16058.83
MSDRG|||626|Thyroid parathyroid & thyroglossal procedures|39801.05|21094.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24316.46|24754.16|10584.91|12613.56|7366.91|24754.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7366.91|24754.16
MSDRG|||627|Thyroid parathyroid & thyroglossal procedures|23579.19|12496.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12496.97|12496.97
MSDRG|||628|Other endocrine nutrit & metab O.R. proc|58864.72|31198.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31198.3|31198.3
MSDRG|||629|Other endocrine nutrit & metab O.R. proc|23528.5|12470.1|35195.2|37541.54|37541.54|42234.24|39887.89|No Volume|30502.5|28672.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11865.01|No Volume|11865.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17130.63|17130.63|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|20938.25|No Volume|No Volume|6424.25|42234.24
MSDRG|||637|Diabetes|16052.05|8507.59|7550.14|8053.48|8053.48|9060.17|8556.82|No Volume|6543.45|6150.85|No Volume|No Volume|18208.03|12982.67|No Volume|15180.45|No Volume|No Volume|12658.1|No Volume|13656.03|No Volume|4012.63|No Volume|4012.63|16052.05|16052.05|8716.14|10492.69|6066.28|16052.05|No Volume|No Volume|No Volume|6186.8|6022.54|4012.63|No Volume|No Volume|No Volume|No Volume|No Volume|4012.63|No Volume|No Volume|4012.63|18208.03
MSDRG|||638|Diabetes|15479.02|8203.88|18025.44|19227.14|19227.14|21630.53|20428.83|No Volume|15622.05|14684.75|11096.86|No Volume|11096.86|9075.6|7359.31|12380.63|11096.86|11096.86|9075.6|No Volume|11609.27|No Volume|7036.23|No Volume|7036.23|8913.27|8913.27|5561.04|6912.06|3870.39|8913.27|No Volume|No Volume|No Volume|5842.21|5842.21|6706.59|6760.29|13045.9|11480.57|No Volume|12543.76|7036.23|No Volume|7105.21|3870.39|21630.53
MSDRG|||639|Diabetes|12106.16|6416.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11110.82|No Volume|8860.44|No Volume|5098.96|No Volume|8417.48|8195.69|No Volume|No Volume|No Volume|No Volume|5067.68|No Volume|5067.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|4868.94|9038.97|7954.41|No Volume|8691.06|8942.96|No Volume|5117.36|4868.94|11110.82
MSDRG|||640|Misc disorders of nutritionmetabolismfluids/electrolytes|16816.99|8913|8898.21|9491.29|9491.29|10677.76|10084.52|No Volume|7976.2|7497.58|33504.8|No Volume|17854.67|No Volume|10274.92|No Volume|16962.06|16515.14|No Volume|No Volume|No Volume|6700.8|9434.96|9989.96|9434.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10004.02|10004.02|6424.25|9064.96|No Volume|No Volume|No Volume|No Volume|16649.93|No Volume|No Volume|6424.25|33504.8
MSDRG|||641|Misc disorders of nutritionmetabolismfluids/electrolytes|11245.85|5960.3|5215.16|5562.86|5562.86|6258.2|5910.53|No Volume|5006.56|4706.18|9635.34|No Volume|9635.34|6747.51|6301.53|9204.73|9635.34|9635.34|6747.51|No Volume|3165.75|No Volume|6109.74|1592.57|6109.74|8790.57|8790.57|4759.06|6001.92|3312.22|8790.57|No Volume|No Volume|No Volume|1592.57|1592.57|3365.92|5870.14|2276.54|2032.15|No Volume|2186.5|6109.74|No Volume|2364.98|1592.57|9635.34
MSDRG|||642|Inborn and other disorders of metabolism|23960.22|12698.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19100.06|16808.31|No Volume|18364.9|No Volume|No Volume|9539.2|9539.2|19100.06
MSDRG|||643|Endocrine disorders|10962.91|5810.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7698.94|No Volume|7698.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|10962.91|No Volume|No Volume|5810.34|10962.91
MSDRG|||644|Endocrine disorders|23186.72|12288.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23186.72|No Volume|14808.12|9746.82|8521.7|11396.82|14067.81|13697.15|9503.15|No Volume|No Volume|No Volume|8082.63|No Volume|8082.63|14856.05|15123.45|6466.81|7940|4500.79|15123.45|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|7765.67|No Volume|No Volume|No Volume|No Volume|12277.5|No Volume|No Volume|4500.79|23186.72
MSDRG|||645|Endocrine disorders|6001.85|3180.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6001.85|6001.85|4813.15|6063.3|3349.87|6001.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3180.98|6063.3
MSDRG|||654|Major bladder procedures|60903.36|32278.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32278.78|32278.78
MSDRG|||657|Kidney & ureter procedures for neoplasm|30189.8|16000.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33237.73|No Volume|28125.68|No Volume|16185.63|No Volume|26719.59|26015.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27949.19|28452.28|12166.23|14408.15|8467.48|28452.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14091.8|28692.37|25249.68|No Volume|27588|No Volume|No Volume|14810.77|8467.48|33237.73
MSDRG|||658|Kidney & ureter procedures for neoplasm|26424.14|14004.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12019.72|No Volume|12019.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21211.27|No Volume|No Volume|6424.25|21211.27
MSDRG|||659|Kidney & ureter procedures for non-neoplasm|30820.27|16334.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7787.01|No Volume|7787.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7787.01|No Volume|26800|23584|No Volume|25768|7787.01|No Volume|13727.86|7787.01|26800
MSDRG|||660|Kidney & ureter procedures for non-neoplasm|18350.38|9725.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14689.11|No Volume|14689.11|No Volume|12079.18|No Volume|14689.11|14689.11|No Volume|No Volume|No Volume|19675.96|10935.54|11578.81|10935.54|18350.38|18350.38|8936.29|10742.56|6219.5|18350.38|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|10506.7|16337.72|16337.72|No Volume|16337.72|17009.58|No Volume|11042.75|6219.5|19675.96
MSDRG|||661|Kidney & ureter procedures for non-neoplasm|17419.19|9232.17|14044.88|14981.2|14981.2|16853.85|15917.52|No Volume|12172.23|11441.91|25176.57|No Volume|15478.5|No Volume|8907.5|No Volume|14704.69|14317.24|No Volume|No Volume|12636.5|No Volume|8533.17|No Volume|8533.17|15751.95|16035.48|6856.79|8382.58|4772.21|16035.48|No Volume|No Volume|No Volume|14044.88|14044.88|6424.25|8198.53|14989.47|13895.74|No Volume|14989.47|15058.53|No Volume|8616.83|4772.21|25176.57
MSDRG|||662|Minor bladder procedures|26278.23|13927.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13927.46|13927.46
MSDRG|||663|Minor bladder procedures|20916.52|11085.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11085.76|11085.76
MSDRG|||664|Minor bladder procedures|29075.91|15410.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15990.37|16278.2|6960.58|8500.36|4844.44|16278.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4844.44|16278.2
MSDRG|||669|Transurethral procedures|24604.45|13040.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13040.36|13040.36
MSDRG|||682|Renal failure|23505.98|12458.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8105.18|No Volume|8105.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|13248.94|No Volume|No Volume|6424.25|13248.94
MSDRG|||683|Renal failure|12753.08|6759.13|12747.98|13597.85|13597.85|15297.58|14447.72|No Volume|11048.26|10385.37|8410.84|No Volume|8410.84|4152.07|7348.43|5664.12|8410.84|8410.84|4152.07|No Volume|8391.85|No Volume|7132.15|7551.68|7132.15|5415.98|5415.98|5415.98|7006.28|3928.17|5415.98|No Volume|No Volume|No Volume|6436.88|6436.88|6424.25|6852.45|2022.35|1805.88|No Volume|1942.6|12586.14|No Volume|2124.27|1805.88|15297.58
MSDRG|||684|Renal failure|14255.66|7555.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5082.94|No Volume|5082.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|8969.89|No Volume|No Volume|5082.94|8969.89
MSDRG|||686|Kidney & urinary tract neoplasms|24663.47|13071.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13071.64|13071.64
MSDRG|||688|Kidney & urinary tract neoplasms|11032.29|5847.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1770.45|1809.11|770.1|1107.66|780.95|1809.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|770.1|5847.11
MSDRG|||689|Kidney & urinary tract infections|19250.4|10202.71|15220.27|16234.95|16234.94|18264.32|17249.64|No Volume|13190.9|12399.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8740.26|9254.39|8740.26|16163.77|16454.72|7036.06|8586.02|4896.97|16454.72|No Volume|No Volume|No Volume|9254.39|9254.39|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|15423.98|No Volume|No Volume|4896.97|18264.32
MSDRG|||690|Kidney & urinary tract infections|14531.11|7701.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16985.06|No Volume|11520.17|2405.85|6629.57|3281.98|10944.24|10655.88|2405.85|No Volume|7249.18|No Volume|6358.23|6732.24|6358.23|11427.06|11632.75|4974.18|6246.03|3461.94|11632.75|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6108.89|7902.71|7902.71|No Volume|7902.71|11220.41|No Volume|6420.57|2405.85|16985.06
MSDRG|||693|Urinary stones w/o esw lithotripsy|28475.57|15092.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15092.05|15092.05
MSDRG|||694|Urinary stones w/o esw lithotripsy|9094.74|4820.21|12372.02|13196.82|13196.82|14846.43|14021.62|No Volume|10722.41|10079.1|9094.74|No Volume|9094.74|No Volume|6103.19|No Volume|9094.74|9094.74|No Volume|No Volume|No Volume|No Volume|5992.02|No Volume|5992.02|7522.2|7522.2|4657.16|5886.28|3241.3|7522.2|No Volume|No Volume|No Volume|6403.86|6403.86|6424.25|5757.04|2187.26|1952.67|No Volume|2100.83|10574.15|No Volume|2253.94|1952.67|14846.43
MSDRG|||695|Kidney & urinary tract signs & symptoms|23198.02|12294.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5932.85|No Volume|5932.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5932.85|No Volume|No Volume|No Volume|No Volume|No Volume|5932.85|No Volume|No Volume|5932.85|12294.95
MSDRG|||698|Other kidney & urinary tract diagnoses|18254.65|9674.96|16316.37|17404.13|17404.13|19579.64|18491.89|No Volume|14140.86|13292.41|25832.09|No Volume|23364.63|No Volume|13445.77|No Volume|22196.56|21611.72|No Volume|No Volume|11702.23|No Volume|12373.62|13101.48|12373.62|22018.1|22018.1|10181.09|12155.26|7085.86|22018.1|No Volume|No Volume|No Volume|13101.48|13101.48|6424.25|11888.38|No Volume|No Volume|No Volume|No Volume|16561.79|No Volume|No Volume|6424.25|25832.09
MSDRG|||699|Other kidney & urinary tract diagnoses|15563.77|8248.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11887.6|No Volume|11887.6|No Volume|8579.45|No Volume|11887.6|11887.6|No Volume|No Volume|No Volume|No Volume|No Volume|8593.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7797.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7797.78|11887.6
MSDRG|||707|Major male pelvic procedures|24928.32|13212.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14199.73|15035|14199.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|24928.32|No Volume|No Volume|6424.25|24928.32
MSDRG|||708|Major male pelvic procedures|31747.7|16826.28|24130.28|25738.97|25738.96|28956.34|27347.66|No Volume|20912.91|19658.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11162.98|11819.63|11162.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11819.63|11819.63|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|19699.38|No Volume|No Volume|6424.25|28956.34
MSDRG|||709|Penis procedures|17036.05|9029.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17036.05|17036.05|15131.37|17773.23|10531.16|17036.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9029.11|17773.23
MSDRG|||711|Testes procedures|23658.05|12538.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12538.77|12538.77
MSDRG|||715|Other male reproductive system O.R. proc for malignancy|20058.35|10630.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10630.93|10630.93
MSDRG|||717|Other male reproductive system O.R. proc exc malignancy|25999.4|13779.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25494.14|25953.03|11097.55|13195.34|7723.7|25953.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7723.7|25953.03
MSDRG|||718|Other male reproductive system O.R. proc exc malignancy|14491|7680.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8175.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7680.23|8175.72
MSDRG|||722|Malignancy male reproductive system|12850.3|6810.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12850.3|No Volume|12850.3|No Volume|12850.3|No Volume|12850.3|12850.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13189.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6810.66|13189.07
MSDRG|||724|Malignancy male reproductive system|28044.06|14863.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20981.4|21359.07|9133.17|10965.99|6356.52|21359.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6356.52|21359.07
MSDRG|||726|Benign prostatic hypertrophy|13376.61|7089.6|9987.27|10653.02|10653.02|11984.7|11318.84|No Volume|8907.95|8373.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6168.59|8166.49|6168.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8166.49|8166.49|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|10885.75|No Volume|No Volume|6168.59|11984.7
MSDRG|||727|Inflammation of the male reproductive system|35464.74|18796.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20624.49|20995.73|8977.8|10789.69|6248.39|20995.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6248.39|20995.73
MSDRG|||728|Inflammation of the male reproductive system|11799.23|6253.59|8849.42|9439.38|9439.38|10619.31|10029.35|No Volume|7669.51|7209.36|11835.49|No Volume|11684.5|No Volume|6724.14|No Volume|11100.35|10807.88|No Volume|No Volume|No Volume|No Volume|4634.87|6822.27|4634.87|11596.13|11804.86|5047.77|6329.55|3513.16|11804.86|No Volume|No Volume|No Volume|6822.27|6822.27|4634.87|6190.58|No Volume|No Volume|No Volume|No Volume|4634.87|No Volume|No Volume|3513.16|11835.49
MSDRG|||740|Uterineadnexa proc for non-ovarian/adnexal malig|32626.2|17291.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17291.89|17291.89
MSDRG|||742|Uterine & adnexa proc for non-malignancy|31228.52|16551.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|47099.64|No Volume|24968.61|17518.92|14368.82|23898.73|23720.36|23095.37|17518.92|No Volume|21064.85|No Volume|12888.83|No Volume|12888.83|24413.28|24852.71|10627.06|12661.38|7396.24|24852.71|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|12383.39|25471.7|22415.44|No Volume|24491.29|22745|No Volume|13015.19|6424.25|47099.64
MSDRG|||743|Uterine & adnexa proc for non-malignancy|26189.52|13880.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25959.52|No Volume|16465.91|No Volume|9475.72|No Volume|15642.72|15230.57|No Volume|No Volume|19799.26|No Volume|No Volume|No Volume|No Volume|16595.83|16894.55|7224.13|8799.46|5027.87|16894.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8606.26|16797.67|14782.18|No Volume|16151.13|No Volume|No Volume|9045.36|5027.87|25959.52
MSDRG|||745|D&C conization laparoscopy & tubal interruption|23757.51|12591.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15393.59|15670.67|6700.8|8205.55|4663.64|15670.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4663.64|15670.67
MSDRG|||747|Vagina cervix & vulva procedures|12057.05|6390.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6390.24|6390.24
MSDRG|||748|Female reproductive system reconstructive procedures|21958.13|11637.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11637.81|11637.81
MSDRG|||754|Malignancy female reproductive system|17351.89|9196.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17351.89|17351.89|11082.46|13178.19|7713.19|17351.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7713.19|17351.89
MSDRG|||755|Malignancy female reproductive system|18310.34|9704.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8051.38|No Volume|8051.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|14208.32|No Volume|No Volume|6424.25|14208.32
MSDRG|||758|Infections female reproductive system|22214.71|11773.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7627.01|No Volume|7627.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|13459.43|No Volume|No Volume|6424.25|13459.43
MSDRG|||760|Menstrual & other female reproductive system disorders|15218.72|8065.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15217.72|No Volume|13416.45|No Volume|7720.83|No Volume|12745.72|12409.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13041.13|13275.87|5676.78|7043.4|3950.94|13275.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6888.75|2769.14|2470.65|No Volume|2659.17|No Volume|No Volume|2893.62|2470.65|15217.72
MSDRG|||761|Menstrual & other female reproductive system disorders|13845.68|7338.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7338.21|7338.21
MSDRG|||768|Vaginal delivery w O.R. proc except steril &/or D&C|13993.94|7416.79|14125.68|15067.39|15067.39|16950.82|16009.1|No Volume|12242.26|11507.73|17318.97|No Volume|7000|9748.64|3684.76|11398.95|6650|6475|9504.94|No Volume|9676.88|10580.89|7932.93|No Volume|7932.93|7556|7692.01|4323.22|7796.97|4383.51|7692.01|No Volume|No Volume|No Volume|4646.89|4523.52|6424.25|7625.87|6691|5955|No Volume|6434|13999.28|No Volume|8010.7|3684.76|17318.97
MSDRG|||769|Postpartum & post abortion diagnoses w O.R. procedure|24324.06|12891.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4953.81|No Volume|4953.81|No Volume|4953.81|No Volume|4953.81|4953.81|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|6424.25|20851.35|21226.67|9076.56|10901.73|6317.12|21226.67|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|10662.37|24038.63|21154.32|No Volume|23113.39|6424.25|No Volume|11206.37|4953.81|24038.63
MSDRG|||770|Abortion w D&C aspiration curettage or hysterotomy|12606.33|6681.35|9226.36|9841.45|9841.44|11071.64|10456.54|No Volume|7996.17|7516.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6823.74|No Volume|No Volume|No Volume|No Volume|11362.04|11566.55|4945.87|6213.9|3442.24|11566.55|No Volume|No Volume|No Volume|5342.62|5342.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3442.24|11566.55
MSDRG|||776|Postpartum & post abortion diagnoses w/o O.R. procedure|10216.34|5414.66|6459.35|6889.97|6889.97|7751.21|7320.59|No Volume|5598.1|5262.22|12688.07|No Volume|11179.89|5792.62|6433.75|7902.1|10620.97|10341.13|5792.62|No Volume|9741.52|No Volume|5610.14|No Volume|5610.14|9922.85|9922.85|4465.31|5668.54|3107.78|9922.85|No Volume|No Volume|No Volume|3876.4|3773.48|5610.14|5544.09|11405.15|10036.68|No Volume|10966.16|5610.14|No Volume|5826.95|3107.78|12688.07
MSDRG|||779|Abortion w/o D&C|10296.09|5456.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6177.65|No Volume|8427.35|No Volume|No Volume|6177.65|No Volume|9652.51|7067.2|3104.84|No Volume|3104.84|8697.77|8697.77|7181.99|8751.64|4998.54|8697.77|No Volume|No Volume|No Volume|No Volume|No Volume|3104.84|No Volume|No Volume|No Volume|No Volume|No Volume|3104.84|No Volume|No Volume|3104.84|9652.51
MSDRG|||789|Neonates died or transferred to another acute care facility|44730.43|23707.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|269842.7|No Volume|142400|No Volume|77327.18|No Volume|135301|131737|No Volume|No Volume|No Volume|No Volume|1272.67|No Volume|1272.67|6219|6330.94|5702.72|12678.45|5782.24|6330.94|No Volume|No Volume|No Volume|No Volume|No Volume|1272.67|61364.85|No Volume|No Volume|No Volume|No Volume|1272.67|No Volume|No Volume|1272.67|269842.7
MSDRG|||790|Extreme immaturity or respiratory distress syndrome neonate|208436.5|110471.34|114340.75|121963.46|121963.42|137208.9|129586.26|No Volume|99095.37|93149.6|143218.08|No Volume|98822|22500|40607.22|59340.43|71069|69197|21937.5|No Volume|39823.76|No Volume|94145.15|No Volume|94145.15|108409.67|108409.67|87007.78|47241.31|87007.78|108409.67|No Volume|No Volume|No Volume|114340.75|114340.75|94145.15|39552.59|129744|116790|No Volume|124746|94145.15|No Volume|72432.67|21937.5|143218.08
MSDRG|||791|Prematurity w major problems|71919.25|38117.2|36823.56|39278.46|39278.47|44188.27|41733.36|102133.24|31913.76|29998.94|10613|127826.33|5468|24500|2970.16|48127.55|5196|5058|23887.5|No Volume|26918.35|12253.45|11386.52|No Volume|11386.52|36847|37510.23|33791.64|27801.82|34262.82|37510.23|No Volume|No Volume|No Volume|24977.13|24977.13|4946.5|27173.02|20700|18630|No Volume|19902|11386.52|No Volume|28547.39|2970.16|127826.33
MSDRG|||792|Prematurity w/o major problems|40668.32|21554.21|25952.52|27682.69|27682.69|31143.02|29412.86|No Volume|22492.19|21142.64|50744.09|No Volume|25749|21000|13981.54|38543.66|24465|23820|20475|No Volume|30501.24|No Volume|4946.5|No Volume|4946.5|32493|33077.86|29797.72|17019.72|30213.22|33077.86|No Volume|No Volume|No Volume|3391.3|3391.3|11386.52|16641.99|10975|9770|No Volume|10555|4946.5|No Volume|17469.32|3391.3|50744.09
MSDRG|||793|Full term neonate w major problems|15491.04|8210.25|5809.82|6197.14|6197.14|6971.78|6584.46|No Volume|5035.17|4733.05|15934.44|No Volume|8489|9884|4607.94|18578.48|8065|7852|9684|No Volume|11618.28|No Volume|4946.5|No Volume|4946.5|8201|8348.61|6769.98|28537.55|6864.37|8348.61|No Volume|No Volume|No Volume|3264.3|3264.3|7319.93|27907.66|6900|6210|No Volume|6634|4946.5|No Volume|29306.87|3264.3|29306.87
MSDRG|||794|Neonate w other significant problems|5633.82|2985.92|4867.08|5191.55|5191.55|5840.5|5516.02|8418.07|4218.14|3965.04|6109.96|10535.76|2145|3000|1150.74|4383.35|2038|1984|2925|No Volume|4637.4|5890.54|1267.95|4118.2|1267.95|2954|3007.17|2709.8|10481.91|2747.58|3007.17|No Volume|No Volume|No Volume|1629.05|1629.05|1267.95|10251.83|2195|1954|No Volume|2111|1267.95|No Volume|10771.98|1150.74|10771.98
MSDRG|||795|Normal newborn|4312.44|2285.59|3160.08|3370.75|3370.75|3792.1|3581.42|15495.32|2738.74|2574.41|4222.2|15495.32|2145|1846|1150.74|3561.46|2038|1984|1799|No Volume|3294.9|3250.08|1267.95|No Volume|1267.95|2293|2334.27|1350.38|1938.38|1369.21|2334.27|No Volume|No Volume|No Volume|966.47|966.47|1267.95|1895.83|2646|2382|No Volume|2544|1267.95|No Volume|1992.15|966.47|15495.32
MSDRG|||801|Splenectomy|22191.57|11761.53|16643.68|17753.26|17753.26|19972.41|18862.84|No Volume|14424.53|13559.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15060.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15060.41|15060.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11761.53|19972.41
MSDRG|||808|Major hematol/immun diag exc sickle cell crisis & coagul|16208.97|8590.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8590.75|8590.75
MSDRG|||809|Major hematol/immun diag exc sickle cell crisis & coagul|15578.55|8256.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16791.12|16791.12|7648.08|9280.59|5322.93|16791.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15340.88|15340.88|No Volume|15340.88|No Volume|No Volume|9539.93|5322.93|16791.12
MSDRG|||810|Major hematol/immun diag exc sickle cell crisis & coagul|17896.24|9485.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9485.01|9485.01
MSDRG|||811|Red blood cell disorders|21557.61|11425.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23091.87|No Volume|20033.06|No Volume|11528.53|No Volume|19031.54|18530.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9945.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9945.36|23091.87
MSDRG|||812|Red blood cell disorders|14038.06|7440.17|7606.27|8113.35|8113.35|9127.52|8620.44|No Volume|6592.1|6196.59|18677.76|No Volume|12792.6|11988.67|7361.82|23645.57|12153.06|11832.84|11688.28|No Volume|12201.66|No Volume|6938.86|5609.9|6938.86|11432.29|11432.29|5476.76|6816.41|3811.72|11432.29|No Volume|No Volume|No Volume|5609.9|5609.9|6424.25|6666.74|10745.31|10566.12|No Volume|10679.3|12245.04|No Volume|8770.15|3811.72|23645.57
MSDRG|||813|Coagulation disorders|16926.13|8970.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8970.85|8970.85
MSDRG|||814|Reticuloendothelial & immunity disorders|28641.13|15179.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15179.8|15179.8
MSDRG|||829|Myeloprolif disord or poorly diff neopl w other O.R. proc|35189.37|18650.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18650.37|18650.37
MSDRG|||830|Myeloprolif disord or poorly diff neopl w other O.R. proc|30944.34|16400.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10631.05|No Volume|10631.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|18760.68|No Volume|No Volume|6424.25|18760.68
MSDRG|||840|Lymphoma & non-acute leukemia|23349.75|12375.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12375.37|12375.37
MSDRG|||841|Lymphoma & non-acute leukemia|38960.49|20649.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12323.47|No Volume|12323.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21747.29|No Volume|No Volume|6424.25|21747.29
MSDRG|||853|Infectious & parasitic diseases w O.R. procedure|47502.11|25176.12|30070.01|32074.67|32074.67|36084.01|34079.34|No Volume|26060.68|24497.03|44872.4|No Volume|44872.4|43589.92|25860|50969.08|42696|41568|42500.18|No Volume|No Volume|No Volume|23293.73|No Volume|23293.73|38831.24|38831.24|32070.5|36997.07|22320.5|38831.24|No Volume|No Volume|No Volume|30070.01|30070.01|6424.25|22380.25|38803.21|38803.21|No Volume|38803.21|41106.58|No Volume|38030.92|6424.25|50969.08
MSDRG|||854|Infectious & parasitic diseases w O.R. procedure|37922.52|20098.94|33306.66|35527.1|35527.11|39967.98|37747.56|No Volume|28865.77|27133.85|15701.66|No Volume|15701.66|No Volume|15701.66|No Volume|15701.66|15701.66|No Volume|No Volume|32210.46|No Volume|16316.52|8470.28|16316.52|27686.64|27686.64|13594.08|6210.44|9461.24|27686.64|No Volume|No Volume|No Volume|14053.36|14053.36|6424.25|15701.66|31070.42|27342.39|No Volume|29874.52|28793.86|No Volume|16476.49|6210.44|39967.98
MSDRG|||856|Postoperative or post-traumatic infections w O.R. proc|34221.92|18137.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22831.72|No Volume|26696.8|No Volume|No Volume|22260.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18137.62|26696.8
MSDRG|||857|Postoperative or post-traumatic infections w O.R. proc|30188.19|15999.74|24673.42|26318.31|26318.31|29608.1|27963.21|No Volume|21383.62|20100.62|59939.28|No Volume|29588.61|No Volume|17027.51|No Volume|28109.38|27368.75|No Volume|No Volume|No Volume|No Volume|No Volume|16292.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5875.68|5719.69|No Volume|14783.69|30184.77|26563.01|No Volume|29022.96|No Volume|No Volume|15537.96|5719.69|59939.28
MSDRG|||858|Postoperative or post-traumatic infections w O.R. proc|16787.44|8897.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8897.34|8897.34
MSDRG|||862|Postoperative & post-traumatic infections|18774.37|9950.42|14080.78|15019.5|15019.49|16896.94|15958.21|No Volume|12203.34|11471.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9040.09|8800.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8800.09|16896.94
MSDRG|||863|Postoperative & post-traumatic infections|21184.29|11227.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7917.99|No Volume|15587.41|14276.6|14533.58|6214.58|7653.74|4325.24|14533.58|No Volume|No Volume|No Volume|No Volume|No Volume|6983.23|No Volume|No Volume|No Volume|No Volume|No Volume|3882.19|No Volume|No Volume|3882.19|15587.41
MSDRG|||864|Fever|5659.03|2999.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5659.03|5659.03|5330.2|6650.09|3709.72|5659.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2999.29|6650.09
MSDRG|||865|Viral illness|294488.45|156078.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|159612.74|159612.74|128102.48|69857.99|128102.48|159612.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|69857.99|159612.74
MSDRG|||866|Viral illness|12741.86|6753.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8919.3|No Volume|10429.21|No Volume|No Volume|8696.32|No Volume|11330.83|No Volume|6560.99|No Volume|6560.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|12419.86|10929.65|No Volume|11941.82|10401.42|No Volume|6625.31|6424.25|12419.86
MSDRG|||867|Other infectious & parasitic diseases diagnoses|39831.26|21110.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33074.63|29106.12|No Volume|31801.59|No Volume|No Volume|16652.6|16652.6|33074.63
MSDRG|||868|Other infectious & parasitic diseases diagnoses|29586.27|15680.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22189.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15680.72|22189.71
MSDRG|||871|Septicemia or severe sepsis w/o MV >96 hours|24227.89|12840.78|25904.53|27631.5|27631.5|31085.43|29358.47|No Volume|22450.6|21103.56|22009.07|No Volume|22009.07|12921.92|15634.14|15943|22009.07|22009.07|11774.64|No Volume|9004.72|No Volume|14173.57|12613.57|14173.57|19831.89|19831.89|11739.14|13923.45|8170.23|19831.89|No Volume|No Volume|No Volume|15007.31|15007.31|9588.09|13617.75|26471.82|24389.35|No Volume|26471.82|14173.57|No Volume|16440.27|8170.23|31085.43
MSDRG|||872|Septicemia or severe sepsis w/o MV >96 hours|18096.71|9591.26|12191.12|13003.86|13003.85|14629.34|13816.6|No Volume|10565.64|9931.72|16982.13|No Volume|14856.11|13173.39|8549.32|15403.46|14113.4|13741.54|12844.06|No Volume|9482.84|No Volume|8164.02|8644.26|8164.02|12815.83|12815.83|6537.26|8019.95|4549.82|12815.83|No Volume|No Volume|No Volume|8003.93|8003.93|6424.25|7843.86|14058.73|13336.99|No Volume|14058.73|14407.09|No Volume|8244.06|4549.82|16982.13
MSDRG|||876|O.R. procedure w principal diagnoses of mental illness|63426.3|33615.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44398.41|No Volume|51914.43|No Volume|No Volume|43288.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33615.94|51914.43
MSDRG|||884|Organic disturbances & intellectual disability|32382.45|17162.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17162.7|17162.7
MSDRG|||885|Psychoses|13647.61|7233.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7233.23|7233.23
MSDRG|||894|Alcohol/drug abuse or dependence left AMA|9606.55|5091.47|5108.93|5449.52|5449.52|6130.71|5790.12|No Volume|4427.74|4162.09|9606.55|No Volume|7961.75|No Volume|4581.79|No Volume|7563.71|7364.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2665.34|2594.58|No Volume|4639.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2594.58|9606.55
MSDRG|||896|Alcohol/drug abuse or dependence w/o rehabilitation therapy|13481.15|7145.01|15861.29|16918.7|16918.71|19033.54|17976.13|No Volume|13746.45|12921.69|No Volume|No Volume|No Volume|7138.47|No Volume|8346.92|No Volume|No Volume|6960.01|No Volume|23399.79|No Volume|4335.81|No Volume|4335.81|122452.19|122452.19|98278.05|49254.41|98278.05|122452.19|No Volume|No Volume|No Volume|4399.45|4282.65|4335.81|No Volume|No Volume|No Volume|No Volume|No Volume|4335.81|No Volume|No Volume|4282.65|122452.19
MSDRG|||897|Alcohol/drug abuse or dependence w/o rehabilitation therapy|12856.48|6813.93|10886.81|11612.6|11612.6|13064.17|12338.39|No Volume|9435.24|8869.13|11087.57|No Volume|11087.57|4623.67|6908.25|6307.45|11087.57|11087.57|4623.67|No Volume|No Volume|No Volume|6583.51|No Volume|6583.51|11875.01|12088.76|5169.17|6467.33|3597.65|12088.76|No Volume|No Volume|No Volume|3233.29|3147.45|6424.25|6325.33|12246.29|10776.9|No Volume|11774.93|11617.96|No Volume|6648.05|3147.45|13064.17
MSDRG|||901|Wound debridements for injuries|110958.17|58807.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32056.16|No Volume|32056.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|56569.7|No Volume|No Volume|6424.25|58807.83
MSDRG|||902|Wound debridements for injuries|14573.5|7723.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14573.5|14573.5|12371.92|14641.57|8610.64|14573.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7723.95|14641.57
MSDRG|||903|Wound debridements for injuries|25309.44|13414|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14385.41|No Volume|19624.11|No Volume|No Volume|14385.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13414|19624.11
MSDRG|||907|Other O.R. procedures for injuries|56321.95|29850.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29602.94|No Volume|29602.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|52240.48|No Volume|No Volume|6424.25|52240.48
MSDRG|||908|Other O.R. procedures for injuries|44278.91|23467.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15603.64|16521.51|15603.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|27535.84|No Volume|No Volume|6424.25|27535.84
MSDRG|||909|Other O.R. procedures for injuries|32004.29|16962.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39110.9|No Volume|19993.8|No Volume|11505.93|No Volume|18994.24|18493.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9794.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9794.55|39110.9
MSDRG|||915|Allergic reactions|19871.07|10531.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|62656.73|No Volume|24686.5|No Volume|14206.47|No Volume|23452.34|22834.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19871.07|19871.07|10687.44|12729.88|7438.27|19871.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12450.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7438.27|62656.73
MSDRG|||916|Allergic reactions|11991.48|6355.48|8993.64|9593.2|9593.2|10792.35|10192.77|No Volume|8281.72|7784.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5213.01|6569.65|5213.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6569.65|6569.65|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|9199.42|No Volume|No Volume|5213.01|10792.35
MSDRG|||917|Poisoning & toxic effects of drugs|11550.76|6121.9|6009.08|6409.68|6409.68|7210.89|6810.29|No Volume|5207.87|4895.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22547.17|No Volume|No Volume|No Volume|No Volume|21143.24|21523.82|9203.62|11045.94|6405.55|21523.82|No Volume|No Volume|No Volume|5850.62|5695.29|No Volume|No Volume|7049.32|6849.34|No Volume|6975.64|No Volume|No Volume|12355.06|4895.38|22547.17
MSDRG|||918|Poisoning & toxic effects of drugs|9266|4910.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7620.32|No Volume|7620.32|No Volume|6620.37|No Volume|7620.32|7620.32|No Volume|No Volume|11507.18|No Volume|5785.11|No Volume|5785.11|9266|9266|4931.41|6197.5|3432.17|9266|No Volume|No Volume|No Volume|No Volume|No Volume|5785.11|6061.43|7111.08|7111.08|No Volume|7111.08|5785.11|No Volume|6370.68|3432.17|11507.18
MSDRG|||919|Complications of treatment|7856.03|4163.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24522.61|24522.61|11481.25|13630.77|7990.74|24522.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4163.7|24522.61
MSDRG|||920|Complications of treatment|7543.28|3997.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3997.94|3997.94
MSDRG|||923|Other injury poisoning & toxic effect diag|7476.74|3962.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6901.08|No Volume|6901.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11713.38|No Volume|No Volume|3962.67|11713.38
MSDRG|||947|Signs & symptoms|19085.49|10115.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10115.31|10115.31
MSDRG|||949|Aftercare|13261.92|7028.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4840.79|No Volume|4840.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|8542.57|No Volume|No Volume|4840.79|8542.57
MSDRG|||951|Other factors influencing health status|15301.87|8109.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6251.72|No Volume|6251.72|8474.93|8627.47|3689.12|4787.66|2567.56|8627.47|No Volume|No Volume|No Volume|No Volume|No Volume|6251.72|No Volume|No Volume|No Volume|No Volume|No Volume|6251.72|No Volume|No Volume|2567.56|8627.47
MSDRG|||981|Extensive O.R. procedure unrelated to principal diagnosis|36603.19|19399.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33244.28|No Volume|33244.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|36603.19|No Volume|No Volume|6424.25|36603.19
MSDRG|||982|Extensive O.R. procedure unrelated to principal diagnosis|27907.9|14791.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6409.04|No Volume|11512.15|No Volume|9208.27|No Volume|11248.15|11116.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6409.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6409.04|14791.19
MSDRG|||983|Extensive O.R. procedure unrelated to principal diagnosis|23421.83|12413.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36850.08|No Volume|24064.1|6366.92|13848.29|8685.54|22861.06|22258.71|6366.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12017.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6366.92|36850.08
MSDRG|||987|Non-extensive O.R. proc unrelated to principal diagnosis|16331.97|8655.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31374.88|15881.64|74603.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14378.44|No Volume|No Volume|No Volume|No Volume|No Volume|13019.77|No Volume|No Volume|8655.94|74603.37
MSDRG|||988|Non-extensive O.R. proc unrelated to principal diagnosis|24198.76|12825.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13098.1|13267.03|13098.1|11650.6|11650.6|10808.21|12866.95|7522.32|11650.6|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|23114.29|No Volume|No Volume|6424.25|23114.29
MSDRG|||989|Non-extensive O.R. proc unrelated to principal diagnosis|14147.64|7498.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7498.25|7498.25
MSDRG|||998|Principal diagnosis invalid as discharge diagnosis|9121.01|4834.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2525.65|No Volume|2525.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2525.65|No Volume|No Volume|No Volume|No Volume|No Volume|2525.65|No Volume|No Volume|2525.65|4834.14
MSDRG|||518|Back & neck proc exc spinal fusion|30787.7|16317.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10005.63|No Volume|10005.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10005.63|No Volume|No Volume|No Volume|No Volume|No Volume|10005.63|No Volume|No Volume|10005.63|16317.48
MSDRG|||519|Back & neck proc exc spinal fusion|31961.79|16939.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9561|No Volume|10065|14657.55|5314.56|19995.34|9561|9309|14657.55|No Volume|No Volume|No Volume|14481.67|10964.18|14481.67|27580.72|28077.17|12005.84|14226.12|8355.85|28077.17|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|7922.13|No Volume|No Volume|No Volume|No Volume|25555.9|No Volume|No Volume|5314.56|28077.17
MSDRG|||520|Back & neck proc exc spinal fusion|18711.36|9917.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18711.36|No Volume|18711.36|No Volume|11861.6|No Volume|18711.36|18711.36|No Volume|No Volume|No Volume|No Volume|10334.59|No Volume|10334.59|11533|11473.42|4963.63|6713.24|5033.89|11473.42|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|9929.31|No Volume|No Volume|No Volume|No Volume|18237.51|No Volume|No Volume|4963.63|18711.36
MSDRG|||570|Skin debridement|50214.31|26613.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26613.58|26613.58
MSDRG|||571|Skin debridement|8467.13|4487.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1419.66|1442.75|730.57|1220.01|754.21|1442.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|730.57|4487.58
MSDRG|||783|Cesarean section|31193.2|16532.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20352.13|No Volume|23797.45|No Volume|No Volume|19843.33|No Volume|20429.95|No Volume|6424.25|No Volume|6424.25|9993|10172.87|5729.83|15911.51|5809.73|10172.87|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|5729.83|23797.45
MSDRG|||784|Cesarean section|24764.31|13125.08|18464.11|19695.05|19695.05|22156.93|20925.99|No Volume|16002.22|15042.1|25522.19|No Volume|9249|13599.22|4884.4|15901.37|8786|8555|13259.23|No Volume|No Volume|20665|6424.25|No Volume|6424.25|9993|10172.87|5729.83|8062.06|5809.73|10172.87|No Volume|No Volume|No Volume|6592.73|6592.73|6424.25|7885.05|9671|8606|No Volume|9199|6424.25|No Volume|8287.35|4884.4|25522.19
MSDRG|||785|Cesarean section|25065|13284.45|15264.32|16281.94|16281.94|18317.18|17299.56|No Volume|13229.08|12435.34|24675.14|No Volume|9249|11313.71|4884.4|22281.53|8786|8555|11030.44|No Volume|20458.03|17312.18|6424.25|No Volume|6424.25|9993|10172.87|5729.83|6728.6|5809.73|10172.87|No Volume|No Volume|No Volume|5685.53|5685.53|6424.25|6580.87|9671|8606|No Volume|9199|6424.25|No Volume|6916.63|4884.4|24675.14
MSDRG|||786|Cesarean section|30063.78|15933.8|19265|20549.34|20549.34|23118|21833.67|No Volume|16696.34|15694.57|28510.65|No Volume|9249|18937.77|4884.4|22143.66|8786|8555|18464.32|No Volume|20915.51|19616.55|8454.54|No Volume|8454.54|9993|10172.87|5729.83|12839.84|5809.73|10172.87|No Volume|No Volume|No Volume|15694.57|15694.57|8454.54|12557.93|9671|8606|No Volume|9199|8454.54|No Volume|13198.64|4884.4|28510.65
MSDRG|||787|Cesarean section|25605|13570.65|17550.85|18720.9|18720.9|21061.02|19890.97|No Volume|15210.74|14298.1|24416.62|No Volume|9249|13779.69|4884.4|20907.35|8786|8555|13434.68|No Volume|20095.3|16314.5|5941.1|No Volume|5941.1|9993|10172.87|5729.83|8064.21|5809.73|10172.87|No Volume|No Volume|No Volume|6601.73|6601.73|5091.99|7887.15|9671|8606|No Volume|9199|5941.1|No Volume|8289.55|4884.4|24416.62
MSDRG|||788|Cesarean section|24461.36|12964.52|17850.58|19040.62|19040.62|21420.69|20230.66|No Volume|15470.51|14542.29|24597.71|No Volume|9249|11943.72|4884.4|19609.02|8786|8555|11644.67|No Volume|18504.32|23311.16|5091.99|No Volume|5091.99|9993|10172.87|5729.83|7069.82|5809.73|10172.87|No Volume|No Volume|No Volume|5752.32|5752.32|5091.99|6914.6|9671|8606|No Volume|9199|12700.28|No Volume|7267.38|4884.4|24597.71
MSDRG|||796|Vaginal delivery w sterilization &/or D&C|27766.05|14716.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20824.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14716.01|20824.54
MSDRG|||797|Vaginal delivery w sterilization &/or D&C|22226.68|11780.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5501.62|No Volume|5501.62|7556|7692.01|4323.22|6760.01|4383.51|7692.01|No Volume|No Volume|No Volume|No Volume|No Volume|5501.62|No Volume|No Volume|No Volume|No Volume|No Volume|5501.62|No Volume|No Volume|4323.22|11780.14
MSDRG|||798|Vaginal delivery w sterilization &/or D&C|22120.46|11723.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11371.7|No Volume|19470.94|No Volume|No Volume|11086.98|No Volume|15051.43|21820.94|5478.56|No Volume|5478.56|7556|7692.01|4323.22|6760.01|4383.51|7692.01|No Volume|No Volume|No Volume|No Volume|No Volume|5478.56|No Volume|No Volume|No Volume|No Volume|No Volume|5478.56|No Volume|No Volume|4323.22|21820.94
MSDRG|||805|Vaginal delivery w/o sterilization/D&C|17245.58|9140.16|13363.37|14254.26|14254.26|16036.04|15145.15|No Volume|11581.59|10886.7|15628.03|No Volume|7000|12718.31|3684.76|14871.33|6650|6475|12400.35|No Volume|10183.59|No Volume|3388.33|No Volume|3388.33|7556|7692.01|4323.22|8029.95|4383.51|7692.01|No Volume|No Volume|No Volume|4355.37|4355.37|3388.33|7853.64|8155|7272|No Volume|7842|3388.33|No Volume|9293.73|3388.33|16036.04
MSDRG|||806|Vaginal delivery w/o sterilization/D&C|13558.53|7186.02|10337.41|11026.57|11026.57|12404.89|11715.73|No Volume|8959.09|8421.55|14493.16|No Volume|7000|9256.76|3684.76|10823.79|6650|6475|9025.34|No Volume|10074.85|10492.39|3388.33|No Volume|3388.33|7556|7692.01|4323.22|5663.54|4383.51|7692.01|No Volume|No Volume|No Volume|5469.56|5324.35|3388.33|5539.2|6691|5955|No Volume|6434|3388.33|No Volume|5821.81|3388.33|14493.16
MSDRG|||807|Vaginal delivery w/o sterilization/D&C|12936.26|6856.22|9633.82|10276.07|10276.07|11560.58|10918.33|No Volume|8349.31|7848.35|13062.83|No Volume|7000|8261.22|3684.76|10666.97|6650|6475|8054.38|No Volume|9612.08|9777.77|3142.82|No Volume|3142.82|7556|7692.01|4323.22|5075.34|4383.51|7692.01|No Volume|No Volume|No Volume|3198.82|3198.82|3142.82|4963.91|6691|5955|No Volume|6434|3142.82|No Volume|5217.17|3142.82|13062.83
MSDRG|||817|Other antepartum diagnoses w O.R. procedure|30718.35|16280.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11670.6|No Volume|11670.6|30718.35|30718.35|15827.05|18562.73|11015.34|30718.35|No Volume|No Volume|No Volume|No Volume|No Volume|11670.6|No Volume|No Volume|No Volume|No Volume|No Volume|11670.6|No Volume|No Volume|11015.34|30718.35
MSDRG|||818|Other antepartum diagnoses w O.R. procedure|16222.61|8597.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17540.33|No Volume|20593.02|No Volume|No Volume|17100.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13755.44|13755.44|8012.91|9694.61|5576.84|13755.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16222.61|16222.61|No Volume|16222.61|No Volume|No Volume|9965.52|5576.84|20593.02
MSDRG|||819|Other antepartum diagnoses w O.R. procedure|18250.34|9672.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10986.29|No Volume|20530.46|No Volume|No Volume|10711.01|No Volume|No Volume|No Volume|4578.33|No Volume|15898.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15898.25|No Volume|9612.6|9612.6|No Volume|9612.6|7753.5|No Volume|6472.67|4578.33|20530.46
MSDRG|||831|Other antepartum diagnoses w/o O.R. procedure|13415.83|7110.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9534.74|No Volume|9534.74|No Volume|9381.99|No Volume|9534.74|9534.74|No Volume|No Volume|No Volume|No Volume|3892.91|No Volume|3892.91|15584.33|15864.84|6783.83|5267.2|4721.42|15864.84|No Volume|No Volume|No Volume|No Volume|No Volume|3892.91|8117.55|16631.52|14635.96|No Volume|15991.37|3892.91|No Volume|8531.71|3892.91|16631.52
MSDRG|||832|Other antepartum diagnoses w/o O.R. procedure|12046.89|6384.85|17228.4|18376.96|18376.96|20674.08|19525.52|No Volume|14931.28|14035.41|13148.38|No Volume|11339.85|No Volume|6525.8|No Volume|10772.94|10489.09|No Volume|No Volume|8765.87|No Volume|3892.91|No Volume|3892.91|1162.33|1187.37|680.92|1069.33|695.79|1187.37|No Volume|No Volume|No Volume|3571|3571|5550.45|5583.19|9048.7|9048.7|No Volume|9048.7|3892.91|No Volume|5868.04|680.92|20674.08
MSDRG|||833|Other antepartum diagnoses w/o O.R. procedure|8222.4|4357.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7507.75|No Volume|7507.75|5051.95|4485.55|6891.7|7404.84|7209.74|5051.95|No Volume|10369.45|4463.78|2986.83|No Volume|2986.83|7688.85|7827.24|3346.94|4399.32|2329.41|7827.24|No Volume|No Volume|No Volume|No Volume|No Volume|2986.83|4302.73|7951.56|6997.48|No Volume|7645.5|2986.83|No Volume|4522.26|2329.41|10369.45
APRDRG|||42|DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS|18534.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9222.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9222.04|9222.04
APRDRG|||43|MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES|28694.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11238.95|No Volume|No Volume|No Volume|No Volume|11238.95|11238.95
APRDRG|||53|SEIZURE|7637.615|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3795.8|No Volume|No Volume|No Volume|No Volume|3795.8|3795.8
APRDRG|||113|INFECTIONS OF UPPER RESPIRATORY TRACT|12343.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|536.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8041.04|No Volume|No Volume|5797.5|No Volume|536.96|8041.04
APRDRG|||115|OTHER EAR NOSE MOUTHTHROAT & CRANIAL/FACIAL DIAGNOSES|12364.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5367.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5367.79|5367.79
APRDRG|||133|PULMONARY EDEMA & RESPIRATORY FAILURE|16740.279|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9792.85|No Volume|4322.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9330.635|No Volume|No Volume|No Volume|No Volume|4322.23|9792.85
APRDRG|||134|PULMONARY EMBOLISM|20377.712|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11107.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6905.156667|No Volume|No Volume|7846.22|No Volume|6905.156667|11107.72
APRDRG|||137|MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS|26786.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15505.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14305.14667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14156.405|No Volume|No Volume|15075.675|No Volume|14156.405|15505.65
APRDRG|||138|BRONCHIOLITIS & RSV PNEUMONIA|10127.86333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3498.813333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6521.35|No Volume|No Volume|No Volume|No Volume|3498.813333|6521.35
APRDRG|||139|OTHER PNEUMONIA|26058.239|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10568.0525|10095.82|5408.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7553.25|No Volume|No Volume|11049.23|No Volume|5408.85|11049.23
APRDRG|||140|CHRONIC OBSTRUCTIVE PULMONARY DISEASE|20041.06333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1293.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9466.725|No Volume|No Volume|No Volume|No Volume|1293.5|9466.725
APRDRG|||141|ASTHMA|12324.495|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2379.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2379.81|2379.81
APRDRG|||142|INTERSTITIAL LUNG DISEASE|8712|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8840.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8840.47|8840.47
APRDRG|||143|OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS SYMPTOMS & MINOR DIAGNOSES|18919.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6816.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10612.65|No Volume|No Volume|No Volume|No Volume|6816.95|10612.65
APRDRG|||194|HEART FAILURE|20846.85667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9794.996|No Volume|3228.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13049.63333|No Volume|No Volume|No Volume|No Volume|3228.41|13049.63333
APRDRG|||197|PERIPHERAL & OTHER VASCULAR DISORDERS|12617.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5423.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3778.085|No Volume|No Volume|No Volume|No Volume|3778.085|5423.64
APRDRG|||199|HYPERTENSION|7358.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3475.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7531.15|No Volume|No Volume|No Volume|No Volume|3475.92|7531.15
APRDRG|||201|CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS|21554.68333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11644.81667|No Volume|No Volume|No Volume|No Volume|11644.81667|11644.81667
APRDRG|||205|CARDIOMYOPATHY|13149.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12989.13|No Volume|No Volume|No Volume|No Volume|12989.13|12989.13
APRDRG|||206|MALFUNCTIONREACTIONCOMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE|39926.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7902.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7902.88|7902.88
APRDRG|||207|OTHER CIRCULATORY SYSTEM DIAGNOSES|11353.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6031.03|No Volume|No Volume|No Volume|No Volume|6031.03|6031.03
APRDRG|||220|MAJOR STOMACH ESOPHAGEAL & DUODENAL PROCEDURES|36261.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15040.08|No Volume|No Volume|No Volume|No Volume|15040.08|15040.08
APRDRG|||223|OTHER SMALL & LARGE BOWEL PROCEDURES|36884.4525|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20203.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6799.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14140.01|No Volume|No Volume|13889.99|No Volume|6799.47|20203.22
APRDRG|||224|PERITONEAL ADHESIOLYSIS|21512.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16780.5|No Volume|No Volume|No Volume|No Volume|16780.5|16780.5
APRDRG|||227|HERNIA PROCEDURES EXCEPT INGUINAL FEMORAL & UMBILICAL|41912.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20212.725|No Volume|No Volume|No Volume|No Volume|20212.725|20212.725
APRDRG|||228|INGUINAL FEMORAL & UMBILICAL HERNIA PROCEDURES|23458.07667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12434.32|No Volume|No Volume|8271.09|No Volume|8271.09|12434.32
APRDRG|||230|MAJOR SMALL BOWEL PROCEDURES|61028.26444|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20761.6525|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35193.92|No Volume|No Volume|No Volume|No Volume|20761.6525|35193.92
APRDRG|||231|MAJOR LARGE BOWEL PROCEDURES|67458.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36791.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27964.04|No Volume|No Volume|No Volume|No Volume|27964.04|36791.43
APRDRG|||233|APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS|20022.475|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9745.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12331.8|No Volume|9745.31|12331.8
APRDRG|||234|APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS|19497.216|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5292.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11741.75|No Volume|No Volume|No Volume|No Volume|5292.87|11741.75
APRDRG|||240|DIGESTIVE MALIGNANCY|19415.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5565.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5565.38|5565.38
APRDRG|||241|PEPTIC ULCER & GASTRITIS|14897.865|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6878.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5200.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5115.09|No Volume|No Volume|No Volume|No Volume|5115.09|6878.23
APRDRG|||244|DIVERTICULITIS & DIVERTICULOSIS|16605.70273|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8782.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6036.113333|No Volume|4309.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8537.25|No Volume|No Volume|No Volume|No Volume|4309.45|8782.58
APRDRG|||245|INFLAMMATORY BOWEL DISEASE|17375.76333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5045.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8213.15|No Volume|No Volume|No Volume|No Volume|5045.83|8213.15
APRDRG|||246|GASTROINTESTINAL VASCULAR INSUFFICIENCY|24030.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8402.05|No Volume|No Volume|No Volume|No Volume|8402.05|8402.05
APRDRG|||247|INTESTINAL OBSTRUCTION|16148.18727|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4453.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7252.84|No Volume|No Volume|No Volume|No Volume|4453.27|7252.84
APRDRG|||248|MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS|15338.28667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9700.77|No Volume|No Volume|No Volume|No Volume|9700.77|9700.77
APRDRG|||249|NON-BACTERIAL GASTROENTERITIS NAUSEA & VOMITING|12155.924|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6025.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5884.6925|No Volume|No Volume|No Volume|No Volume|5884.6925|6025.48
APRDRG|||253|OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE|11177.62333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7324.526667|No Volume|No Volume|No Volume|No Volume|7324.526667|7324.526667
APRDRG|||254|OTHER DIGESTIVE SYSTEM DIAGNOSES|21146.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7260.18|No Volume|7260.18|7260.18
APRDRG|||263|LAPAROSCOPIC CHOLECYSTECTOMY|23909.75333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5638.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12060.21|No Volume|No Volume|No Volume|No Volume|5638.61|12060.21
APRDRG|||280|ALCOHOLIC LIVER DISEASE|27840.854|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14066.94|No Volume|6908.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16539.70333|No Volume|No Volume|No Volume|No Volume|6908.34|16539.70333
APRDRG|||281|MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS|10042.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5863.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5863.89|5863.89
APRDRG|||282|DISORDERS OF PANCREAS EXCEPT MALIGNANCY|16480.27229|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9279.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6820.115|No Volume|3649.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10002.30545|No Volume|No Volume|No Volume|No Volume|3649.08|10002.30545
APRDRG|||283|OTHER DISORDERS OF THE LIVER|37330.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11542.58|No Volume|No Volume|No Volume|No Volume|11542.58|11542.58
APRDRG|||301|HIP JOINT REPLACEMENT|46027.85333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19445.55|No Volume|9324.525|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19464.39|No Volume|No Volume|20226.07|No Volume|9324.525|20226.07
APRDRG|||302|KNEE JOINT REPLACEMENT|37524.345|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15028.186|No Volume|9158.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19995.67667|No Volume|No Volume|No Volume|No Volume|9158.03|19995.67667
APRDRG|||304|DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK|67705.135|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36018.802|No Volume|17845.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|42332.62|No Volume|No Volume|No Volume|No Volume|17845.59|42332.62
APRDRG|||305|AMPUTATION OF LOWER LIMB EXCEPT TOES|36298.455|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18982.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15444.72|No Volume|No Volume|No Volume|No Volume|15444.72|18982.21
APRDRG|||308|HIP & FEMUR PROCEDURES FOR TRAUMA EXCEPT JOINT REPLACEMENT|36482.61333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14716.404|No Volume|13894.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13894.15|14716.404
APRDRG|||310|INTERVERTEBRAL DISC EXCISION & DECOMPRESSION|23246.822|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17580.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10131.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15647|No Volume|No Volume|12757.51|No Volume|10131.91|17580.15
APRDRG|||313|KNEE & LOWER LEG PROCEDURES EXCEPT FOOT|36522.046|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25083.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23283.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21090.888|No Volume|No Volume|No Volume|No Volume|21090.888|25083.93
APRDRG|||314|FOOT & TOE PROCEDURES|21728.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7141.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7141.45|7141.45
APRDRG|||315|SHOULDER UPPER ARM  & FOREARM PROCEDURES|25127.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22133.93|No Volume|No Volume|No Volume|No Volume|22133.93|22133.93
APRDRG|||316|HAND & WRIST PROCEDURES|31651.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11830.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11830.7|11830.7
APRDRG|||317|TENDON MUSCLE & OTHER SOFT TISSUE PROCEDURES|32010.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10194.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10194.31|10194.31
APRDRG|||320|OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES|40282.955|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10666.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17065.24|No Volume|No Volume|No Volume|No Volume|10666.06|17065.24
APRDRG|||321|CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP|43998.13714|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20759.275|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23084.936|No Volume|No Volume|No Volume|No Volume|20759.275|23084.936
APRDRG|||322|SHOULDER & ELBOW JOINT REPLACEMENT|40739.14625|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17869.61286|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18670.93|No Volume|No Volume|No Volume|No Volume|17869.61286|18670.93
APRDRG|||344|OSTEOMYELITIS SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS|41744.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18643.15|No Volume|No Volume|No Volume|No Volume|18643.15|18643.15
APRDRG|||347|OTHER BACK & NECK DISORDERS FRACTURES & INJURIES|28485.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7125.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8278.44|No Volume|No Volume|No Volume|No Volume|7125.54|8278.44
APRDRG|||349|MALFUNCTION REACTION COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE|10941.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10941.71|No Volume|No Volume|No Volume|No Volume|10941.71|10941.71
APRDRG|||351|OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES|19117.88143|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8199.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6241.24|No Volume|4527.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8715.973333|No Volume|No Volume|No Volume|No Volume|4527.19|8715.973333
APRDRG|||364|OTHER SKIN SUBCUTANEOUS TISSUE & RELATED PROCEDURES|23277.84333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12982.19333|No Volume|No Volume|No Volume|No Volume|12982.19333|12982.19333
APRDRG|||383|CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS|13029.53467|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8117.056667|No Volume|3366.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6378.651|No Volume|No Volume|No Volume|No Volume|3366.34|8117.056667
APRDRG|||385|OTHER SKIN SUBCUTANEOUS TISSUE & BREAST DISORDERS|15294.94667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5753.326667|No Volume|No Volume|No Volume|No Volume|5753.326667|5753.326667
APRDRG|||420|DIABETES|14215.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3532.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7916.666667|No Volume|No Volume|No Volume|No Volume|3532.65|7916.666667
APRDRG|||422|HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS|24335.615|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6077.37|4905.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10200.81|No Volume|No Volume|10031.45|No Volume|4905.23|10200.81
APRDRG|||423|INBORN ERRORS OF METABOLISM|23960.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16490.21|No Volume|No Volume|No Volume|No Volume|16490.21|16490.21
APRDRG|||426|NON-HYPOVOLEMIC SODIUM DISORDERS|8670.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5991.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6830.073333|No Volume|No Volume|No Volume|No Volume|5991.59|6830.073333
APRDRG|||441|MAJOR BLADDER PROCEDURES|69992.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20629.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20629.22|20629.22
APRDRG|||442|KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY|23200.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20579.83|No Volume|No Volume|No Volume|No Volume|20579.83|20579.83
APRDRG|||445|OTHER BLADDER PROCEDURES|25525.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20226.61|No Volume|No Volume|No Volume|No Volume|20226.61|20226.61
APRDRG|||446|URETHRAL & TRANSURETHRAL PROCEDURES|23204.43333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10719.9|No Volume|5011.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14418.4|No Volume|No Volume|No Volume|No Volume|5011.43|14418.4
APRDRG|||463|KIDNEY & URINARY TRACT INFECTIONS|19128.27167|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7510.045|No Volume|1228.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7121.4|No Volume|No Volume|10642.48|No Volume|1228.09|10642.48
APRDRG|||465|URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION|16627.99846|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6965.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8578.43|No Volume|3049.706667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7116.318333|No Volume|No Volume|No Volume|No Volume|3049.706667|8578.43
APRDRG|||466|MALFUNCTION REACTION COMPLIC OF GENITOURINARY DEVICE OR PROC|18208.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10979.165|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10979.165|10979.165
APRDRG|||468|OTHER KIDNEY & URINARY TRACT DIAGNOSES SIGNS & SYMPTOMS|15697.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5247.94|No Volume|No Volume|No Volume|No Volume|5247.94|5247.94
APRDRG|||469|ACUTE KIDNEY INJURY|15619.572|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7413.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11351.9|No Volume|6645.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10582.82|No Volume|No Volume|No Volume|No Volume|6645.84|11351.9
APRDRG|||470|CHRONIC KIDNEY DISEASE|18950.605|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7095.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15266.5|No Volume|No Volume|No Volume|No Volume|7095.47|15266.5
APRDRG|||480|MAJOR MALE PELVIC PROCEDURES|30538.7975|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11327.56|No Volume|8314.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17291.66|No Volume|No Volume|No Volume|No Volume|8314.98|17291.66
APRDRG|||483|TESTES & SCROTAL PROCEDURES|23664.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15866.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15866.03|15866.03
APRDRG|||513|UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA|28047.10286|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5935.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12729.62|No Volume|No Volume|No Volume|No Volume|5935.17|12729.62
APRDRG|||518|OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES|12057.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7205.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7205.26|7205.26
APRDRG|||519|UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA|28494.354|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5527.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13934.7925|No Volume|No Volume|No Volume|No Volume|5527.74|13934.7925
APRDRG|||532|MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS|13808.385|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7414.48|No Volume|No Volume|No Volume|No Volume|7414.48|7414.48
APRDRG|||539|CESAREAN SECTION WITH STERILIZATION|25535.22227|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10465.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5744.035|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12391.06194|No Volume|No Volume|10489.81|No Volume|5744.035|12391.06194
APRDRG|||540|CESAREAN DELIVERY|27498.8985|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12461.75632|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5867.164091|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12933.72401|No Volume|No Volume|12507.03714|No Volume|5867.164091|12933.72401
APRDRG|||541|VAGINAL DELIVERY W STERILIZATION &/OR D&C|23769.26273|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6582.925|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9962.14375|No Volume|No Volume|10544.39|No Volume|6582.925|10544.39
APRDRG|||542|VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C|16012.07712|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8167.819|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4503.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9401.531282|No Volume|No Volume|9132.19|No Volume|4503.94|9401.531282
APRDRG|||543|POSTPARTM&POST ABORT DX W RX|11690.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5112.62|No Volume|No Volume|No Volume|No Volume|5112.62|5112.62
APRDRG|||547|ANTEPARTUM WITH O.R. PROCEDURE|11312.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4172.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4424.57|No Volume|No Volume|No Volume|No Volume|4172.49|4424.57
APRDRG|||548|POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE|17181.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6096.23|No Volume|No Volume|No Volume|No Volume|6096.23|6096.23
APRDRG|||560|VAGINAL DELIVERY|13461.47817|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7601.449636|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3946.407656|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7824.772669|No Volume|No Volume|9057.132|No Volume|3946.407656|9057.132
APRDRG|||561|POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE|10029.98222|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6873.005|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2230.414|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5368.622727|No Volume|No Volume|No Volume|No Volume|2230.414|6873.005
APRDRG|||564|ABORTION W/O D&C ASPIRATION CURETTAGE OR HYSTEROTOMY|11563.335|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2763.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5746.28|No Volume|No Volume|No Volume|No Volume|2763.2|5746.28
APRDRG|||566|OTHER ANTEPARTUM DIAGNOSES|13409.39971|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5083.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3887.9175|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6250.613333|No Volume|No Volume|5068.89|No Volume|3887.9175|6250.613333
APRDRG|||593|NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE|472403.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|201197.92|No Volume|No Volume|No Volume|No Volume|201197.92|201197.92
APRDRG|||602|NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM|504363.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|249775.24|No Volume|No Volume|No Volume|No Volume|249775.24|249775.24
APRDRG|||607|NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM|545590.355|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|110750.19|No Volume|No Volume|No Volume|No Volume|110750.19|110750.19
APRDRG|||608|NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION|280608.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|75764.42|No Volume|No Volume|No Volume|No Volume|75764.42|75764.42
APRDRG|||612|NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND|296438.8875|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|78670.76|No Volume|No Volume|No Volume|No Volume|78670.76|78670.76
APRDRG|||614|NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION|142360.0257|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24375.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46389.63667|No Volume|No Volume|No Volume|No Volume|24375.22|46389.63667
APRDRG|||621|NEONATE BWT 2000-2499G W MAJOR ANOMALY|51283.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13846.59|No Volume|No Volume|No Volume|No Volume|13846.59|13846.59
APRDRG|||622|NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND|189493.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|54955.3|No Volume|No Volume|No Volume|No Volume|54955.3|54955.3
APRDRG|||623|NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION|147461.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22756.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22756.86|22756.86
APRDRG|||625|NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION|108410.1571|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35170.83143|No Volume|No Volume|No Volume|No Volume|35170.83143|35170.83143
APRDRG|||626|NEONATE BWT 2000-2499G NORMAL NEWBORN OR NEONATE W OTHER PROBLEM|55459.18871|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7100.0175|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16655.11667|No Volume|No Volume|No Volume|No Volume|7100.0175|16655.11667
APRDRG|||633|NEONATE BIRTHWT >2499G W MAJOR ANOMALY|51298.23077|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|109380.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4080.715|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17141.765|No Volume|No Volume|No Volume|No Volume|4080.715|109380.8
APRDRG|||634|NEONATE BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND|93624.94154|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28660.37077|No Volume|No Volume|No Volume|No Volume|28660.37077|28660.37077
APRDRG|||639|NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION|50612.25286|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20949.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7030.623333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15768.48|No Volume|No Volume|No Volume|No Volume|7030.623333|20949.03
APRDRG|||640|NEONATE BIRTHWT >2499G NORMAL NEWBORN OR NEONATE W OTHER PROBLEM|7602.254212|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2531.277833|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1627.76425|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3021.135955|No Volume|No Volume|2571.287143|No Volume|1627.76425|3021.135955
APRDRG|||660|MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL|12548.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3615.71|No Volume|No Volume|No Volume|No Volume|3615.71|3615.71
APRDRG|||661|COAGULATION & PLATELET DISORDERS|23555.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12485.72|No Volume|No Volume|No Volume|No Volume|12485.72|12485.72
APRDRG|||663|OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS|16277.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10504.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10504.43|10504.43
APRDRG|||710|INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE|52356.76556|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16561.47|No Volume|14307.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30930.84333|No Volume|No Volume|No Volume|No Volume|14307.42|30930.84333
APRDRG|||711|POST-OP POST-TRAUMA OTHER DEVICE INFECTIONS W O.R. PROCEDURE|34695.066|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15615.015|No Volume|6955.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16811.06|No Volume|No Volume|No Volume|No Volume|6955.76|16811.06
APRDRG|||720|SEPTICEMIA & DISSEMINATED INFECTIONS|23532.44475|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16852.0225|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11936.42063|No Volume|7494.538333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14588.25969|No Volume|No Volume|14407.12|No Volume|7494.538333|16852.0225
APRDRG|||721|POST-OPERATIVE POST-TRAUMATIC OTHER DEVICE INFECTIONS|13149.148|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4250.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6522.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9705.903333|No Volume|No Volume|No Volume|No Volume|4250.74|9705.903333
APRDRG|||722|FEVER|20136.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7052.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7052.61|7052.61
APRDRG|||724|OTHER INFECTIOUS & PARASITIC DISEASES|21597.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14331.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29074.37|No Volume|No Volume|No Volume|No Volume|14331.07|29074.37
APRDRG|||770|DRUG & ALCOHOL ABUSE OR DEPENDENCE LEFT AGAINST MEDICAL ADVICE|11551.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4899.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5362.23|No Volume|No Volume|No Volume|No Volume|4899.5|5362.23
APRDRG|||773|OPIOID ABUSE & DEPENDENCE|6790.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6890.25|No Volume|No Volume|No Volume|No Volume|6890.25|6890.25
APRDRG|||775|ALCOHOL ABUSE & DEPENDENCE|16134.30071|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8545.53|No Volume|2769.538333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10770.325|No Volume|No Volume|7297.68|No Volume|2769.538333|10770.325
APRDRG|||793|MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT|27622.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15834.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17229.57|No Volume|No Volume|No Volume|No Volume|15834.68|17229.57
APRDRG|||811|ALLERGIC REACTIONS|8571.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5931.02|No Volume|No Volume|No Volume|No Volume|5931.02|5931.02
APRDRG|||812|POISONING OF MEDICINAL AGENTS|25112.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9822.9|No Volume|No Volume|No Volume|No Volume|9822.9|9822.9
APRDRG|||813|OTHER COMPLICATIONS OF TREATMENT|7398.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7346.42|No Volume|No Volume|No Volume|No Volume|7346.42|7346.42
APRDRG|||815|OTHER INJURY POISONING & TOXIC EFFECT DIAGNOSES|7476.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6548.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6548.33|6548.33
APRDRG|||816|TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES|17496.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4635.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4635.39|4635.39
APRDRG|||817|OVERDOSE|6622.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3041.49|No Volume|No Volume|No Volume|No Volume|3041.49|3041.49
APRDRG|||850|PROCEDURE W DIAG OF REHAB AFTERCARE OR OTH CONTACT W HEALTH SERVICE|48198.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10430.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10430.4|10430.4
APRDRG|||861|SIGNS SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS|5765.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|558.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|558.06|558.06
APRDRG|||892|HIV W MAJOR HIV RELATED CONDITION|48535.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39379.09|No Volume|No Volume|No Volume|No Volume|39379.09|39379.09
APRDRG|||951|MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS|47219.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8228.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8228.16|8228.16
HOSP OP|0710 - RECOVERY ROOM|||Hb Recovery Care Level 1|1235|654.55|0|988|0|1111.5|0|997.88|889.2|835.85|0|1235|805.22|0|452.26|1010.85|764.47|744.71|0|0|0|964.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|547.23|0|0|0|0|0|0|0|0|1235
HOSP OP|0710 - RECOVERY ROOM|||Hb Recovery Care Level 2|1346|713.38|0|1076.8|0|1211.4|0|1087.57|969.12|910.97|0|1346|877.59|0|492.91|1101.7|833.17|811.64|0|0|0|1051.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|596.41|0|0|0|0|0|0|0|0|1346
HOSP OP|0710 - RECOVERY ROOM|||Hb Recovery Care Level 3|1512|801.36|0|1209.6|0|1360.8|0|1221.7|1088.64|1023.32|0|1512|985.82|0|553.69|1237.57|935.93|911.74|0|0|0|1180.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|669.97|0|0|0|0|0|0|0|0|1512
HOSP OP|0710 - RECOVERY ROOM|||Hb Recovery Care Level 4|1696|898.88|0|1356.8|0|1526.4|0|1370.37|1221.12|1147.85|0|1696|1105.79|0|621.08|1388.18|1049.82|1022.69|0|0|0|1324.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|751.5|0|0|0|0|0|0|0|0|1696
HOSP OP|0761 - TREATMENT ROOM||62273|PA BLOOD PATCH|1035|548.55|776.25|828|879.75|931.5|879.75|836.28|745.2|700.49|0|1035|674.82|1035|379.02|847.15|640.67|624.11|1035|1752.53|776.25|808.34|690.73|751.09|690.73|1035|1035|496.06|671.96|502.94|1035|1784.08|1752.53|832.08|0|0|670.7|458.61|1035|1035|690.73|1035|1035|670.62|690.65|0|1784.08
HOSP OP|0480 - CARDIOLOGY||92960|PA Cardioversion|1329|704.37|996.75|1063.2|1129.65|1196.1|1129.65|1073.83|956.88|899.47|0|1329|866.51|1029.94|486.68|1087.79|822.65|801.39|1004.17|1866.22|996.75|1037.95|592.83|644.64|592.83|997.15|1017.5|425.75|576.72|431.66|1017.5|1899.81|1866.22|886.06|0|0|589.7|588.88|1148.7|1022.54|592.83|1102.22|1036.02|575.57|592.77|0|1899.81
HOSP OP|0901 - ELECTRO SHOCK||90870|PA Electroconvulsive Thpy|1136|602.08|852|908.8|965.6|1022.4|965.6|917.89|817.92|768.84|0|1136|0|284.03|0|929.82|0|0|276.92|949.35|852|887.22|113.69|123.63|113.69|492.56|492.56|217.05|110.6|220.08|492.56|966.44|949.35|450.74|0|0|509.93|0|110.38|110.38|113.69|110.38|198.68|110.38|113.69|0|1136
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9965|OMNIPAQUE 100-199 MG PER ML|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|1.32|0|0.96|2.64|1.25|1.22|0|0.88|2.42|2.52|0|0|0|0|0|0|0|0|0|0.9|0.88|0.9|0|0|0|0.7|0|0|1.29|0|0|0|0|0|3.23
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||A9579|PARAMAG CONTRAST A9579/ ML|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|2.26|0|1.64|2.64|2.15|2.09|0|1.55|2.42|2.52|0|0|0|0|0|0|0|0|0|1.58|1.55|1.58|0|0|0|1.2|0|0|1.29|0|0|0|0|0|3.23
HOSP OP|0410 - RESPIRATORY THERAPY||94660|CPAP TREATMENT|399|211.47|299.25|319.2|339.15|359.1|339.15|322.39|287.28|270.04|0|399|260.15|374.82|146.11|326.58|246.98|240.6|365.44|1200.62|299.25|311.62|203.29|221.06|203.29|341.93|348.91|145.99|197.77|148.02|348.91|1222.23|1200.62|570.04|0|0|214.61|217.73|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|1222.23
HOSP OP|0410 - RESPIRATORY THERAPY||94660|CPAP DAILY|399|211.47|299.25|319.2|339.15|359.1|339.15|322.39|287.28|270.04|0|399|260.15|374.82|146.11|326.58|246.98|240.6|365.44|1200.62|299.25|311.62|203.29|221.06|203.29|341.93|348.91|145.99|197.77|148.02|348.91|1222.23|1200.62|570.04|0|0|214.61|217.73|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|1222.23
HOSP OP|0410 - RESPIRATORY THERAPY||94660|BIPAP|399|211.47|299.25|319.2|339.15|359.1|339.15|322.39|287.28|270.04|0|399|260.15|374.82|146.11|326.58|246.98|240.6|365.44|1200.62|299.25|311.62|203.29|221.06|203.29|341.93|348.91|145.99|197.77|148.02|348.91|1222.23|1200.62|570.04|0|0|214.61|217.73|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|1222.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86060|ASO Titer (DNASE B ATBY)|20.38|10.8|15.29|16.3|17.32|18.34|17.32|16.47|14.67|13.79|0|20.38|10.46|10.95|7.61|16.68|9.94|9.68|10.68|8.03|15.29|15.92|7.52|8.18|7.52|16.98|16.98|9.25|7.31|7.59|16.98|8.17|8.03|8.17|0|0|0|5.58|7.3|7.3|7.52|7.3|13.14|7.3|7.52|0|20.38
HOSP OP|0450 - EMERGENCY ROOM||40654|ED LIP RP FUL -> 1/2 VERT HT|1619|858.07|1214.25|1295.2|1376.15|1457.1|1376.15|1308.15|1165.68|1095.74|0|1619|0|1325.05|0|1325.15|0|0|1291.91|3349.88|1214.25|1264.44|435.76|473.84|435.76|1601.56|1601.56|702.21|423.92|715.58|1601.56|3410.18|3349.88|1590.48|0|0|0|0|423.07|423.07|435.76|423.07|761.53|423.07|435.76|0|3410.18
HOSP OP|0272 - STERILE SUPPLY||C1732|Biosense Cooltip|10920|5787.6|8190|8736|9282|9828|0|8823.36|7862.4|7390.66|0|10920|7119.84|0|3998.9|8938.02|6759.48|6584.76|0|0|8190|8528.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4838.65|0|0|4368|0|0|0|0|0|10920
HOSP OP|0361 - OR/MINOR||36299|DYE STUDY INTRATHECAL CATH|542|287.26|406.5|433.6|460.7|487.8|0|437.94|390.24|366.83|0|542|0|0|0|443.63|0|0|0|3252.37|406.5|423.3|0|0|0|0|0|0|0|0|0|3310.91|3252.37|1544.19|0|0|0|0|0|0|216.8|0|0|0|0|0|3310.91
HOSP OP|0761 - TREATMENT ROOM||G0463|Hb Pulmonary Assess|257|136.21|192.75|205.6|218.45|231.3|218.45|207.66|185.04|173.94|0|257|167.56|226.63|94.11|210.35|159.08|154.97|220.96|17.08|192.75|200.72|128.11|139.31|128.11|215.49|219.88|92.01|124.63|93.28|219.88|17.39|17.08|17.39|0|0|129.76|113.88|248.24|220.97|128.11|238.19|223.89|124.38|128.1|0|257
HOSP OP|0410 - RESPIRATORY THERAPY|||VENT TRANSPORT|304|161.12|0|243.2|0|273.6|0|245.63|218.88|205.75|0|304|198.21|0|111.32|248.82|188.18|183.31|0|0|0|237.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|165.89|0|0|0|0|0|0|0|0|304
HOSP OP|0410 - RESPIRATORY THERAPY|||WEANING PARAMETER|118|62.54|0|94.4|0|106.2|0|95.34|84.96|79.86|0|118|76.94|0|43.21|96.58|73.04|71.15|0|0|0|92.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.39|0|0|0|0|0|0|0|0|118
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9572|Hb 111 Pentetreot Dx Pdut 6mci|4028|2134.84|3021|3222.4|3423.8|3625.2|0|3254.62|2900.16|2726.15|0|4028|1459|0|747.53|3296.92|1386|1349|0|1775.04|3021|3145.87|0|0|0|0|0|0|0|0|0|1806.99|1775.04|1806.99|0|0|0|1222.55|0|0|1611.2|0|0|0|0|0|4028
HOSP OP|0361 - OR/MINOR||36002|INJ PERC TX PSEUDOANEURYSM|904|479.12|678|723.2|768.4|813.6|768.4|730.43|650.88|611.83|0|904|0|304.49|0|739.92|0|0|296.87|0|678|706.02|106.67|115.99|106.67|432.61|432.61|195.03|103.77|193.29|432.61|0|0|0|0|0|0|0|103.56|103.56|106.67|103.56|186.41|103.56|106.67|0|904
HOSP OP|0361 - OR/MINOR||36005|INJ EXTREMINITY VENOGRAM|751|398.03|563.25|600.8|638.35|675.9|0|606.81|540.72|508.28|0|751|0|0|0|614.69|0|0|0|881.4|563.25|586.53|0|0|0|0|0|0|0|0|0|897.27|881.4|418.48|0|0|0|0|0|0|48.33|0|0|46.92|0|0|897.27
HOSP OP|0361 - OR/MINOR||36010|INJECTION SVC/IVC|1389|736.17|1041.75|1111.2|1180.65|1250.1|0|1122.31|1000.08|940.08|0|1389|0|0|0|1136.9|0|0|0|9721.71|1041.75|1084.81|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|109.78|0|0|106.58|0|0|9896.7
HOSP OP|0761 - TREATMENT ROOM||36011|VENOUS-1ST ORDER|1097|581.41|822.75|877.6|932.45|987.3|0|886.38|789.84|742.45|0|1097|715.24|0|401.72|897.89|679.04|661.49|0|9721.71|822.75|856.76|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|486.08|0|0|158.83|0|0|154.2|0|0|9896.7
HOSP OP|0761 - TREATMENT ROOM||36012|VENOUS-2ND ORDER OR >|1092|578.76|819|873.6|928.2|982.8|0|882.34|786.24|739.07|0|1092|711.98|0|399.89|893.8|675.95|658.48|0|9721.71|819|852.85|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|483.87|0|0|174.88|0|0|169.79|0|0|9896.7
HOSP OP|0761 - TREATMENT ROOM||36014|PULMONARY SEL CATH RT/LT|969|513.57|726.75|775.2|823.65|872.1|0|782.95|697.68|655.82|0|969|631.79|0|354.85|793.13|599.81|584.31|0|9721.71|726.75|756.79|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|429.36|0|0|153.84|0|0|149.36|0|0|9896.7
HOSP OP|0761 - TREATMENT ROOM||36015|PULMONARY SEL SEG/SUBMENTAL|1102|584.06|826.5|881.6|936.7|991.8|0|890.42|793.44|745.83|0|1102|718.5|0|403.55|901.99|682.14|664.51|0|9721.71|826.5|860.66|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|488.3|0|0|176.79|0|0|171.64|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36140|EXTREMITY ART NEEDLE|949|502.97|711.75|759.2|806.65|854.1|0|766.79|683.28|642.28|0|949|0|0|0|776.76|0|0|0|9721.71|711.75|741.17|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|88.5|0|0|85.92|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36200|INTRODUCTION CATHETER AORTA|1727|915.31|1295.25|1381.6|1467.95|1554.3|0|1395.42|1243.44|1168.83|0|1727|0|0|0|1413.55|0|0|0|9721.71|1295.25|1348.79|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|136.89|0|0|132.9|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36215|CATH PLACE THORACIC 1ST ORD|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|0|0|0|2033.15|0|0|0|9721.71|1863|1940|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|215.59|0|0|209.31|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36216|CATH PLACE THORACIC 2ND ORD|2639|1398.67|1979.25|2111.2|2243.15|2375.1|0|2132.31|1900.08|1786.08|0|2639|0|0|0|2160.02|0|0|0|9721.71|1979.25|2061.06|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|271.7|0|0|263.79|0|0|9896.7
HOSP OP|0761 - TREATMENT ROOM||36217|CATH PLACE THORACIC 3RD ORD|2939|1557.67|2204.25|2351.2|2498.15|2645.1|0|2374.71|2116.08|1989.12|0|2939|1916.23|0|1076.26|2405.57|1819.24|1772.22|0|9721.71|2204.25|2295.36|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|1302.27|0|0|325.86|0|0|316.37|0|0|9896.7
HOSP OP|0761 - TREATMENT ROOM||36218|CATH PLACE 2ND/3RD ORD ADDL|493|261.29|369.75|394.4|419.05|443.7|0|398.34|354.96|333.66|0|493|321.44|0|180.54|403.52|305.17|297.28|0|9721.71|369.75|385.03|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|218.45|0|0|51.59|0|0|50.09|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36245|CATH PLACE ABD 1ST ORD|2089|1107.17|1566.75|1671.2|1775.65|1880.1|0|1687.91|1504.08|1413.84|0|2089|0|0|0|1709.85|0|0|0|9721.71|1566.75|1631.51|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|238.13|0|0|231.19|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36246|CATH PLACE ABD 2ND ORD|2691|1426.23|2018.25|2152.8|2287.35|2421.9|0|2174.33|1937.52|1821.27|0|2691|0|0|0|2202.58|0|0|0|9721.71|2018.25|2101.67|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|250.88|0|0|243.57|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36247|CATH PLACE ABD 3RD ORD|3202|1697.06|2401.5|2561.6|2721.7|2881.8|0|2587.22|2305.44|2167.11|0|3202|0|0|0|2620.84|0|0|0|9721.71|2401.5|2500.76|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|301.64|0|0|292.85|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36248|CATH PLACE ABD 2/3RD ORD|1430|757.9|1072.5|1144|1215.5|1287|0|1155.44|1029.6|967.82|0|1430|0|0|0|1170.46|0|0|0|9721.71|1072.5|1116.83|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|49.91|0|0|48.46|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36481|PORTAL VEIN CATH PERC|2005|1062.65|1503.75|1604|1704.25|1804.5|0|1620.04|1443.6|1356.98|0|2005|0|0|0|1641.09|0|0|0|9721.71|1503.75|1565.91|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|340.31|0|0|330.4|0|0|9896.7
HOSP OP|0361 - OR/MINOR||36558|INSERT TUN CVAD 5 YRS OR >|4356|2308.68|3267|3484.8|3702.6|3920.4|3702.6|3519.65|3136.32|2948.14|0|4356|0|2059.19|0|3565.39|0|0|2007.69|4414.34|3267|3402.04|267.37|290.73|267.37|2148.07|2148.07|884.47|260.1|959.76|2148.07|4493.8|4414.34|2095.87|0|0|0|0|259.58|259.58|267.37|259.58|467.24|259.58|267.37|0|4493.8
HOSP OP|0361 - OR/MINOR||36561|INS TUNN CVAD 5YRS/> W PORT|5504|2917.12|4128|4403.2|4678.4|4953.6|4678.4|4447.23|3962.88|3725.11|0|5504|3532|5167.4|1996.08|4505.02|3356|3268|5038.14|4414.34|4128|4298.62|3062.51|3330.1|3062.51|5151.14|5256.27|2199.38|2979.25|2229.91|5256.27|4493.8|4414.34|2095.87|0|0|2958.71|2445.1|5504|5282.35|3062.51|5504|5351.95|2973.31|3062.17|0|5504
HOSP OP|0361 - OR/MINOR||36575|REPAIR C-CATH|1288|682.64|966|1030.4|1094.8|1159.2|1094.8|1040.7|927.36|871.72|0|1288|0|471.77|0|1054.23|0|0|459.97|1571.75|966|1005.93|35.5|38.61|35.5|456.59|456.59|205.6|34.54|204|456.59|1600.04|1571.75|746.25|0|0|0|0|34.47|34.47|35.5|34.47|62.05|34.47|35.5|0|1600.04
HOSP OP|0361 - OR/MINOR||36580|REPLACE CVAD CATH SVAS|1627|862.31|1220.25|1301.6|1382.95|1464.3|1382.95|1314.62|1171.44|1101.15|0|1627|0|580.09|0|1331.7|0|0|565.58|1571.75|1220.25|1270.69|67.62|73.53|67.62|607.45|607.45|265.91|65.78|271.41|607.45|1600.04|1571.75|746.25|0|0|0|0|65.65|65.65|67.62|65.65|118.17|65.65|67.62|0|1627
HOSP OP|0361 - OR/MINOR||36581|REPL TUNNEL CVAD CATH SVAS|4743|2513.79|3557.25|3794.4|4031.55|4268.7|4031.55|3832.34|3414.96|3210.06|0|4743|0|2196.39|0|3882.15|0|0|2141.46|4414.34|3557.25|3704.28|188.44|204.9|188.44|2140.07|2140.07|879.63|183.32|956.19|2140.07|4493.8|4414.34|2095.87|0|0|0|0|182.95|182.95|188.44|182.95|329.31|182.95|188.44|0|4743
HOSP OP|0361 - OR/MINOR||36582|REPL TUNN CVAD SVAS W PORT|7371|3906.63|5528.25|5896.8|6265.35|6633.9|6265.35|5955.77|5307.12|4988.69|0|7371|3532|5167.4|1996.08|6033.16|3356|3268|5038.14|4414.34|5528.25|5756.75|3062.51|3330.1|3062.51|5151.14|5256.27|2199.38|2979.25|2229.91|5256.27|4493.8|4414.34|2095.87|0|0|2958.71|2445.1|5934.07|5282.35|3062.51|5693.97|5351.95|2973.31|3062.17|0|7371
HOSP OP|0361 - OR/MINOR||36584|REPLACE PICC SVAS|1627|862.31|1220.25|1301.6|1382.95|1464.3|1382.95|1314.62|1171.44|1101.15|0|1627|1627|1627|598.82|1331.7|1627|1627|1627|428.36|1220.25|1270.69|1627|1960.04|1627|1627|1627|1294.52|1627|1312.49|1627|436.07|428.36|203.38|0|0|1224.95|733.53|1627|1627|1802.54|1627|1627|1750.04|1627|0|1960.04
HOSP OP|0361 - OR/MINOR||36589|REMOVE TUNNEL CVAD|2095|1110.35|1571.25|1676|1780.75|1885.5|1780.75|1692.76|1508.4|1417.9|0|2095|0|292.45|0|1714.76|0|0|285.14|428.36|1571.25|1636.2|140.53|152.81|140.53|452.59|452.59|198.11|136.71|202.22|452.59|436.07|428.36|203.38|0|0|0|0|136.44|136.44|140.53|136.44|245.59|136.44|140.53|0|2095
HOSP OP|0361 - OR/MINOR||36590|REMOVE TUN CVAD W PORT/PUMP|2513|1331.89|1884.75|2010.4|2136.05|2261.7|2136.05|2030.5|1809.36|1700.8|0|2513|2513|1212.88|598.82|2056.89|2513|2513|1182.54|4505.75|1884.75|1962.65|696.77|757.65|696.77|1171.96|1195.88|500.39|677.83|507.34|1195.88|4586.85|4505.75|2139.27|0|0|694.45|733.53|1350.09|1201.82|696.77|1295.46|1217.65|676.47|696.69|0|4586.85
HOSP OP|0361 - OR/MINOR||36595|MECHANICAL REML FIBRIN SHE|4516|2393.48|3387|3612.8|3838.6|4064.4|3838.6|3648.93|3251.52|3056.43|0|4516|0|1650|0|3696.35|0|0|1608.73|4505.75|3387|3527|187.64|204.03|187.64|1718.45|1718.45|733.9|182.53|767.81|1718.45|4586.85|4505.75|2139.27|0|0|0|0|182.17|182.17|187.64|182.17|327.91|182.17|187.64|0|4586.85
HOSP OP|0361 - OR/MINOR||36596|MECHANICAL REMOVAL INTRACA|1606|851.18|1204.5|1284.8|1365.1|1445.4|1365.1|1297.65|1156.32|1086.94|0|1606|0|339.39|0|1314.51|0|0|330.9|428.36|1204.5|1254.29|44.88|48.8|44.88|353.68|353.68|162.89|43.66|158.03|353.68|436.07|428.36|203.38|0|0|0|0|43.57|43.57|44.88|43.57|78.43|43.57|44.88|0|1606
HOSP OP|0361 - OR/MINOR||36597|REPOSITION CVAD W FLUORO|1606|851.18|1204.5|1284.8|1365.1|1445.4|1365.1|1297.65|1156.32|1086.94|0|1606|0|298.47|0|1314.51|0|0|291|4414.34|1204.5|1254.29|62.37|67.82|62.37|363.67|363.67|157.61|60.67|162.49|363.67|4493.8|4414.34|2095.87|0|0|0|0|60.55|60.55|62.37|60.55|108.99|60.55|62.37|0|4493.8
HOSP OP|0361 - OR/MINOR||36598|INJ(S) W FLUORO EVAL CVAD|1136|602.08|852|908.8|965.6|1022.4|965.6|917.89|817.92|768.84|0|1136|744|366.16|399.22|929.82|707|688|357|4414.34|852|887.22|203.05|220.79|203.05|113.07|113.07|145.82|197.53|147.85|113.07|4493.8|4414.34|2095.87|0|0|209.65|489.02|393.44|350.23|203.05|377.52|354.84|197.13|203.03|0|4493.8
HOSP OP|0361 - OR/MINOR||37182|T.I.P.S INITIAL PROCEDURE|17081|9052.93|12810.75|13664.8|14518.85|15372.9|14518.85|13801.45|12298.32|11560.42|0|17081|0|0|0|13980.8|0|0|9326.23|18154|12810.75|13340.26|849.95|924.21|849.95|2289.94|2289.94|1013.46|826.84|1023.15|2289.94|18480.77|18154|8619.29|0|0|0|0|825.19|825.19|849.95|825.19|1485.34|825.19|849.95|0|18480.77
HOSP OP|0361 - OR/MINOR||37183|Revision Of Transvenous Intrahepatic Portosystemic Shunt(s) (tips)|13287|7042.11|9965.25|10629.6|11293.95|11958.3|11293.95|10735.9|9566.64|8992.64|0|13287|0|13287|0|10875.41|0|0|13287|18154|9965.25|10377.15|387.37|421.22|387.37|13287|13287|7313.94|376.84|7665.13|13287|18480.77|18154|8619.29|0|0|0|0|376.09|376.09|387.37|376.09|676.96|376.09|387.37|0|18480.77
HOSP OP|0361 - OR/MINOR||37184|MECH ART THROMBECT INTIAL|6958|3687.74|5218.5|5566.4|5914.3|6262.2|5914.3|5622.06|5009.76|4709.17|0|6958|0|6237.74|0|5695.12|0|0|6081.73|7698.94|5218.5|5434.2|431.82|469.55|431.82|5963.63|5963.63|2741.02|420.08|2664.56|5963.63|7837.52|7698.94|3655.36|0|0|0|0|419.24|419.24|431.82|419.24|754.63|419.24|431.82|0|7837.52
HOSP OP|0361 - OR/MINOR||37185|MECH ART THROMBECT SUBQ|3003|1591.59|2252.25|2402.4|2552.55|2702.7|0|2426.42|2162.16|2032.43|0|3003|0|0|0|2457.96|0|0|0|7698.94|2252.25|2345.34|0|0|0|0|0|0|0|0|0|7837.52|7698.94|3655.36|0|0|0|0|0|0|162.39|0|0|157.66|0|0|7837.52
HOSP OP|0361 - OR/MINOR||37186|SEC ART MECH THROMB ADD-ON|3153|1671.09|2364.75|2522.4|2680.05|2837.7|0|2547.62|2270.16|2133.95|0|3153|0|0|0|2580.73|0|0|0|7698.94|2364.75|2462.49|0|0|0|0|0|0|0|0|0|7837.52|7698.94|3655.36|0|0|0|0|0|0|241.87|0|0|234.83|0|0|7837.52
HOSP OP|0361 - OR/MINOR||37187|MECH THROMBECT VEIN(S)|9866|5228.98|7399.5|7892.8|8386.1|8879.4|8386.1|7971.73|7103.52|6677.31|0|9866|0|5750.32|0|8075.32|0|0|5606.51|7698.94|7399.5|7705.35|398|432.78|398|5529.02|5529.02|2464.98|387.18|2470.38|5529.02|7837.52|7698.94|3655.36|0|0|0|0|386.41|386.41|398|386.41|695.54|386.41|398|0|9866
HOSP OP|0360 - OR SERVICES||37188|(IA) HB REP VEN MECH THROM W/FLU R*|8603|4559.59|6452.25|6882.4|7312.55|7742.7|7312.55|6951.22|6194.16|5822.51|0|8603|0|4966.84|0|7041.56|0|0|4842.62|7698.94|6452.25|6718.94|281.33|305.92|281.33|4662.8|4662.8|2085.48|273.69|2083.35|4662.8|7837.52|7698.94|3655.36|0|0|0|0|273.14|273.14|281.33|273.14|491.65|273.14|281.33|0|8603
HOSP OP|0361 - OR/MINOR||37200|Hb Transcatheter Bx|6509|3449.77|4881.75|5207.2|5532.65|5858.1|5532.65|5259.27|4686.48|4405.29|0|6509|0|210.61|0|5327.62|0|0|205.35|1360.36|4881.75|5083.53|224.98|244.64|224.98|604.46|604.46|267.67|218.87|270.07|604.46|1384.85|1360.36|645.88|0|0|0|0|218.43|218.43|224.98|218.43|393.17|218.43|224.98|0|6509
HOSP OP|0361 - OR/MINOR||37215|Hb Stentcarotid Art Open Or Perc W Emb Dev|9814|5201.42|7360.5|7851.2|8341.9|8832.6|8341.9|7929.71|7066.08|6642.12|0|9814|0|0|0|8032.76|0|0|5358.44|10912.4|7360.5|7664.73|983.23|1069.14|983.23|2654.61|2654.61|1171.08|956.5|1186.08|2654.61|11108.82|10912.4|5181.07|0|0|0|0|954.59|954.59|983.23|954.59|1718.26|954.59|983.23|0|11108.82
HOSP OP|0360 - OR SERVICES||37216|Hb Stent Carotid Art Open Or Perc W/o Emb Protection|10338|5479.14|7753.5|8270.4|8787.3|9304.2|8787.3|8353.1|7443.36|6996.76|0|10338|0|1361.16|0|8461.65|0|0|1327.12|10912.4|7753.5|8073.98|4135.2|0|4135.2|2780.5|2780.5|1226.99|4135.2|1242.33|2780.5|11108.82|10912.4|5181.07|0|0|0|0|0|0|4135.2|0|5169|0|4135.2|0|11108.82
HOSP OP|0361 - OR/MINOR||37799|VASCULAR SURGICAL PROCEDURE|1470|779.1|1102.5|1176|1249.5|1323|1249.5|1187.76|1058.4|994.9|0|1470|0|823.2|0|1203.2|0|0|802.62|428.36|1102.5|1148.07|588|0|588|1167.18|1215.1|633.13|588|643.42|1215.1|436.07|428.36|203.38|0|0|0|0|0|0|588|0|735|0|588|0|1470
HOSP OP|0361 - OR/MINOR||38505|BX LYMPH NODE(S) SUPERFICAL|1329|704.37|996.75|1063.2|1129.65|1196.1|1129.65|1073.83|956.88|899.47|0|1329|0|291.25|0|1087.79|0|0|283.96|2737.42|996.75|1037.95|72.8|79.16|72.8|351.68|351.68|155.85|70.82|157.13|351.68|2786.69|2737.42|1299.69|0|0|0|0|70.68|70.68|72.8|70.68|127.22|70.68|72.8|0|2786.69
HOSP OP|0341 - NUC MED/DX||38792|INJ SENTINEL NODE RP TRACER|526|278.78|394.5|420.8|447.1|473.4|447.1|425.01|378.72|356|0|526|526|526|526|430.53|526|526|526|0|394.5|410.81|406.82|442.36|406.82|526|526|292.16|395.76|296.21|526|0|0|0|0|0|395.93|515.48|526|526|406.82|526|526|394.97|406.77|0|526
HOSP OP|0361 - OR/MINOR||43761|Hb Reposition Gastrostomy Tube|1721|912.13|1290.75|1376.8|1462.85|1548.9|1462.85|1390.57|1239.12|1164.77|0|1721|0|170.9|0|1408.64|0|0|166.62|343.97|1290.75|1344.1|105.76|115|105.76|327.7|327.7|142.2|102.89|146.42|327.7|350.16|343.97|163.31|0|0|0|0|102.68|102.68|105.76|102.68|184.82|102.68|105.76|0|1721
HOSP OP|0361 - OR/MINOR||44500|INTRODUCTION LONG GI TUBE|929|492.37|696.75|743.2|789.65|836.1|789.65|750.63|668.88|628.75|0|929|0|20.46|0|760.39|0|0|19.95|1602.08|696.75|725.55|20.16|21.92|20.16|53.95|53.95|23.77|19.61|24.11|53.95|1630.92|1602.08|760.65|0|0|0|0|19.57|19.57|20.16|19.57|35.23|19.57|20.16|0|1630.92
HOSP OP|0361 - OR/MINOR||47000|BIOPSY LIVER PERC|2046|1084.38|1534.5|1636.8|1739.1|1841.4|1739.1|1653.17|1473.12|1384.73|0|2046|0|850.87|0|1674.65|0|0|829.59|1070.89|1534.5|1597.93|92.4|100.48|92.4|869.22|869.22|382.58|89.89|388.37|869.22|1090.17|1070.89|508.45|0|0|0|0|89.71|89.71|92.4|89.71|161.48|89.71|92.4|0|2046
HOSP OP|0361 - OR/MINOR||47001|BX LIVER PERC W/OTHER PRO|791|419.23|593.25|632.8|672.35|711.9|0|639.13|569.52|535.35|0|791|0|0|0|647.43|0|0|0|1070.89|593.25|617.77|0|0|0|0|0|0|0|0|0|1090.17|1070.89|508.45|0|0|0|0|0|0|102.31|0|0|99.33|0|0|1090.17
HOSP OP|0361 - OR/MINOR||47382|RF LIVER TUMOR(S)|8836|4683.08|6627|7068.8|7510.6|7952.4|7510.6|7139.49|6361.92|5980.2|0|8836|0|8836|0|7232.27|0|0|8836|8241.49|6627|6900.92|769.71|836.96|769.71|8836|8836|6069.78|748.78|5852.3|8836|8389.84|8241.49|3912.96|0|0|0|0|747.29|747.29|769.71|747.29|1345.12|747.29|769.71|0|8836
HOSP OP|0361 - OR/MINOR||47490|CHOLECYSTOSTOMY PERC|4384|2323.52|3288|3507.2|3726.4|3945.6|3726.4|3542.27|3156.48|2967.09|0|4384|0|577.68|0|3588.3|0|0|563.23|6606.99|3288|3423.9|348.66|379.12|348.66|933.16|933.16|409.88|339.18|416.94|933.16|6725.92|6606.99|3136.92|0|0|0|0|338.5|338.5|348.66|338.5|609.3|338.5|348.66|0|6725.92
HOSP OP|0361 - OR/MINOR||49400|INJ PERITONEAL CAVITY|308|163.24|231|246.4|261.8|277.2|0|248.86|221.76|208.45|0|308|0|0|0|252.1|0|0|0|0|231|240.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|94.86|0|0|92.1|0|0|308
HOSP OP|0361 - OR/MINOR||49423|EXCHANGE ABSCESS DRAIN CATH|3384|1793.52|2538|2707.2|2876.4|3045.6|2876.4|2734.27|2436.48|2290.29|0|3384|0|1766.74|0|2769.8|0|0|1722.55|1070.89|2538|2642.9|73.54|79.97|73.54|1620.54|1620.54|687.24|71.54|724.06|1620.54|1090.17|1070.89|508.45|0|0|0|0|71.4|71.4|73.54|71.4|128.52|71.4|73.54|0|3384
HOSP OP|0361 - OR/MINOR||49424|INJ ABSCESS/CYST FROM CATH|334|177.02|250.5|267.2|283.9|300.6|0|269.87|240.48|226.05|0|334|0|0|0|273.38|0|0|0|881.4|250.5|260.85|0|0|0|0|0|0|0|0|0|897.27|881.4|418.48|0|0|0|0|0|0|39.47|0|0|38.32|0|0|897.27
HOSP OP|0361 - OR/MINOR||50200|BX RENAL PERC|2097|1111.41|1572.75|1677.6|1782.45|1887.3|1782.45|1694.38|1509.84|1419.25|0|2097|0|1552.52|0|1716.39|0|0|1513.69|1360.36|1572.75|1637.76|132.77|144.37|132.77|1525.63|1525.63|672.27|129.16|681.65|1525.63|1384.85|1360.36|645.88|0|0|0|0|128.9|128.9|132.77|128.9|232.02|128.9|132.77|0|2097
HOSP OP|0361 - OR/MINOR||50382|RML/REPL URETERAL STENT|3766|1995.98|2824.5|3012.8|3201.1|3389.4|3201.1|3042.93|2711.52|2548.83|0|3766|0|3141.14|0|3082.47|0|0|3062.57|6486.62|2824.5|2941.25|265.47|288.67|265.47|3130.18|3130.18|1391.2|258.26|1398.57|3130.18|6603.38|6486.62|3079.77|0|0|0|0|257.74|257.74|265.47|257.74|463.93|257.74|265.47|0|6603.38
HOSP OP|0361 - OR/MINOR||50384|RML URETERAL STENT|4415|2339.95|3311.25|3532|3752.75|3973.5|3752.75|3567.32|3178.8|2988.07|0|4415|0|2441.9|0|3613.68|0|0|2380.83|3177.99|3311.25|3448.12|237.33|258.07|237.33|2496.75|2496.75|1090.95|230.88|1115.55|2496.75|3235.19|3177.99|1508.87|0|0|0|0|230.42|230.42|237.33|230.42|414.76|230.42|237.33|0|4415
HOSP OP|0361 - OR/MINOR||50387|RML/RPL TRAN NEP URET STENT|2929|1552.37|2196.75|2343.2|2489.65|2636.1|2489.65|2366.63|2108.88|1982.35|0|2929|0|1553.72|0|2397.39|0|0|1514.86|3177.99|2196.75|2287.55|86.98|94.58|86.98|1468.68|1468.68|615.03|84.62|656.21|1468.68|3235.19|3177.99|1508.87|0|0|0|0|84.45|84.45|86.98|84.45|152.01|84.45|86.98|0|3235.19
HOSP OP|0361 - OR/MINOR||50389|RML NEPHRO TUBE W/IMG|746|395.38|559.5|596.8|634.1|671.4|634.1|602.77|537.12|504.89|0|746|0|746|0|610.6|0|0|746|3177.99|559.5|582.63|55.63|60.49|55.63|746|746|373.78|54.12|424.97|746|3235.19|3177.99|1508.87|0|0|0|0|54.01|54.01|55.63|54.01|97.22|54.01|55.63|0|3235.19
HOSP OP|0361 - OR/MINOR||50390|ASP/INJ RENAL CYST/PEL PERC|1669|884.57|1251.75|1335.2|1418.65|1502.1|1418.65|1348.55|1201.68|1129.58|0|1669|0|98.69|0|1366.08|0|0|96.22|1360.36|1251.75|1303.49|99.44|108.12|99.44|267.76|267.76|117.99|96.73|119.64|267.76|1384.85|1360.36|645.88|0|0|0|0|96.54|96.54|99.44|96.54|173.77|96.54|99.44|0|1669
HOSP OP|0360 - OR SERVICES||50592|PERC ABLATION RENAL TUMORS*|10603|5619.59|7952.25|8482.4|9012.55|9542.7|9012.55|8567.22|7634.16|7176.11|0|10603|0|10330.84|0|8678.56|0|0|10072.47|6486.62|7952.25|8280.94|356.62|387.78|356.62|9288.63|9288.63|4182.41|346.92|4150.18|9288.63|6603.38|6486.62|3079.77|0|0|0|0|346.23|346.23|356.62|346.23|623.21|346.23|356.62|0|10603
HOSP OP|0361 - OR/MINOR||50690|INJ FOR ILEAL-URETERAL CON|491|260.23|368.25|392.8|417.35|441.9|0|396.73|353.52|332.31|0|491|0|0|0|401.88|0|0|0|881.4|368.25|383.47|0|0|0|0|0|0|0|0|0|897.27|881.4|418.48|0|0|0|0|0|0|72.79|0|0|70.67|0|0|897.27
HOSP OP|0361 - OR/MINOR||51600|INJECTION FOR CYSTOGRAPHY|502|266.06|376.5|401.6|426.7|451.8|0|405.62|361.44|339.75|0|502|502|0|399.22|410.89|502|502|0|881.4|376.5|392.06|0|0|0|0|0|0|0|0|0|897.27|881.4|418.48|0|0|0|489.02|0|0|45.57|0|0|44.24|0|0|897.27
HOSP OP|0361 - OR/MINOR||51610|INJ RETRO URETHROCYSTOGRAM|369|195.57|276.75|295.2|313.65|332.1|0|298.15|265.68|249.74|0|369|0|0|0|302.03|0|0|0|881.4|276.75|288.19|0|0|0|0|0|0|0|0|0|897.27|881.4|418.48|0|0|0|0|0|0|66.45|0|0|64.51|0|0|897.27
HOSP OP|0760 - TREATMENT OR OBSERVATION ROOM||52310|(IA) HB CYSTOURETHROSCOPY W/REMOVAL|4620|2448.6|3465|3696|3927|4158|3927|3732.96|3326.4|3126.82|0|4620|0|586.1|0|3781.47|0|0|571.45|3177.99|3465|3608.22|154.59|168.1|154.59|752.32|752.32|302.45|150.39|336.14|752.32|3235.19|3177.99|1508.87|0|0|0|0|150.09|150.09|154.59|150.09|270.16|150.09|154.59|0|4620
HOSP OP|0761 - TREATMENT ROOM||59000|AMNIOCENTESIS DIAGNOSTIC|1712.33|907.53|1284.25|1369.86|1455.48|1541.1|1455.48|1383.56|1232.88|1158.9|0|1712.33|1116.44|268.38|627.06|1401.54|1059.93|1032.53|261.67|523.33|1284.25|1337.33|78.55|85.41|78.55|332.7|332.7|151.01|76.41|148.65|332.7|532.75|523.33|248.47|0|0|0|758.73|76.26|76.26|78.55|76.26|137.27|76.26|78.55|0|1712.33
HOSP OP|0361 - OR/MINOR||61624|OCCL/EMBOL IC/SPINE|8558|4535.74|6418.5|6846.4|7274.3|7702.2|7274.3|6914.86|6161.76|5792.05|0|8558|0|0|0|7004.72|0|0|4672.67|12736.97|6418.5|6683.8|1119.59|1217.42|1119.59|3018.28|3018.28|1328.25|1089.15|1348.57|3018.28|12966.24|12736.97|6047.36|0|0|0|0|1086.98|1086.98|1119.59|1086.98|1956.56|1086.98|1119.59|0|12966.24
HOSP OP|0361 - OR/MINOR||61626|OCCL/EMBOL EC/BRACH BRANCH|12219|6476.07|9164.25|9775.2|10386.15|10997.1|10386.15|9872.95|8797.68|8269.82|0|12219|0|1079.54|0|10001.25|0|0|1052.54|12736.97|9164.25|9543.04|883.44|960.64|883.44|2368.87|2368.87|1033.72|859.43|1058.41|2368.87|12966.24|12736.97|6047.36|0|0|0|0|857.71|857.71|883.44|857.71|1543.88|857.71|883.44|0|12966.24
HOSP OP|0361 - OR/MINOR||61635|INTRAVAS STENT(S) INTRACRAN|9129|4838.37|6846.75|7303.2|7759.65|8216.1|7759.65|7376.23|6572.88|6178.51|0|9129|0|0|0|7472.09|0|0|4984.43|19530.8|6846.75|7129.75|1429.03|1553.9|1429.03|3859.52|3859.52|1696.74|1390.18|1724.44|3859.52|19882.35|19530.8|9272.98|0|0|0|0|1387.41|1387.41|1429.03|1387.41|2497.34|1387.41|1429.03|0|19882.35
HOSP OP|0761 - TREATMENT ROOM||62290|INJ LUMBAR DISKOGRAPHY EACH|616|326.48|462|492.8|523.6|554.4|0|497.73|443.52|416.91|0|616|401.63|0|225.58|504.2|381.3|371.45|0|1227.19|462|481.1|0|0|0|0|0|0|0|0|0|1249.28|1227.19|582.66|0|0|0|272.95|0|0|172.04|0|0|167.03|0|0|1249.28
HOSP OP|0361 - OR/MINOR||64479|INJ EPIDURAL C/T SNG LEVEL|2325|1232.25|1743.75|1860|1976.25|2092.5|1976.25|1878.6|1674|1573.56|0|2325|0|560.83|0|1903.01|0|0|546.8|1752.53|1743.75|1815.83|135.45|147.28|135.45|686.38|686.38|290.57|131.76|306.68|686.38|1784.08|1752.53|832.08|0|0|0|0|131.5|131.5|135.45|131.5|236.7|131.5|135.45|0|2325
HOSP OP|0761 - TREATMENT ROOM||64480|Hb Inj Epidural C/t Ea Addl|783|414.99|587.25|626.4|665.55|704.7|0|632.66|563.76|529.93|0|783|510.52|0|286.73|640.89|484.68|472.15|0|1752.53|587.25|611.52|0|0|0|0|0|0|0|0|0|1784.08|1752.53|832.08|0|0|0|346.95|0|0|64.25|0|0|62.38|0|0|1784.08
HOSP OP|0361 - OR/MINOR||64483|INJ EPIDURAL L/S SNG LEVEL|1282|679.46|961.5|1025.6|1089.7|1153.8|1089.7|1035.86|923.04|867.66|0|1282|1282|1282|598.82|1049.32|1282|1282|1282|1752.53|961.5|1001.24|897.39|975.8|897.39|1282|1282|644.47|872.99|653.42|1282|1784.08|1752.53|832.08|0|0|856.68|733.53|1282|1282|897.39|1282|1282|871.25|897.29|0|1784.08
HOSP OP|0361 - OR/MINOR||64484|INJ EPIDURAL L/S EA ADDL|489|259.17|366.75|391.2|415.65|440.1|0|395.11|352.08|330.96|0|489|0|0|0|400.25|0|0|0|1752.53|366.75|381.91|0|0|0|0|0|0|0|0|0|1784.08|1752.53|832.08|0|0|0|0|0|0|53.79|0|0|52.22|0|0|1784.08
HOSP OP|0361 - OR/MINOR||57720|Hb Trachelorrhapy Plastic Repair Of Uter Cervix Vag Approach|6701|3551.53|5025.75|5360.8|5695.85|6030.9|5695.85|5414.41|4824.72|4535.24|0|6701|0|515.1|0|5484.77|0|0|502.22|4225.76|5025.75|5233.48|331.39|360.35|331.39|858.23|858.23|367.61|322.38|383.46|858.23|4301.82|4225.76|2006.34|0|0|0|0|321.74|321.74|331.39|321.74|579.13|321.74|331.39|0|6701
HOSP OP|0480 - CARDIOLOGY||93799|Continuous Monitor Other|306|162.18|229.5|244.8|260.1|275.4|260.1|247.25|220.32|207.1|0|306|199.51|171.36|112.06|250.46|189.41|184.52|167.08|116.47|229.5|238.99|122.4|0|122.4|242.96|252.94|131.79|122.4|133.94|252.94|118.57|116.47|55.3|0|0|152.27|135.59|0|0|122.4|0|153|0|122.4|0|306
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 5 Base 30  Minutes|8869|4700.57|0|7095.2|0|7982.1|0|7166.15|6385.68|6002.54|0|8869|0|0|0|7259.28|0|0|0|0|0|6926.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8869
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 5 15 MINUTES|1092|578.76|0|873.6|0|982.8|0|882.34|786.24|739.07|0|1092|0|0|0|893.8|0|0|0|0|0|852.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1092
HOSP OP|0610 - MRI||70543|MRI ORBIT/FACE/NECK W&WO|2310|1224.3|1732.5|1848|1963.5|2079|1963.5|1866.48|1663.2|1563.41|0|2310|1868|754.87|979.08|1890.74|1775|1728|735.99|1075.89|1732.5|1804.11|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1095.26|1075.89|510.82|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2310
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9539|TC99 DTPA DX PSD UT 25 MCI|155|82.15|116.25|124|131.75|139.5|0|125.24|111.6|104.9|0|155|155|0|155|126.87|155|155|0|20.19|116.25|121.06|0|0|0|0|0|0|0|0|0|20.55|20.19|20.55|0|0|0|151.9|0|0|62|0|0|0|0|0|155
HOSP OP|0344 - THERAPEUTIC RADIOPHARMACEUTICL||A9503|Hb Tc99m Mdp Dx Psd Up To 30 Mci|135|71.55|101.25|108|114.75|121.5|0|109.08|97.2|91.37|0|135|135|0|135|110.5|135|135|0|0.47|101.25|105.44|0|0|0|0|0|0|0|0|0|0.48|0.47|0.48|0|0|0|132.3|0|0|54|0|0|0|0|0|135
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9540|TC99 MAA DX PSD UT 10 MCI|461|244.33|345.75|368.8|391.85|414.9|0|372.49|331.92|312|0|461|461|0|461|377.33|461|461|0|18|345.75|360.04|0|0|0|0|0|0|0|0|0|18.32|18|18.32|0|0|0|451.78|0|0|184.4|0|0|0|0|0|461
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9560|TC99 RBC DX PSD UT 30 MCI|442|234.26|331.5|353.6|375.7|397.8|0|357.14|318.24|299.15|0|442|442|0|442|361.78|442|442|0|100|331.5|345.2|0|0|0|0|0|0|0|0|0|101.8|100|101.8|0|0|0|433.16|0|0|176.8|0|0|0|0|0|442
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9541|SULFUR COLOID DX PDUT 20MCI|352|186.56|264|281.6|299.2|316.8|0|284.42|253.44|238.23|0|352|352|0|352|288.11|352|352|0|50|264|274.91|0|0|0|0|0|0|0|0|0|50.9|50|50.9|0|0|0|344.96|0|0|140.8|0|0|0|0|0|352
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9548|IN-111 DTPA DX PER 0.5 MCI|2213|1172.89|1659.75|1770.4|1881.05|1991.7|0|1788.1|1593.36|1497.76|0|2213|1459|0|747.53|1811.34|1386|1349|0|326.18|1659.75|1728.35|0|0|0|0|0|0|0|0|0|332.05|326.18|332.05|0|0|0|1222.55|0|0|885.2|0|0|0|0|0|2213
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9541|NF SULFUR COL DX PDUT 20MCI|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|224|0|224|183.34|224|224|0|50|168|174.94|0|0|0|0|0|0|0|0|0|50.9|50|50.9|0|0|0|219.52|0|0|89.6|0|0|0|0|0|224
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9552|PET FDG DX PSD UT 45MCI|347|183.91|260.25|277.6|294.95|312.3|0|280.38|249.84|234.85|0|347|347|0|347|284.02|347|347|0|248.78|260.25|271.01|0|0|0|0|0|0|0|0|0|253.26|248.78|253.26|0|0|0|340.06|0|0|138.8|0|0|0|0|0|347
HOSP OP|0300 - LABORATORY||81219|Hb Calr Gene Mutation Exon 9|622.13|329.73|466.6|497.7|528.81|559.92|528.81|502.68|447.93|421.06|0|622.13|174.33|182.44|126.76|509.21|165.68|161.22|177.88|133.79|466.6|485.88|125.28|136.23|125.28|309.72|309.72|151.89|121.87|138.38|309.72|136.2|133.79|136.2|0|0|151.37|93.13|121.63|121.63|125.28|121.63|218.93|121.63|125.28|0|622.13
HOSP OP|0301 - LAB/CHEMISTRY||82310|CALCIUM URINE RANDOM|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.39|7.74|5.37|16.37|7.02|6.84|7.55|5.16|15|15.62|5.31|5.78|5.31|11.99|11.99|6.6|5.17|5.36|11.99|5.25|5.16|5.25|0|0|0|3.95|5.16|5.16|5.31|5.16|9.29|5.16|5.31|0|20
HOSP OP|0301 - LAB/CHEMISTRY||82810|GASES MIXED VENOUS PO2|69|36.57|51.75|55.2|58.65|62.1|58.65|55.75|49.68|46.7|0|69|12.6|13.19|9.16|56.48|11.98|11.66|12.86|10.75|51.75|53.89|10.06|10.94|10.06|20.98|20.98|11.01|9.79|9.37|20.98|10.94|10.75|10.94|0|0|0|6.73|9.77|9.77|10.06|9.77|17.59|9.77|10.06|0|69
HOSP OP|0302 - LAB/IMMUNOLOGY||86870|Mbc Red Cell Panel|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|58.75|165|42.72|135.05|55.83|54.33|165|37.25|123.75|128.87|165|340.56|165|165|165|165|165|165|165|37.92|37.25|37.92|0|0|41.71|31.38|165|165|313.19|165|165|304.07|165|0|340.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|Mbc Platelet Crossmatch|337|178.61|758.25|808.8|859.35|909.9|859.35|816.89|727.92|684.24|0|1011|26.33|27.55|19.14|827.5|25.02|24.35|26.86|20.21|758.25|789.59|18.92|20.57|18.92|43.96|43.96|22.89|18.41|19.64|43.96|20.57|20.21|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|1011
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|Mbc Platelet Compatibility Panel|213|112.89|479.25|511.2|543.15|575.1|543.15|516.31|460.08|432.48|0|639|26.33|27.55|19.14|523.02|25.02|24.35|26.86|20.21|479.25|499.06|18.92|20.57|18.92|43.96|43.96|22.89|18.41|19.64|43.96|20.57|20.21|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|639
HOSP OP|0761 - TREATMENT ROOM||G0463|Hb Ldr Op Visit Charge 3|408|216.24|306|326.4|346.8|367.2|346.8|329.66|293.76|276.13|0|408|266.02|226.63|149.41|333.95|252.55|246.02|220.96|17.08|306|318.65|128.11|139.31|128.11|215.49|219.88|92.01|124.63|93.28|219.88|17.39|17.08|17.39|0|0|129.76|180.78|248.24|220.97|128.11|238.19|223.89|124.38|128.1|0|408
HOSP OP|0761 - TREATMENT ROOM||G0463|Hb Ldr Op Visit Charge 4|499|264.47|374.25|399.2|424.15|449.1|424.15|403.19|359.28|337.72|0|499|325.35|226.63|182.73|408.43|308.88|300.9|220.96|17.08|374.25|389.72|128.11|139.31|128.11|215.49|219.88|92.01|124.63|93.28|219.88|17.39|17.08|17.39|0|0|129.76|221.11|248.24|220.97|128.11|238.19|223.89|124.38|128.1|0|499
HOSP OP|0761 - TREATMENT ROOM||G0463|Hb Ldr Op Visit Charge 5|604|320.12|453|483.2|513.4|543.6|513.4|488.03|434.88|408.79|0|604|393.81|226.63|221.18|494.37|373.88|364.21|220.96|17.08|453|471.72|128.11|139.31|128.11|215.49|219.88|92.01|124.63|93.28|219.88|17.39|17.08|17.39|0|0|129.76|267.63|248.24|220.97|128.11|238.19|223.89|124.38|128.1|0|604
HOSP OP|0360 - OR SERVICES||59514|Hb C-section Addl|1325|702.25|993.75|1060|1126.25|1192.5|1126.25|1070.6|954|896.76|0|1325|0|0|0|1084.51|0|0|723.45|0|993.75|1034.83|888.39|966.01|888.39|1325|1325|1054.41|864.24|1064.66|1325|0|0|0|0|0|0|0|862.51|862.51|888.39|862.51|1325|862.51|888.39|0|1325
HOSP OP|0360 - OR SERVICES||59514|C-SECTION FIRST 30|5467|2897.51|4100.25|4373.6|4646.95|4920.3|4646.95|4417.34|3936.24|3700.07|0|5467|0|0|0|4474.74|0|0|2984.98|0|4100.25|4269.73|888.39|966.01|888.39|2382.85|2382.85|1054.41|864.24|1064.66|2382.85|0|0|0|0|0|0|0|862.51|862.51|888.39|862.51|1552.52|862.51|888.39|0|5467
HOSP OP|0360 - OR SERVICES||59160|D&C POST DELIVERY First 30|3090|1637.7|2317.5|2472|2626.5|2781|2626.5|2496.72|2224.8|2091.31|0|3090|0|415.21|0|2529.17|0|0|404.82|4264.09|2317.5|2413.29|179.76|195.46|179.76|578.48|578.48|239.94|174.87|258.47|578.48|4340.84|4264.09|2024.53|0|0|0|0|174.52|174.52|179.76|174.52|314.14|174.52|179.76|0|4340.84
HOSP OP|0360 - OR SERVICES||59160|D&C POST DELIVERY ADDL|1865|988.45|1398.75|1492|1585.25|1678.5|1585.25|1506.92|1342.8|1262.23|0|1865|0|415.21|0|1526.5|0|0|404.82|4264.09|1398.75|1456.57|179.76|195.46|179.76|578.48|578.48|239.94|174.87|258.47|578.48|4340.84|4264.09|2024.53|0|0|0|0|174.52|174.52|179.76|174.52|314.14|174.52|179.76|0|4340.84
HOSP OP|0430 - OCCUPATIONAL THERAPY||97110|OT THERAPEUTIC EXERCISE|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|130|93.87|106.79|106.41|130|130|85.54|199.75|97.5|101.53|32.04|34.84|32.04|85.92|127.5|37.86|31.73|38.39|127.5|203.35|199.75|94.84|0|0|24.65|127.4|34.22|34.22|32.04|34.22|56|31.11|32.04|0|203.35
HOSP OP|0430 - OCCUPATIONAL THERAPY||97530|OT FUNCTIONAL|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|130|122.76|106.79|106.41|130|130|114.06|199.75|97.5|101.53|41.45|45.07|41.45|112.9|127.5|50.63|41.04|50.44|127.5|203.35|199.75|94.84|0|0|32.11|127.4|44.26|44.26|41.45|44.26|72.43|40.24|41.45|0|203.35
HOSP OP|0420 - PHYSICAL THERAPY||97530|Hb Pt Therapeutic Activity|166|87.98|124.5|132.8|141.1|149.4|141.1|134.13|119.52|112.35|0|166|166|122.76|106.79|135.87|166|166|114.06|199.75|124.5|129.65|41.45|45.07|41.45|112.9|127.5|50.63|41.04|50.44|127.5|203.35|199.75|94.84|0|0|32.11|162.68|44.26|44.26|41.45|44.26|72.43|40.24|41.45|0|203.35
HOSP OP|0420 - PHYSICAL THERAPY||97110|PT THERAPEUTIC EXERCISE|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|130|93.87|106.79|106.41|130|130|85.54|199.75|97.5|101.53|32.04|34.84|32.04|85.92|127.5|37.86|31.73|38.39|127.5|203.35|199.75|94.84|0|0|24.65|127.4|34.22|34.22|32.04|34.22|56|31.11|32.04|0|203.35
HOSP OP|0710 - RECOVERY ROOM|||Hb Ldr Post Anesthesia Care|1382|732.46|0|1105.6|0|1243.8|0|1116.66|995.04|935.34|0|1382|901.06|0|506.09|1131.17|855.46|833.35|0|0|0|1079.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|612.36|0|0|0|0|0|0|0|0|1382
HOSP OP|0623 - SURGICAL DRESSINGS||A6403|SILVER DRESSING 4X5|28|14.84|21|22.4|23.8|25.2|0|22.62|20.16|18.95|0|28|18.26|0|10.25|22.92|17.33|16.88|0|0.44|21|21.87|0|0|0|0|0|0|0|0|0|0.45|0.44|0.45|0|0|0|12.41|0|0|0.5|0|0|0.49|0|0|28
HOSP OP|0230 - NURSING INCREM|||NURSE TRANSPORT|1352|716.56|0|1081.6|0|1216.8|0|1092.42|973.44|915.03|0|1352|0|0|0|1106.61|0|0|0|0|0|1055.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1352
HOSP OP|0410 - RESPIRATORY THERAPY||94772|PEDIATRIC APNEA|2306|1222.18|1729.5|1844.8|1960.1|2075.4|1960.1|1863.25|1660.32|1560.7|0|2306|1503.51|1291.36|844.46|1887.46|1427.41|1390.52|1259.08|201.94|1729.5|1800.99|922.4|0|922.4|328.7|328.7|144.84|922.4|146.87|328.7|205.57|201.94|205.57|0|0|509.93|1258.38|0|0|922.4|0|1153|0|922.4|0|2306
HOSP OP|0305 - LAB/HEMATOLOGY||85018|HEMOGLOBIN|19|10.07|14.25|15.2|16.15|17.1|16.15|15.35|13.68|12.86|0|19|3.39|3.55|2.47|15.55|3.22|3.14|3.46|2.37|14.25|14.84|2.44|2.65|2.44|5.99|5.99|3.08|2.37|2.68|5.99|2.41|2.37|2.41|0|0|0|1.81|2.37|2.37|2.44|2.37|4.27|2.37|2.44|0|19
HOSP OP|0301 - LAB/CHEMISTRY||84157|BF PROTEIN|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|5.25|5.49|3.82|23.74|4.99|4.86|5.35|4|21.75|22.65|4.12|4.48|4.12|8.99|8.99|4.4|4.01|4.02|8.99|4.07|4|4.07|0|0|0|2.8|4|4|4.12|4|7.2|4|4.12|0|29
HOSP OP|0301 - LAB/CHEMISTRY||84520|BUN (UREA NITROGEN)|18|9.54|13.5|14.4|15.3|16.2|15.3|14.54|12.96|12.18|0|18|5.66|5.93|4.12|14.73|5.38|5.24|5.78|3.95|13.5|14.06|4.07|4.42|4.07|8.99|8.99|4.84|3.96|4.02|8.99|4.02|3.95|4.02|0|0|0|3.02|3.95|3.95|4.07|3.95|7.11|3.95|4.07|0|18
HOSP OP|0301 - LAB/CHEMISTRY||82435|CHLORIDE SERUM|18|9.54|13.5|14.4|15.3|16.2|15.3|14.54|12.96|12.18|0|18|6.59|6.9|4.79|14.73|6.26|6.1|6.73|4.6|13.5|14.06|4.74|5.15|4.74|10.99|10.99|5.72|4.61|4.91|10.99|4.68|4.6|4.68|0|0|0|3.51|4.6|4.6|4.74|4.6|8.28|4.6|4.74|0|18
HOSP OP|0301 - LAB/CHEMISTRY||84132|POCT POTASSIUM|28|14.84|21|22.4|23.8|25.2|23.8|22.62|20.16|18.95|0|28|6.59|6.9|4.79|22.92|6.26|6.1|6.73|4.76|21|21.87|4.9|5.33|4.9|10.99|10.99|5.72|4.77|4.91|10.99|4.85|4.76|4.85|0|0|0|3.51|4.76|4.76|4.9|4.76|8.57|4.76|4.9|0|28
HOSP OP|0301 - LAB/CHEMISTRY||82374|CARBON DIOXIDE|39|20.67|29.25|31.2|33.15|35.1|33.15|31.51|28.08|26.4|0|39|7|7.33|5.09|31.92|6.66|6.48|7.15|4.88|29.25|30.46|5.03|5.47|5.03|11.99|11.99|6.16|4.89|5.36|11.99|4.97|4.88|4.97|0|0|0|3.74|4.88|4.88|5.03|4.88|8.78|4.88|5.03|0|39
HOSP OP|0301 - LAB/CHEMISTRY||84295|POCT SODIUM|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|6.9|7.22|5.02|22.1|6.56|6.38|7.04|4.81|20.25|21.09|4.95|5.39|4.95|10.99|10.99|6.16|4.82|4.91|10.99|4.9|4.81|4.9|0|0|0|3.68|4.81|4.81|4.95|4.81|8.66|4.81|4.95|0|27
HOSP OP|0301 - LAB/CHEMISTRY||82947|GLUCOSE SERUM|24|12.72|18|19.2|20.4|21.6|20.4|19.39|17.28|16.24|0|24|5.64|5.9|4.1|19.64|5.36|5.21|5.75|3.93|18|18.74|4.05|4.4|4.05|8.99|8.99|4.84|3.94|4.02|8.99|4|3.93|4|0|0|4.9|3|3.93|3.93|4.05|3.93|7.07|3.93|4.05|0|24
HOSP OP|0301 - LAB/CHEMISTRY||84484|TROPONIN-I|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|16.09|16.83|11.7|61.39|15.29|14.88|16.41|13.72|56.25|58.58|12.84|13.97|12.84|26.98|26.98|12.77|12.49|12.05|26.98|13.97|13.72|13.97|0|0|0|8.59|12.47|12.47|12.84|12.47|22.45|12.47|12.84|0|75
HOSP OP|0301 - LAB/CHEMISTRY||82803|GASES ARTERIAL|163|86.39|122.25|130.4|138.55|146.7|138.55|131.7|117.36|110.32|0|163|33.63|35.19|24.45|133.42|31.96|31.1|34.31|28.68|122.25|127.3|26.85|29.2|26.85|55.95|55.95|26.42|26.12|25|55.95|29.2|28.68|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|163
HOSP OP|0301 - LAB/CHEMISTRY||82803|GASES CAPILLARY|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|33.63|35.19|24.45|135.05|31.96|31.1|34.31|28.68|123.75|128.87|26.85|29.2|26.85|55.95|55.95|26.42|26.12|25|55.95|29.2|28.68|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|165
HOSP OP|0301 - LAB/CHEMISTRY||82330|CALCIUM IONIZED|74|39.22|55.5|59.2|62.9|66.6|62.9|59.79|53.28|50.08|0|74|19.61|20.52|14.26|60.57|18.64|18.13|20.01|13.68|55.5|57.79|14.09|15.32|14.09|32.97|32.97|17.17|13.71|14.73|32.97|13.93|13.68|13.93|0|0|0|10.48|13.68|13.68|14.09|13.68|24.62|13.68|14.09|0|74
HOSP OP|0301 - LAB/CHEMISTRY||82374|BICARBONATE (HCO3)|39|20.67|29.25|31.2|33.15|35.1|33.15|31.51|28.08|26.4|0|39|7|7.33|5.09|31.92|6.66|6.48|7.15|4.88|29.25|30.46|5.03|5.47|5.03|11.99|11.99|6.16|4.89|5.36|11.99|4.97|4.88|4.97|0|0|0|3.74|4.88|4.88|5.03|4.88|8.78|4.88|5.03|0|39
HOSP OP|0301 - LAB/CHEMISTRY||82803|GASES VENOUS|152|80.56|114|121.6|129.2|136.8|129.2|122.82|109.44|102.87|0|152|33.63|35.19|24.45|124.41|31.96|31.1|34.31|28.68|114|118.71|26.85|29.2|26.85|55.95|55.95|26.42|26.12|25|55.95|29.2|28.68|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|152
HOSP OP|0302 - LAB/IMMUNOLOGY||86860|MBC ABY ELUTION|222|117.66|166.5|177.6|188.7|199.8|188.7|179.38|159.84|150.25|0|222|42.78|222|31.1|181.71|40.65|39.56|222|22.87|166.5|173.38|158.58|172.44|158.58|222|222|113.88|154.27|115.46|222|23.28|22.87|23.28|0|0|88.8|22.85|222|222|158.58|222|222|153.96|158.56|0|222
HOSP OP|0390 - BLOOD/STOR-PROC||86920|COMP CROSSMATCH COMPAT|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|58.68|90|32.96|73.67|55.71|54.27|90|18.92|67.5|70.29|90|172.44|90|90|90|90|90|90|90|19.26|18.92|19.26|0|0|21.19|39.88|90|90|158.58|90|90|153.96|90|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||P9040|Mbc Rbc Leuko Red Irrad|721|382.13|540.75|576.8|612.85|648.9|612.85|582.57|519.12|487.97|0|721|470.09|499.98|264.03|590.14|446.3|434.76|487.47|215.83|540.75|563.1|270.64|294.29|270.64|488.41|498.38|208.54|263.29|211.43|498.38|219.71|215.83|219.71|0|0|241.74|319.48|562.65|500.85|270.64|539.88|472.97|262.76|270.62|0|721
HOSP OP|0302 - LAB/IMMUNOLOGY||86886|MBC ABY TITER|312|165.36|234|249.6|265.2|280.8|265.2|252.1|224.64|211.16|0|312|7.42|283.12|5.39|255.37|7.05|6.86|276.04|5.7|234|243.67|158.58|172.44|158.58|266.73|272.17|113.88|154.27|115.46|272.17|5.8|5.7|5.8|0|0|6.43|3.96|307.27|273.52|158.58|294.83|277.13|153.96|158.56|0|312
HOSP OP|0302 - LAB/IMMUNOLOGY||86880|MBC DIRECT COOMBS|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|7.73|62.84|5.62|73.67|7.34|7.15|61.27|5.93|67.5|70.29|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|6.04|5.93|6.04|0|0|6.71|4.12|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|90
HOSP OP|0302 - LAB/IMMUNOLOGY||86922|IAT CROSSMATCH|166|87.98|124.5|132.8|141.1|149.4|141.1|134.13|119.52|112.35|0|166|50.76|166|36.91|135.87|48.24|46.94|166|18.45|124.5|129.65|158.58|172.44|158.58|166|166|113.88|154.27|115.46|166|18.78|18.45|18.78|0|0|20.66|27.11|166|166|158.58|166|166|153.96|158.56|0|172.44
HOSP OP|0361 - OR/MINOR||50688|CHG URETEROS TUBE/EXT STENT|2986|1582.58|2239.5|2388.8|2538.1|2687.4|2538.1|2412.69|2149.92|2020.92|0|2986|0|126.37|0|2444.04|0|0|123.21|940.26|2239.5|2332.07|81.05|88.13|81.05|218.8|218.8|97.74|78.85|97.76|218.8|957.18|940.26|446.42|0|0|0|0|78.69|78.69|81.05|78.69|141.64|78.69|81.05|0|2986
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90715|DIPHTHPERTTET (ADACEL)|92.54|49.05|69.41|74.03|78.66|83.29|0|74.77|66.63|62.63|0|92.54|41.72|0|30.33|75.74|39.65|38.58|0|33.64|69.41|72.27|0|0|0|0|0|0|0|0|0|34.25|33.64|34.25|0|0|0|22.29|0|0|37.02|0|0|0|0|0|92.54
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Sedative Hypnotic Panel Urine|333.78|176.9|250.34|267.02|283.71|300.4|283.71|269.69|240.32|225.9|0|333.78|83.4|87.28|60.64|273.2|79.26|77.13|85.1|68.35|250.34|260.68|64|69.6|64|137.88|137.88|72.64|62.26|61.6|137.88|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|333.78
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88377|HER-2 / NEU FISH (HCMC)|314.2|166.53|235.65|251.36|267.07|282.78|267.07|253.87|226.22|212.65|0|314.2|314.2|283.12|314.2|257.17|314.2|314.2|276.04|143.82|235.65|245.39|158.58|172.44|158.58|266.73|272.17|113.88|154.27|115.46|272.17|146.41|143.82|68.29|0|0|314.2|294.71|307.27|273.52|158.58|294.83|277.13|153.96|158.56|0|314.2
HOSP OP|0450 - EMERGENCY ROOM||23650|CLSD TX SHLDER DISLC W/O ANES|559|296.27|419.25|447.2|475.15|503.1|475.15|451.67|402.48|378.33|0|559|0|559|0|457.54|0|0|559|1268.76|419.25|436.58|296.6|322.52|296.6|559|559|384.34|288.54|393.72|559|1291.6|1268.76|602.39|0|0|0|0|287.96|287.96|296.6|287.96|518.33|287.96|296.6|0|1291.6
HOSP OP|0361 - OR/MINOR||31624|BRONCHOSCOPY W/ LAVAGE|2634|1396.02|1975.5|2107.2|2238.9|2370.6|2238.9|2128.27|1896.48|1782.69|0|2634|0|537.96|0|2155.93|0|0|524.51|5603.85|1975.5|2057.15|138.81|150.94|138.81|699.37|699.37|313.9|135.04|312.48|699.37|5704.72|5603.85|2660.64|0|0|0|0|134.77|134.77|138.81|134.77|242.59|134.77|138.81|0|5704.72
HOSP OP|0740 - EEG||95819|EEG AWAKE & ASLEEP|677|358.81|507.75|541.6|575.45|609.3|575.45|547.02|487.44|458.19|0|677|441.4|677|247.92|554.12|419.06|408.23|677|622.27|507.75|528.74|396.79|431.46|396.79|677|677|530.95|386|541.48|677|633.47|622.27|295.45|0|0|282.6|299.98|385.23|385.23|396.79|385.23|677|385.23|396.79|0|677
HOSP OP|0301 - LAB/CHEMISTRY||83519|ACHR GANGLIONIC ABY|60.53|32.08|45.4|48.42|51.45|54.48|51.45|48.91|43.58|40.97|0|60.53|23.74|24.84|17.26|49.54|22.56|21.95|24.22|20.24|45.4|47.27|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|60.53
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9512|TC99 PERTECHNETA DX PER MCI|5|2.65|3.75|4|4.25|4.5|0|4.04|3.6|3.38|0|5|5|0|5|4.09|5|5|0|0.45|3.75|3.91|0|0|0|0|0|0|0|0|0|0.46|0.45|0.46|0|0|0|4.9|0|0|2|0|0|0|0|0|5
HOSP OP|0482 - CARDIOLOGY STRESS TEST||93017|STRESS TEST TRACING|1038|550.14|778.5|830.4|882.3|934.2|882.3|838.7|747.36|702.52|0|1038|676.78|493.57|380.12|849.6|642.52|625.91|481.23|421.73|778.5|810.68|279.7|304.14|279.7|470.45|480.05|200.87|272.09|203.66|480.05|429.32|421.73|200.23|0|0|282.6|459.94|541.96|482.44|279.7|520.03|488.79|271.55|279.67|0|1038
HOSP OP|0272 - STERILE SUPPLY||C1730|Decapolar-StJude 120cm|902|478.06|676.5|721.6|766.7|811.8|0|728.82|649.44|610.47|0|902|588.1|0|330.31|738.29|558.34|543.91|0|0|676.5|704.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|399.68|0|0|360.8|0|0|0|0|0|902
HOSP OP|0301 - LAB/CHEMISTRY||83655|LEAD BLOOD SINGLE|13.08|6.93|9.81|10.46|11.12|11.77|11.12|10.57|9.42|8.85|0|13.08|13.08|13.08|12.62|10.71|13.08|13.08|13.08|12.11|9.81|10.22|12.47|13.08|12.47|13.08|13.08|13.08|12.13|12.95|13.08|12.33|12.11|12.33|0|0|0|9.27|12.11|12.11|12.47|12.11|13.08|12.11|12.47|0|13.08
HOSP OP|0483 - ECHOCARDIOLOGY||93308|ECHOCARDIOGRAM LTD ADULT|716|379.48|537|572.8|608.6|644.4|608.6|578.53|515.52|484.59|0|716|716|451.03|629.6|586.05|716|716|439.74|1122.41|537|559.2|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|1142.61|1122.41|532.91|0|0|258.25|701.68|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1142.61
HOSP OP|0483 - ECHOCARDIOLOGY||93308|ECHO PED F/U OR LTD|716|379.48|537|572.8|608.6|644.4|608.6|578.53|515.52|484.59|0|716|716|451.03|629.6|586.05|716|716|439.74|1122.41|537|559.2|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|1142.61|1122.41|532.91|0|0|258.25|701.68|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1142.61
HOSP OP|0762 - OBSERVATION ROOM||G0379|Hb Direct Admit|782|414.46|586.5|625.6|664.7|703.8|664.7|631.86|563.04|529.26|0|703.8|501.26|782|263.69|640.07|476.24|463.73|782|187.95|586.5|610.74|557.53|606.24|557.53|782|782|400.4|542.37|358.94|782|191.33|187.95|191.33|0|0|588.37|318.2|782|782|557.53|782|782|541.29|557.47|0|782
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT GROUP TREATMENT LEVEL 1|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|37|37|37|30.28|37|37|37|622.52|27.75|28.9|19.19|20.87|19.19|37|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|36.26|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT GROUP TREATMENT LEVEL 2|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|51|51|51|41.74|51|51|51|622.52|38.25|39.83|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|49.98|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0430 - OCCUPATIONAL THERAPY||97032|OT ELEC STIM ONE TO ONE|98|51.94|73.5|78.4|83.3|88.2|83.3|79.18|70.56|66.33|0|98|98|0|98|80.21|98|98|0|199.75|73.5|76.54|0|0|0|40.96|127.5|18.93|0|18.3|127.5|203.35|199.75|94.84|0|0|11.75|96.04|14.99|14.99|0|14.99|0|0|0|0|203.35
HOSP OP|0305 - LAB/HEMATOLOGY||86891|CELL SAVER SETUP|298|157.94|223.5|238.4|253.3|268.2|253.3|240.78|214.56|201.69|0|298|190.83|166.88|138.76|243.91|181.36|176.48|162.71|140.4|223.5|232.74|119.2|0|119.2|288.74|288.74|127.23|119.2|129.01|288.74|142.93|140.4|142.93|0|0|119.2|101.95|0|0|119.2|0|149|0|119.2|0|298
HOSP OP|0305 - LAB/HEMATOLOGY||86891|CELL SAVER PARTIAL|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|190.83|409.92|138.76|599.14|181.36|176.48|399.67|140.4|549|571.69|292.8|0|292.8|288.74|288.74|127.23|292.8|129.01|288.74|142.93|140.4|142.93|0|0|292.8|101.95|0|0|292.8|0|366|0|292.8|0|732
HOSP OP|0305 - LAB/HEMATOLOGY||86891|CELL SAVER FULL|1224|648.72|918|979.2|1040.4|1101.6|1040.4|988.99|881.28|828.4|0|1224|190.83|685.44|138.76|1001.84|181.36|176.48|668.3|140.4|918|955.94|489.6|0|489.6|288.74|288.74|127.23|489.6|129.01|288.74|142.93|140.4|142.93|0|0|489.6|101.95|0|0|489.6|0|612|0|489.6|0|1224
HOSP OP|0460 - PULMONARY FUNCTION||94640|INHALATION TREAT NEB ADDL|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|76.94|118|43.21|96.58|73.04|71.15|118|288.95|88.5|92.16|118|221.06|118|118|118|118|118|118|118|294.15|288.95|137.19|0|0|118|52.29|118|118|203.29|118|118|197.37|118|0|294.15
HOSP OP|0460 - PULMONARY FUNCTION||94640|INHALATION TREAT NEB INIT|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|76.94|118|43.21|96.58|73.04|71.15|118|288.95|88.5|92.16|118|221.06|118|118|118|118|118|118|118|294.15|288.95|137.19|0|0|118|52.29|118|118|203.29|118|118|197.37|118|0|294.15
HOSP OP|0410 - RESPIRATORY THERAPY||94640|SPUTUM INDUCTION|136|72.08|102|108.8|115.6|122.4|115.6|109.89|97.92|92.04|0|136|88.67|136|49.8|111.32|84.18|82.01|136|288.95|102|106.22|136|221.06|136|136|136|136|136|136|136|294.15|288.95|137.19|0|0|136|74.22|136|136|203.29|136|136|197.37|136|0|294.15
HOSP OP|0480 - CARDIOLOGY||93770|IABP MONITORING INITIAL|438|232.14|328.5|350.4|372.3|394.2|0|353.9|315.36|296.44|0|438|285.58|0|160.4|358.5|271.12|264.11|0|0|328.5|342.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|194.08|0|0|175.2|0|0|0|0|0|438
HOSP OP|0480 - CARDIOLOGY||93770|IABP MONITORING ADDL|430|227.9|322.5|344|365.5|387|0|347.44|309.6|291.02|0|430|280.36|0|157.47|351.96|266.17|259.29|0|0|322.5|335.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|190.53|0|0|172|0|0|0|0|0|430
HOSP OP|0450 - EMERGENCY ROOM||27502|CLSD TX FEMUR FX W/MANI|1042|552.26|781.5|833.6|885.7|937.8|885.7|841.94|750.24|705.23|0|1042|0|1042|0|852.88|0|0|1042|1358.67|781.5|813.8|765.98|832.91|765.98|1042|1042|906.48|745.16|919.14|1042|1383.13|1358.67|645.08|0|0|0|0|743.67|743.67|765.98|743.67|1042|743.67|765.98|0|1383.13
HOSP OP|0483 - ECHOCARDIOLOGY||93321|DOPPLER ECHO F/U OR LTD|275|145.75|206.25|220|233.75|247.5|0|222.2|198|186.12|0|275|275|0|275|225.09|275|275|0|1122.41|206.25|214.78|0|0|0|0|0|0|0|0|0|1142.61|1122.41|532.91|0|0|0|269.5|0|0|20.31|0|0|19.72|0|0|1142.61
HOSP OP|0450 - EMERGENCY ROOM||11043|Exc Skin Tissue Muscle w/mod|944|500.32|708|755.2|802.4|849.6|802.4|762.75|679.68|638.9|0|944|0|465.75|0|772.66|0|0|454.11|3419.45|708|737.26|156.72|170.42|156.72|635.43|635.43|278.68|152.46|283.91|635.43|3481|3419.45|1623.51|0|0|0|0|152.16|152.16|156.72|152.16|273.89|152.16|156.72|0|3481
HOSP OP|0301 - LAB/CHEMISTRY||82103|ALPHA-1-ANTITRYPSIN|38.03|20.16|28.52|30.42|32.33|34.23|32.33|30.73|27.38|25.74|0|38.03|19.26|20.16|14|31.13|18.3|17.81|19.66|14.78|28.52|29.7|13.84|15.05|13.84|31.97|31.97|16.73|13.47|14.28|31.97|15.05|14.78|15.05|0|0|0|10.29|13.44|13.44|13.84|13.44|24.19|13.44|13.84|0|38.03
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9966|Hb Optiray Per Ml|1.87|0.99|1.4|1.5|1.59|1.68|0|1.51|1.35|1.27|0|1.87|0.43|0|0.31|1.53|0.4|0.39|0|0.32|1.4|1.46|0|0|0|0|0|0|0|0|0|0.33|0.32|0.33|0|0|0|0.22|0|0|0.75|0|0|0|0|0|1.87
HOSP OP|0310 - PATHOLOGY LAB||88342|SPECIAL STAIN GROUP III|216|114.48|162|172.8|183.6|194.4|183.6|174.53|155.52|146.19|0|216|130.21|216|94.68|176.8|123.75|120.42|216|99.19|162|168.7|158.58|172.44|158.58|216|216|113.88|154.27|115.46|216|100.98|99.19|47.1|0|0|80.54|69.56|216|216|158.58|216|216|153.96|158.56|0|216
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88112|CYTOLOGY BODY FLUID|171|90.63|128.25|136.8|145.35|153.9|145.35|138.17|123.12|115.73|0|171|64.38|99.74|46.81|139.96|61.19|59.54|97.24|143.82|128.25|133.55|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|146.41|143.82|68.29|0|0|44.22|34.4|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|171
HOSP OP|0305 - LAB/HEMATOLOGY||85025|Hb Cbc / Diff|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|11.13|11.65|8.09|49.93|10.58|10.3|11.36|7.77|45.75|47.64|8|8.7|8|17.98|17.98|9.69|7.79|8.04|17.98|7.91|7.77|7.91|0|0|0|5.95|7.77|7.77|8|7.77|13.99|7.77|8|0|61
HOSP OP|0450 - EMERGENCY ROOM||41899|TOOTH EXTRACTION|1248|661.44|936|998.4|1060.8|1123.2|1060.8|1008.38|898.56|844.65|0|1248|0|698.88|0|1021.49|0|0|681.41|3349.88|936|974.69|499.2|0|499.2|990.91|1031.6|537.51|499.2|546.25|1031.6|3410.18|3349.88|1590.48|0|0|0|0|0|0|499.2|0|624|0|499.2|0|3410.18
HOSP OP|0272 - STERILE SUPPLY||C1887|DUAL LUMEN PIGTAIL|227|120.31|170.25|181.6|192.95|204.3|0|183.42|163.44|153.63|0|227|148|0|83.13|185.8|140.51|136.88|0|0|170.25|177.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.58|0|0|90.8|0|0|0|0|0|227
HOSP OP|0307 - LAB-UROLOGY||81003|URINE MACROSCOPIC|18|9.54|13.5|14.4|15.3|16.2|15.3|14.54|12.96|12.18|0|18|3.21|3.36|2.34|14.73|3.05|2.97|3.28|2.25|13.5|14.06|2.32|2.52|2.32|5|5|2.64|2.25|2.23|5|2.29|2.25|2.29|0|0|0|1.71|2.25|2.25|2.32|2.25|4.05|2.25|2.32|0|18
HOSP OP|0307 - LAB-UROLOGY||81001|URINALYSIS W/ MICROSCOPIC|25|13.25|18.75|20|21.25|22.5|21.25|20.2|18|16.92|0|25|4.54|4.75|3.3|20.46|4.32|4.2|4.63|3.49|18.75|19.53|3.27|3.55|3.27|7.99|7.99|3.96|3.18|3.57|7.99|3.55|3.49|3.55|0|0|0|2.42|3.17|3.17|3.27|3.17|5.71|3.17|3.27|0|25
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 5|104|55.12|78|83.2|88.4|93.6|88.4|84.03|74.88|70.39|0|104|104|56.56|104|85.12|104|104|51.54|622.52|78|81.22|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|101.92|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 6|110|58.3|82.5|88|93.5|99|93.5|88.88|79.2|74.45|0|110|110|56.56|106.79|90.04|110|110|51.54|622.52|82.5|85.91|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|107.8|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 7|123|65.19|92.25|98.4|104.55|110.7|104.55|99.38|88.56|83.25|0|123|123|56.56|106.79|100.68|123|123|51.54|622.52|92.25|96.06|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|120.54|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 8|138|73.14|103.5|110.4|117.3|124.2|117.3|111.5|99.36|93.4|0|138|138|56.56|106.79|112.95|138|138|51.54|622.52|103.5|107.78|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|135.24|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 9|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|165|56.56|106.79|135.05|165|165|51.54|622.52|123.75|128.87|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|161.7|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|LEGUMES:SOYBEAN|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:A.ALTERNATA|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|ANIMAL:CAT DANDER|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:C.HERBARUM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|DUST:D.FARINAE|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|DUST:D.PTERONYSSINUS|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:S. ROSTRATA|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0450 - EMERGENCY ROOM||30000|Hb Drainage Of Nose Lesion|547.45|290.15|410.59|437.96|465.33|492.71|465.33|442.34|394.16|370.51|0|547.45|0|547.45|0|448.09|0|0|547.45|888.87|410.59|427.56|121.14|131.72|121.14|547.45|547.45|280|117.85|301.32|547.45|904.87|888.87|422.02|0|0|0|0|117.61|117.61|121.14|117.61|211.7|117.61|121.14|0|904.87
HOSP OP|0301 - LAB/CHEMISTRY||80342|ARIPIPRAZOLE (ABILIFY)|73.44|38.92|55.08|58.75|62.42|66.1|62.42|59.34|52.88|49.7|0|73.44|31.49|0|22.9|60.11|29.93|29.12|0|26.56|55.08|57.36|73.44|0|73.44|44.96|44.96|73.44|29.38|20.09|44.96|27.04|26.56|27.04|0|0|0|71.97|73.44|73.44|73.44|73.44|73.44|73.44|73.44|0|73.44
HOSP OP|0301 - LAB/CHEMISTRY||83516|21-HYDROXYLASE ABY|114.25|60.55|85.69|91.4|97.11|102.83|97.11|92.31|82.26|77.32|0|114.25|16.52|17.29|12.02|93.51|15.71|15.28|16.86|11.53|85.69|89.23|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|114.25
HOSP OP|0272 - STERILE SUPPLY||C1725|PTCA BALLOON|390|206.7|292.5|312|331.5|351|0|315.12|280.8|263.95|0|390|254.28|0|142.82|319.22|241.41|235.17|0|0|292.5|304.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|172.81|0|0|156|0|0|0|0|0|390
HOSP OP|0272 - STERILE SUPPLY||C1769|PTCA WIRES|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|78.4|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1887|PTCA GUIDES|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|201.6|0|0|0|0|0|504
HOSP OP|0301 - LAB/CHEMISTRY||83519|IMMUNOASSAY QT RIA|347|183.91|260.25|277.6|294.95|312.3|294.95|280.38|249.84|234.85|0|347|23.74|24.84|17.26|284.02|22.56|21.95|24.22|20.24|260.25|271.01|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|347
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|VIRUS ANTIBODY NOT SPECIFIED|54.56|28.92|40.92|43.65|46.38|49.1|46.38|44.08|39.28|36.93|0|54.56|18.46|19.32|13.42|44.66|17.54|17.07|18.84|14.17|40.92|42.61|13.27|14.43|13.27|30.97|30.97|15.85|12.91|13.84|30.97|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|54.56
HOSP OP|0335 - CHEMOTHERAPY/IV||96413|CHEMOTHERAPY INFUSION 1 HR|762|403.86|571.5|609.6|647.7|685.8|647.7|615.7|548.64|515.72|0|762|496.82|564.14|279.04|623.7|471.68|459.49|550.03|438.62|571.5|595.12|342.13|372.03|342.13|320.54|320.54|245.71|332.83|249.12|320.54|446.52|438.62|208.25|0|0|323|337.64|662.94|590.13|342.13|636.11|597.91|332.17|342.1|0|762
HOSP OP|0335 - CHEMOTHERAPY/IV||96415|CHEMO INFUSION ADDTL HOURS|394|208.82|295.5|315.2|334.9|354.6|334.9|318.35|283.68|266.66|0|394|256.89|116.89|144.28|322.49|243.89|237.58|113.97|525.61|295.5|307.71|66.82|72.66|66.82|83.14|83.14|47.99|65.01|48.65|83.14|535.07|525.61|249.55|0|0|66.92|174.58|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|535.07
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|EGG:EGG WHITE|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|EGG:EGG YOLK|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86038|ANA CASCADE|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|17.32|18.13|12.6|49.11|16.47|16.02|17.68|13.3|45|46.86|12.45|13.54|12.45|28.97|28.97|14.97|12.11|12.95|28.97|13.54|13.3|13.54|0|0|0|9.25|12.09|12.09|12.45|12.09|21.76|12.09|12.45|0|60
HOSP OP|0306 - LAB/BACT-MICRO||87799|BK VIRUS PCR URINE|151.17|80.12|113.38|120.94|128.49|136.05|128.49|122.15|108.84|102.31|0|151.17|61.4|64.26|44.65|123.73|58.36|56.79|62.65|47.12|113.38|118.06|44.13|47.98|44.13|101.91|101.91|53.27|42.93|45.53|101.91|47.97|47.12|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|151.17
HOSP OP|0306 - LAB/BACT-MICRO||87799|BK VIRUS PCR PLASMA|93.1|49.34|69.83|74.48|79.14|83.79|79.14|75.22|67.03|63.01|0|93.1|61.4|64.26|44.65|76.2|58.36|56.79|62.65|47.12|69.83|72.71|44.13|47.98|44.13|93.1|93.1|53.27|42.93|45.53|93.1|47.97|47.12|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|93.1
HOSP OP|0450 - EMERGENCY ROOM||31505|LARYNGOSCOPY DIAGNOSTIC|266|140.98|199.5|212.8|226.1|239.4|226.1|214.93|191.52|180.03|0|266|0|215.43|0|217.72|0|0|210.04|343.97|199.5|207.75|49.82|54.17|49.82|236.79|236.79|101.26|48.47|105.8|236.79|350.16|343.97|163.31|0|0|0|0|48.37|48.37|49.82|48.37|87.07|48.37|49.82|0|350.16
HOSP OP|0450 - EMERGENCY ROOM||11719|Hb Trimming Nondystrophic Nail|148|78.44|111|118.4|125.8|133.2|125.8|119.58|106.56|100.17|0|148|0|28.88|0|121.14|0|0|28.16|270.5|111|115.59|7.95|8.65|7.95|39.96|39.96|17.61|7.74|17.86|39.96|275.37|270.5|128.43|0|0|0|0|7.72|7.72|7.95|7.72|13.9|7.72|7.95|0|275.37
HOSP OP|0302 - LAB/IMMUNOLOGY||86317|IMMUNOASSAY INFECTIOUS QUANT|37.13|19.68|27.85|29.7|31.56|33.42|31.56|30|26.73|25.13|0|37.13|21.48|22.48|15.62|30.39|20.41|19.86|21.92|16.49|27.85|29|15.44|16.79|15.44|35.97|35.97|18.49|15.02|16.07|35.97|16.79|16.49|16.79|0|0|0|11.47|14.99|14.99|15.44|14.99|26.98|14.99|15.44|0|37.13
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-GR. A STREP VAGINAL|70|37.1|52.5|56|59.5|63|59.5|56.56|50.4|47.38|0|70|9.49|9.94|6.9|57.3|9.02|8.78|9.69|7.29|52.5|54.67|6.83|7.43|6.83|15.99|15.99|8.36|6.64|7.14|15.99|7.42|7.29|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|70
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|TREE:OAK|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|WEED:RAGWEEDCOMMON|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:PEANUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:ALMOND|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:CASHEW|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:PISTACHIO|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:A.FUMIGATUS|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:PECAN|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:WALNUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:P.CHRYSOGENUM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|TREE:BIRCHCOMMON SILVER|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|TREE:MAPLEBOX ELDER|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|TREE:ELM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|GRASS:TIMOTHY|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0361 - OR/MINOR||60100|Hb Needle Biopsy Thyroid|1566|829.98|1174.5|1252.8|1331.1|1409.4|1331.1|1265.33|1127.52|1059.87|0|1566|0|197.37|0|1281.77|0|0|192.44|1360.36|1174.5|1223.05|80.78|87.84|80.78|311.72|311.72|138.24|78.59|139.28|311.72|1384.85|1360.36|645.88|0|0|0|0|78.43|78.43|80.78|78.43|141.17|78.43|80.78|0|1566
HOSP OP|0323 - DX X-RAY/ARTER||75705|ANGIO SPINAL SELECT|5582|2958.46|4186.5|4465.6|4744.7|5023.8|4744.7|4510.26|4019.04|3777.9|0|5582|694|458.53|313.38|4568.87|660|642|447.07|689.31|4186.5|4359.54|141.71|154.09|141.71|692.38|692.38|308.18|137.86|309.36|692.38|701.72|689.31|327.28|0|0|4902.04|583.1|137.58|137.58|141.71|137.58|247.64|137.58|141.71|0|5582
HOSP OP|0302 - LAB/IMMUNOLOGY||86777|TOXOPLASMA ABY|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.83|0|0|0|0|0|0|0|0|0|0|0|16.11|15.83|16.11|0|0|0|0|0|0|0|0|0|0|0|0|16.11
HOSP OP|0301 - LAB/CHEMISTRY||82397|Hb Chemiluminescent Assay|118.08|62.58|88.56|94.46|100.37|106.27|100.37|95.41|85.02|79.92|0|118.08|20.24|21.18|14.72|96.65|19.24|18.72|20.65|15.53|88.56|92.22|14.54|15.81|14.54|33.97|33.97|17.61|14.15|15.18|33.97|15.81|15.53|15.81|0|0|0|10.81|14.12|14.12|14.54|14.12|25.42|14.12|14.54|0|118.08
HOSP OP|0302 - LAB/IMMUNOLOGY||86592|SYPHILIS TEST QUAL|30.48|16.15|22.86|24.38|25.91|27.43|25.91|24.63|21.95|20.63|0|30.48|6.13|6.41|4.46|24.95|5.82|5.67|6.25|4.7|22.86|23.8|4.4|4.78|4.4|9.99|9.99|5.28|4.28|4.46|9.99|4.78|4.7|4.78|0|0|5.33|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|30.48
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|FLUOR NONINFECT ABY SCREEN|131|69.43|98.25|104.8|111.35|117.9|111.35|105.85|94.32|88.66|0|131|37.49|18.08|27.26|107.22|35.63|34.67|17.63|56.65|98.25|102.31|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|131
HOSP OP|0310 - PATHOLOGY LAB||88235|Hb Tissue Culture Amniotic Fluid Or Cvs|670.3|355.26|502.73|536.24|569.76|603.27|569.76|541.6|482.62|453.66|0|670.3|211.08|220.9|153.48|548.64|200.61|195.21|215.38|165.33|502.73|523.5|154.81|168.34|154.81|349.69|349.69|183.59|150.6|156.24|349.69|168.31|165.33|168.31|0|0|0|112.77|150.3|150.3|154.81|150.3|270.54|150.3|154.81|0|670.3
HOSP OP|0310 - PATHOLOGY LAB||88240|Hb Cryopreservation Freezing Storage|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|16.86|17.64|12.26|53.2|16.02|15.59|17.2|14.38|48.75|50.77|13.46|14.64|13.46|27.97|27.97|13.21|13.1|12.5|27.97|14.64|14.38|14.64|0|0|0|9|13.07|13.07|13.46|13.07|23.53|13.07|13.46|0|65
HOSP OP|0301 - LAB/CHEMISTRY||84403|TESTOSTERONE TOTAL|30.11|15.96|22.58|24.09|25.59|27.1|25.59|24.33|21.68|20.38|0|30.11|30.11|30.11|26.9|24.65|30.11|30.11|30.11|28.39|22.58|23.52|26.58|28.91|26.58|30.11|30.11|30.11|25.86|27.23|30.11|28.9|28.39|28.9|0|0|0|19.76|25.81|25.81|26.58|25.81|30.11|25.81|26.58|0|30.11
HOSP OP|0301 - LAB/CHEMISTRY||84402|TESTOSTERONE FREE|29.72|15.75|22.29|23.78|25.26|26.75|25.26|24.01|21.4|20.11|0|29.72|29.72|29.72|26.55|24.33|29.72|29.72|29.72|28.02|22.29|23.21|26.23|28.53|26.23|29.72|29.72|29.72|25.52|27.23|29.72|28.52|28.02|28.52|0|0|0|19.5|25.47|25.47|26.23|25.47|29.72|25.47|26.23|0|29.72
HOSP OP|0301 - LAB/CHEMISTRY||83883|KAPPA FREE CHAIN|21.91|11.61|16.43|17.53|18.62|19.72|18.62|17.7|15.78|14.83|0|21.91|19.49|20.4|14.17|17.93|18.52|18.03|19.89|14.96|16.43|17.11|14.01|15.23|14.01|21.91|21.91|17.17|13.63|14.28|21.91|15.23|14.96|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|21.91|13.6|14.01|0|21.91
HOSP OP|0301 - LAB/CHEMISTRY||83883|LAMBDA FREE CHAIN|21.92|11.62|16.44|17.54|18.63|19.73|18.63|17.71|15.78|14.84|0|21.92|19.49|20.4|14.17|17.94|18.52|18.03|19.89|14.96|16.44|17.12|14.01|15.23|14.01|21.92|21.92|17.17|13.63|14.28|21.92|15.23|14.96|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|21.92|13.6|14.01|0|21.92
HOSP OP|0450 - EMERGENCY ROOM||25260|ED PRIM REP FOREARM MUSC EA|3638|1928.14|2728.5|2910.4|3092.3|3274.2|3092.3|2939.5|2619.36|2462.2|0|3638|0|1210.72|0|2977.7|0|0|1180.44|8712.99|2728.5|2841.28|645.25|701.64|645.25|1724.45|1724.45|759.44|627.71|770.49|1724.45|8869.82|8712.99|4136.82|0|0|0|0|626.46|626.46|645.25|626.46|1127.63|626.46|645.25|0|8869.82
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88112|CYTOLOGY BRUSHINGS|158|83.74|118.5|126.4|134.3|142.2|134.3|127.66|113.76|106.93|0|158|64.38|99.74|46.81|129.32|61.19|59.54|97.24|143.82|118.5|123.4|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|146.41|143.82|68.29|0|0|44.22|34.4|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|158
HOSP OP|0320 - DX X-RAY||77001|FLUORO FOR CVAD|705|373.65|528.75|564|599.25|634.5|0|569.64|507.6|477.14|0|705|694|0|313.38|577.04|660|642|0|689.31|528.75|550.61|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|81.76|0|0|79.38|0|0|705
HOSP OP|0320 - DX X-RAY||77002|FLUORO FOR NEEDLE PLACEMENT|400|212|300|320|340|360|0|323.2|288|270.72|0|400|400|0|313.38|327.4|400|400|0|689.31|300|312.4|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|392|0|0|84.77|0|0|82.3|0|0|701.72
HOSP OP|0320 - DX X-RAY||77003|Hb Fluoro For Spine Injection|462|244.86|346.5|369.6|392.7|415.8|0|373.3|332.64|312.68|0|462|462|0|313.38|378.15|462|462|0|689.31|346.5|360.82|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|452.76|0|0|74.99|0|0|72.81|0|0|701.72
HOSP OP|0320 - DX X-RAY||77072|BONE AGE STUDIES|230|121.9|172.5|184|195.5|207|195.5|185.84|165.6|155.66|0|230|230|220.09|230|188.26|230|230|214.59|157.34|172.5|179.63|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|225.4|230|213.64|123.86|230|216.45|120.25|123.85|0|230
HOSP OP|0320 - DX X-RAY||77073|BONE LENGTH STUDIES|378|200.34|283.5|302.4|321.3|340.2|321.3|305.42|272.16|255.83|0|378|378|78.23|313.38|309.39|378|378|76.27|157.34|283.5|295.22|31.73|34.51|31.73|104.91|104.91|44.47|30.87|46.87|104.91|160.17|157.34|74.7|0|0|126.02|370.44|30.81|30.81|31.73|30.81|55.46|30.81|31.73|0|378
HOSP OP|0320 - DX X-RAY||77075|OSSEOUS SURVEY COMPLETE|475|251.75|356.25|380|403.75|427.5|403.75|383.8|342|321.48|0|475|475|220.24|313.38|388.79|475|475|214.73|157.34|356.25|370.98|70.85|77.04|70.85|258.77|258.77|108.3|68.93|115.62|258.77|160.17|157.34|74.7|0|0|126.02|465.5|68.79|68.79|70.85|68.79|123.82|68.79|70.85|0|475
HOSP OP|0320 - DX X-RAY||77076|OSSEOUS SURVEY INFANT|286|151.58|214.5|228.8|243.1|257.4|243.1|231.09|205.92|193.56|0|286|286|222.65|286|234.09|286|286|217.08|157.34|214.5|223.37|71.61|77.86|71.61|282.75|282.75|118.43|69.66|126.33|282.75|160.17|157.34|74.7|0|0|126.02|280.28|69.52|69.52|71.61|69.52|125.14|69.52|71.61|0|286
HOSP OP|0350 - CT SCAN||77011|CT GUIDANCE STEREO LOC|1023|542.19|767.25|818.4|869.55|920.7|0|826.58|736.56|692.37|0|1023|1023|0|605.81|837.33|1023|1023|0|247.76|767.25|798.96|0|0|0|0|0|0|0|0|0|252.22|247.76|117.64|0|0|0|730.1|0|0|178.82|0|0|173.61|0|0|1023
HOSP OP|0350 - CT SCAN||77012|CT GUIDANCE FOR NEEDLE PLACEMENT|1532|811.96|1149|1225.6|1302.2|1378.8|0|1237.86|1103.04|1036.86|0|1532|1158|0|605.81|1253.94|1101|1072|0|247.76|1149|1196.49|0|0|0|0|0|0|0|0|0|252.22|247.76|117.64|0|0|0|730.1|0|0|81.01|0|0|78.65|0|0|1532
HOSP OP|0350 - CT SCAN||77013|CT GUIDANCE FOR TISSUE ABLATION|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|1158|0|605.81|962.56|1101|1072|0|247.76|882|918.46|0|0|0|0|0|0|0|0|0|252.22|247.76|117.64|0|0|0|730.1|0|0|470.4|0|0|0|0|0|1176
HOSP OP|0350 - CT SCAN||77014|CT GUIDANCE FOR THERAPY FIELDS|291|154.23|218.25|232.8|247.35|261.9|0|235.13|209.52|196.95|0|291|291|0|291|238.18|291|291|0|247.76|218.25|227.27|0|0|0|0|0|0|0|0|0|252.22|247.76|117.64|0|0|0|285.18|0|0|81.39|0|0|79.02|0|0|291
HOSP OP|0610 - MRI||77021|MRI GUIDANCE FOR NEEDLE PLACEMENT|1501|795.53|1125.75|1200.8|1275.85|1350.9|0|1212.81|1080.72|1015.88|0|1501|1501|0|979.08|1228.57|1501|1501|0|929.54|1125.75|1172.28|0|0|0|0|0|0|0|0|0|946.27|929.54|441.33|0|0|0|1178.54|0|0|414.44|0|0|402.37|0|0|1501
HOSP OP|0402 - ULTRASOUND||76998|ULTRASOUND GUIDANCE INTRAOPERATIVE|582|308.46|436.5|465.6|494.7|523.8|0|470.26|419.04|393.9|0|582|379.46|0|213.13|476.37|360.26|350.95|0|1161.19|436.5|454.54|0|0|0|0|0|0|0|0|0|1182.09|1161.19|551.32|0|0|0|257.88|0|0|232.8|0|0|0|0|0|1182.09
HOSP OP|0402 - ULTRASOUND||76776|ULTRASOUND KIDNEY TRANSPLANT|661|350.33|495.75|528.8|561.85|594.9|561.85|534.09|475.92|447.36|0|661|430.97|397.16|242.06|541.03|409.16|398.58|387.22|289.27|495.75|516.24|124.4|135.27|124.4|437.61|437.61|196.79|121.02|195.52|437.61|294.48|289.27|137.34|0|0|126.02|292.89|120.78|120.78|124.4|120.78|217.4|120.78|124.4|0|661
HOSP OP|0402 - ULTRASOUND||76813|US FETAL NUCHAL 1ST GEST|385|204.05|288.75|308|327.25|346.5|327.25|311.08|277.2|260.57|0|385|251.02|207|140.99|315.12|238.32|232.16|201.82|328.58|288.75|300.69|65.59|71.32|65.59|289.74|289.74|128.99|63.81|129.46|289.74|334.49|328.58|156|0|0|126.02|170.59|63.68|63.68|65.59|63.68|114.62|63.68|65.59|0|385
HOSP OP|0402 - ULTRASOUND||76814|US FETAL NUCHAL EA ADD GEST|281|148.93|210.75|224.8|238.85|252.9|0|227.05|202.32|190.18|0|281|183.21|0|102.9|230|173.94|169.44|0|328.58|210.75|219.46|0|0|0|0|0|0|0|0|0|334.49|328.58|156|0|0|0|124.51|0|0|30.6|0|0|29.71|0|0|334.49
HOSP OP|0301 - LAB/CHEMISTRY||82272|HEMOCCULT SCREEN|30|15.9|22.5|24|25.5|27|25.5|24.24|21.6|20.3|0|30|5.46|5.71|3.97|24.56|5.19|5.05|5.57|4.65|22.5|23.43|4.36|4.74|4.36|8.99|8.99|4.4|4.24|4.02|8.99|4.73|4.65|4.73|0|0|0|2.91|4.23|4.23|4.36|4.23|7.61|4.23|4.36|0|30
HOSP OP|0306 - LAB/BACT-MICRO||87498|Hb Enterovirus Pcr|93.73|49.68|70.3|74.98|79.67|84.36|79.67|75.73|67.49|63.44|0|93.73|50.3|52.64|36.57|76.72|47.8|46.52|51.32|38.6|70.3|73.2|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|93.73
HOSP OP|0302 - LAB/IMMUNOLOGY||86789|WEST NILE VIRUS IGG|29.95|15.87|22.46|23.96|25.46|26.96|25.46|24.2|21.56|20.27|0|29.95|20.63|21.59|15|24.51|19.6|19.08|21.05|15.83|22.46|23.39|14.82|16.12|14.82|29.95|29.95|18.05|14.42|15.18|29.95|16.11|15.83|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|29.95
HOSP OP|0302 - LAB/IMMUNOLOGY||86788|WEST NILE VIRUS IGM|32.99|17.48|24.74|26.39|28.04|29.69|28.04|26.66|23.75|22.33|0|32.99|24.15|25.27|17.56|27|22.95|22.33|24.64|18.54|24.74|25.77|17.36|18.87|17.36|32.99|32.99|21.13|16.88|17.86|32.99|18.87|18.54|18.87|0|0|0|12.9|16.85|16.85|17.36|16.85|30.33|16.85|17.36|0|32.99
HOSP OP|0301 - LAB/CHEMISTRY||83690|BF LIPASE|54|28.62|40.5|43.2|45.9|48.6|45.9|43.63|38.88|36.55|0|54|9.87|10.33|7.18|44.2|9.38|9.13|10.07|7.58|40.5|42.17|7.1|7.72|7.1|15.99|15.99|8.81|6.9|7.14|15.99|7.72|7.58|7.72|0|0|0|5.27|6.89|6.89|7.1|6.89|12.4|6.89|7.1|0|54
HOSP OP|0306 - LAB/BACT-MICRO||87799|EBV PCR QUANT BLOOD|113.97|60.4|85.48|91.18|96.87|102.57|96.87|92.09|82.06|77.13|0|113.97|61.4|64.26|44.65|93.28|58.36|56.79|62.65|47.12|85.48|89.01|44.13|47.98|44.13|101.91|101.91|53.27|42.93|45.53|101.91|47.97|47.12|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|113.97
HOSP OP|0301 - LAB/CHEMISTRY||82530|CORTISOL FREE URINE|56.17|29.77|42.13|44.94|47.74|50.55|47.74|45.39|40.44|38.02|0|56.17|23.96|25.07|17.42|45.98|22.77|22.15|24.44|18.38|42.13|43.87|17.21|18.72|17.21|39.96|39.96|20.69|16.74|17.86|39.96|18.71|18.38|18.71|0|0|0|12.79|16.71|16.71|17.21|16.71|30.08|16.71|17.21|0|56.17
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9521|TC99 CERETEC DX PD UT25 MCI|4245|2249.85|3183.75|3396|3608.25|3820.5|0|3429.96|3056.4|2873.02|0|4245|1459|0|747.53|3474.53|1386|1349|0|231.44|3183.75|3315.35|0|0|0|0|0|0|0|0|0|235.61|231.44|235.61|0|0|0|1222.55|0|0|1698|0|0|0|0|0|4245
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:HAZELNUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0272 - STERILE SUPPLY||L8501|PASSEY-MUIR SPEAKING VALVE|195|103.35|146.25|156|165.75|175.5|165.75|157.56|140.4|131.98|0|195|127.14|109.2|71.41|159.61|120.71|117.59|106.47|108.5|146.25|152.3|124.18|135.03|124.18|195|195|136.92|120.8|142.4|195|110.45|108.5|110.45|0|0|133.82|86.4|120.56|120.56|124.18|120.56|120.56|120.56|124.18|0|195
HOSP OP|0360 - OR SERVICES|||CANCEL CASE TYPE 1|2142|1135.26|0|1713.6|0|1927.8|0|1730.74|1542.24|1449.71|0|2142|0|0|0|1753.23|0|0|0|0|0|1672.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2142
HOSP OP|0360 - OR SERVICES|||Hb Cancel Case Type 2|2800|1484|0|2240|0|2520|0|2262.4|2016|1895.04|0|2800|0|0|0|2291.8|0|0|0|0|0|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2800
HOSP OP|0360 - OR SERVICES|||CANCEL CASE TYPE 3|3668|1944.04|0|2934.4|0|3301.2|0|2963.74|2640.96|2482.5|0|3668|0|0|0|3002.26|0|0|0|0|0|2864.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3668
HOSP OP|0360 - OR SERVICES|||CANCEL CASE TYPE 4|5541|2936.73|0|4432.8|0|4986.9|0|4477.13|3989.52|3750.15|0|5541|0|0|0|4535.31|0|0|0|0|0|4327.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5541
HOSP OP|0450 - EMERGENCY ROOM||28600|CLSD TX T-MT JOINT DISL|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1358.67|251.25|261.64|191.9|208.67|191.9|335|335|269.88|186.68|273.64|335|1383.13|1358.67|645.08|0|0|0|0|186.31|186.31|191.9|186.31|335|186.31|191.9|0|1383.13
HOSP OP|0450 - EMERGENCY ROOM||49999|Hb Inguinal Hernia Reduction|2022.45|1071.9|1516.84|1617.96|1719.08|1820.21|1719.08|1634.14|1456.16|1368.79|0|2022.45|0|1132.57|0|1655.38|0|0|1104.26|6606.99|1516.84|1579.53|808.98|0|808.98|1605.83|1671.76|871.07|808.98|885.23|1671.76|6725.92|6606.99|3136.92|0|0|0|0|0|0|808.98|0|1011.23|0|808.98|0|6725.92
HOSP OP|0450 - EMERGENCY ROOM||55100|IND OF SCROTAL ABCESS|2046|1084.38|1534.5|1636.8|1739.1|1841.4|1739.1|1653.17|1473.12|1384.73|0|2046|0|460.94|0|1674.65|0|0|449.41|888.87|1534.5|1597.93|170.95|185.89|170.95|611.45|611.45|267.67|166.3|273.2|611.45|904.87|888.87|422.02|0|0|0|0|165.97|165.97|170.95|165.97|298.75|165.97|170.95|0|2046
HOSP OP|0450 - EMERGENCY ROOM||27266|TRMNT HIP DISLOCATION|2294|1215.82|1720.5|1835.2|1949.9|2064.6|1949.9|1853.55|1651.68|1552.58|0|2294|0|1079.54|0|1877.64|0|0|1052.54|2976.74|1720.5|1791.61|591.76|643.46|591.76|1581.58|1581.58|695.6|575.67|706.65|1581.58|3030.32|2976.74|1413.32|0|0|0|0|574.52|574.52|591.76|574.52|1034.14|574.52|591.76|0|3030.32
HOSP OP|0450 - EMERGENCY ROOM||24505|CLSD TX HUM SHAFT FX W/MAN|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|0|732|0|599.14|0|0|732|1358.67|549|571.69|458.81|498.9|458.81|732|732|601.83|446.34|612.46|732|1383.13|1358.67|645.08|0|0|0|0|445.45|445.45|458.81|445.45|732|445.45|458.81|0|1383.13
HOSP OP|0450 - EMERGENCY ROOM||28435|TALUS FX W/MANIPULATION|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|829.21|0|1599.35|0|0|808.47|1358.67|1465.5|1526.07|332.09|361.11|332.09|1004.1|1004.1|441.13|323.06|448.63|1004.1|1383.13|1358.67|645.08|0|0|0|0|322.42|322.42|332.09|322.42|580.36|322.42|332.09|0|1954
HOSP OP|0450 - EMERGENCY ROOM||11200|REMOVAL OF SKIN TAGS|383|202.99|287.25|306.4|325.55|344.7|325.55|309.46|275.76|259.21|0|383|0|203.39|0|313.49|0|0|198.3|585.3|287.25|299.12|76.45|83.13|76.45|246.78|246.78|110.06|74.37|110.26|246.78|595.84|585.3|277.9|0|0|0|0|74.22|74.22|76.45|74.22|133.6|74.22|76.45|0|595.84
HOSP OP|0450 - EMERGENCY ROOM||11010|DEBRID ASSOCIATED W/OPEN FX|1272|674.16|954|1017.6|1081.2|1144.8|1081.2|1027.78|915.84|860.89|0|1272|0|1158.97|0|1041.13|0|0|1129.98|4505.75|954|993.43|280.05|304.52|280.05|1272|1272|616.8|272.43|600.41|1272|4586.85|4505.75|2139.27|0|0|0|0|271.89|271.89|280.05|271.89|489.4|271.89|280.05|0|4586.85
HOSP OP|0450 - EMERGENCY ROOM||26756|TRMT DISTAL PHAL FX SEC W/WIRE|3628|1922.84|2721|2902.4|3083.8|3265.2|3083.8|2931.42|2612.16|2455.43|0|3628|0|890.59|0|2969.52|0|0|868.32|9148.36|2721|2833.47|433.93|471.84|433.93|1151.96|1151.96|505.41|422.13|514.7|1151.96|9313.03|9148.36|4343.53|0|0|0|0|421.29|421.29|433.93|421.29|758.32|421.29|433.93|0|9313.03
HOSP OP|0450 - EMERGENCY ROOM||14060|DEBRID & RECONSTRUCTION OF EAR|3654|1936.62|2740.5|2923.2|3105.9|3288.6|3105.9|2952.43|2630.88|2473.03|0|3654|0|1550.11|0|2990.8|0|0|1511.34|7392.05|2740.5|2853.77|685.31|745.19|685.31|2137.07|2137.07|942.14|666.68|954.85|2137.07|7525.11|7392.05|3509.66|0|0|0|0|665.35|665.35|685.31|665.35|1197.63|665.35|685.31|0|7525.11
HOSP OP|0450 - EMERGENCY ROOM||26591|REPAIR MUSCLES OF HAND|3902|2068.06|2926.5|3121.6|3316.7|3511.8|3316.7|3152.82|2809.44|2640.87|0|3902|0|1080.74|0|3193.79|0|0|1053.71|7848.67|2926.5|3047.46|474.43|515.88|474.43|1206.91|1206.91|532.27|461.53|539.25|1206.91|7989.95|7848.67|3726.45|0|0|0|0|460.61|460.61|474.43|460.61|829.1|460.61|474.43|0|7989.95
HOSP OP|0450 - EMERGENCY ROOM||26735|OPEN TRMT FINGER FX|4499|2384.47|3374.25|3599.2|3824.15|4049.1|3824.15|3635.19|3239.28|3044.92|0|4499|0|1164.99|0|3682.43|0|0|1135.85|9148.36|3374.25|3513.72|607.71|660.81|607.71|1630.53|1630.53|719.38|591.19|728.52|1630.53|9313.03|9148.36|4343.53|0|0|0|0|590.01|590.01|607.71|590.01|1062.02|590.01|607.71|0|9313.03
HOSP OP|0450 - EMERGENCY ROOM||27252|CLSD TRMNT HIP DISLOC W/ANES|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|1296.17|0|1599.35|0|0|1263.75|2976.74|1465.5|1526.07|763.08|829.75|763.08|1954|1954|902.96|742.33|916.01|1954|3030.32|2976.74|1413.32|0|0|0|0|740.85|740.85|763.08|740.85|1333.53|740.85|763.08|0|3030.32
HOSP OP|0450 - EMERGENCY ROOM||26746|OPEN REDUX FINGER FX/DISLOC|4638|2458.14|3478.5|3710.4|3942.3|4174.2|3942.3|3747.5|3339.36|3139|0|4638|0|1388.84|0|3796.2|0|0|1354.1|9148.36|3478.5|3622.28|757.06|823.21|757.06|2029.17|2029.17|894.16|736.48|906.64|2029.17|9313.03|9148.36|4343.53|0|0|0|0|735.01|735.01|757.06|735.01|1323.02|735.01|757.06|0|9313.03
HOSP OP|0450 - EMERGENCY ROOM||26516|CAPSUL MP JOINT SINGLE DIGIT|3505|1857.65|2628.75|2804|2979.25|3154.5|2979.25|2832.04|2523.6|2372.18|0|3505|0|1495.95|0|2868.84|0|0|1458.54|4036.92|2628.75|2737.41|739.64|804.27|739.64|1907.28|1907.28|843.97|719.54|852.18|1907.28|4109.58|4036.92|1916.68|0|0|0|0|718.1|718.1|739.64|718.1|1292.58|718.1|739.64|0|4109.58
HOSP OP|0450 - EMERGENCY ROOM||51710|CHG BLADDER TUBE COMPLEX|774|410.22|580.5|619.2|657.9|696.6|657.9|625.39|557.28|523.84|0|774|0|281.62|0|633.52|0|0|274.58|940.26|580.5|604.49|81.51|88.64|81.51|360.68|360.68|159.37|79.3|161.15|360.68|957.18|940.26|446.42|0|0|0|0|79.14|79.14|81.51|79.14|142.45|79.14|81.51|0|957.18
HOSP OP|0301 - LAB/CHEMISTRY||84597|VITAMIN K1|107.45|56.95|80.59|85.96|91.33|96.71|91.33|86.82|77.36|72.72|0|107.45|19.66|20.57|14.3|87.95|18.68|18.18|20.06|15.09|80.59|83.92|14.13|15.37|14.13|32.97|32.97|17.17|13.75|14.73|32.97|15.36|15.09|15.36|0|0|0|10.5|13.72|13.72|14.13|13.72|24.7|13.72|14.13|0|107.45
HOSP OP|0301 - LAB/CHEMISTRY||83520|COLLAGEN TYPE II ABY|145.2|76.96|108.9|116.16|123.42|130.68|123.42|117.32|104.54|98.27|0|145.2|22.28|23.31|16.2|118.85|21.17|20.6|22.73|17.27|108.9|113.4|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|145.2
HOSP OP|0410 - RESPIRATORY THERAPY||94002|VENT MANGMT INITIAL DAY|1452|769.56|1089|1161.6|1234.2|1306.8|1234.2|1173.22|1045.44|982.71|0|1452|946.7|997.61|531.72|1188.46|898.79|875.56|972.65|1200.62|1089|1134.01|513.35|558.2|513.35|863.44|881.07|368.66|499.39|373.78|881.07|1222.23|1200.62|570.04|0|0|571.21|792.36|994.68|885.44|513.35|954.43|897.11|498.39|513.29|0|1452
HOSP OP|0410 - RESPIRATORY THERAPY||94003|VENT MANGMT SUBSEQUENT|1317|698.01|987.75|1053.6|1119.45|1185.3|1119.45|1064.14|948.24|891.35|0|1317|858.68|227.46|482.29|1077.96|815.22|794.15|221.77|1200.62|987.75|1028.58|68.19|74.14|68.19|181.84|181.84|80.57|66.33|81.24|181.84|1222.23|1200.62|570.04|0|0|571.21|718.69|66.2|66.2|68.19|66.2|119.16|66.2|68.19|0|1317
HOSP OP|0272 - STERILE SUPPLY||C1730|STEERABLE DECAPOLAR|952|504.56|714|761.6|809.2|856.8|0|769.22|685.44|644.31|0|952|620.7|0|348.62|779.21|589.29|574.06|0|0|714|743.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|421.83|0|0|380.8|0|0|0|0|0|952
HOSP OP|0272 - STERILE SUPPLY||C1730|DECAPOLAR WITH LUMEN|902|478.06|676.5|721.6|766.7|811.8|0|728.82|649.44|610.47|0|902|588.1|0|330.31|738.29|558.34|543.91|0|0|676.5|704.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|399.68|0|0|360.8|0|0|0|0|0|902
HOSP OP|0360 - OR SERVICES|||CANCEL CASE TYPE 5|6198|3284.94|0|4958.4|0|5578.2|0|5007.98|4462.56|4194.81|0|6198|0|0|0|5073.06|0|0|0|0|0|4840.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6198
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|SPICE:GARLIC|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0301 - LAB/CHEMISTRY||83519|ACHR GANGLIONIC NEURONAL ABY|54.02|28.63|40.52|43.22|45.92|48.62|45.92|43.65|38.89|36.56|0|54.02|23.74|24.84|17.26|44.22|22.56|21.95|24.22|20.24|40.52|42.19|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|54.02
HOSP OP|0301 - LAB/CHEMISTRY||82542|Hb Alpha-1-antitrypsin Proteotype|49.75|26.37|37.31|39.8|42.29|44.78|42.29|40.2|35.82|33.67|0|49.75|31.08|32.52|22.6|40.72|29.53|28.74|31.71|26.5|37.31|38.85|24.81|26.98|24.81|49.75|49.75|24.21|24.14|23.21|49.75|26.98|26.5|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|49.75
HOSP OP|0320 - DX X-RAY||74450|XR URETHROGRAM RETROGRADE|522|276.66|391.5|417.6|443.7|469.8|443.7|421.78|375.84|353.29|0|522|522|292.32|313.38|427.26|522|522|285.01|689.31|391.5|407.68|208.8|0|208.8|213.81|213.81|94.21|208.8|95.53|213.81|701.72|689.31|327.28|0|0|258.25|511.56|0|0|208.8|0|261|0|208.8|0|701.72
HOSP OP|0302 - LAB/IMMUNOLOGY||86901|Mbc Rh|14|7.42|0|0|0|0|0|0|0|0|0|0|4.28|0|0|0|0|0|0|3.29|0|0|0|40.17|0|0|0|0|0|0|14|3.35|3.29|3.35|0|0|0|0|14|0|0|0|0|0|0|0|40.17
HOSP OP|0360 - OR SERVICES||59899|VAGINAL LAC REPAIR ADD 15 MIN|574|304.22|430.5|459.2|487.9|516.6|487.9|463.79|413.28|388.48|0|574|0|321.44|0|469.82|0|0|313.4|4225.76|430.5|448.29|229.6|0|229.6|455.76|474.47|247.22|229.6|251.24|474.47|4301.82|4225.76|2006.34|0|0|0|0|0|0|229.6|0|287|0|229.6|0|4301.82
HOSP OP|0310 - PATHOLOGY LAB||88184|PI LINKED AG 1ST MARKER|42.87|22.72|32.15|34.3|36.44|38.58|36.44|34.64|30.87|29.01|0|42.87|42.87|42.87|42.87|35.09|42.87|42.87|42.87|143.82|32.15|33.48|42.87|340.56|42.87|42.87|42.87|42.87|42.87|42.87|42.87|146.41|143.82|68.29|0|0|42.87|42.01|42.87|42.87|313.19|42.87|42.87|304.07|42.87|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88342|IMMUNOSTAIN MISC|164.2|87.03|123.15|131.36|139.57|147.78|139.57|132.67|118.22|111.13|0|164.2|130.21|164.2|94.68|134.4|123.75|120.42|164.2|99.19|123.15|128.24|158.58|172.44|158.58|164.2|164.2|113.88|154.27|115.46|164.2|100.98|99.19|47.1|0|0|80.54|69.56|164.2|164.2|158.58|164.2|164.2|153.96|158.56|0|172.44
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|DENGUE FEVER IGG|101.2|53.64|75.9|80.96|86.02|91.08|86.02|81.77|72.86|68.49|0|101.2|18.46|19.32|13.42|82.83|17.54|17.07|18.84|14.17|75.9|79.04|13.27|14.43|13.27|30.97|30.97|15.85|12.91|13.84|30.97|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|101.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|DENGUE FEVER IGM|101.2|53.64|75.9|80.96|86.02|91.08|86.02|81.77|72.86|68.49|0|101.2|18.46|19.32|13.42|82.83|17.54|17.07|18.84|14.17|75.9|79.04|13.27|14.43|13.27|30.97|30.97|15.85|12.91|13.84|30.97|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|101.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86335|BETA-2 TRANSFERRIN|112.84|59.81|84.63|90.27|95.91|101.56|95.91|91.17|81.24|76.37|0|112.84|37.49|44.02|27.26|92.36|35.63|34.67|42.92|56.65|84.63|88.13|30.23|32.87|30.23|69.94|69.94|36.54|29.41|31.25|69.94|57.67|56.65|26.9|0|0|0|20.02|29.35|29.35|30.23|29.35|52.83|29.35|30.23|0|112.84
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|FRUIT:COCONUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0260 - IV THERAPY||96366|Infusion Therapy ea addtl hr|238|126.14|178.5|190.4|202.3|214.2|202.3|192.3|171.36|161.08|0|238|155.18|74.11|87.16|194.8|147.32|143.51|72.26|525.61|178.5|185.88|42.11|45.79|42.11|37.23|37.23|30.25|40.97|30.67|37.23|535.07|525.61|249.55|0|0|42.43|105.46|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|535.07
HOSP OP|0260 - IV THERAPY||96361|Hydration therapy ea addtl hr|190|100.7|142.5|152|161.5|171|161.5|153.52|136.8|128.59|0|190|123.88|74.11|69.58|155.52|117.61|114.57|72.26|525.61|142.5|148.39|42.11|45.79|42.11|37.23|37.23|30.25|40.97|30.67|37.23|535.07|525.61|249.55|0|0|42.43|84.19|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|535.07
HOSP OP|0301 - LAB/CHEMISTRY||83516|GANGLIOSIDE ANTIBODY|17.45|9.25|13.09|13.96|14.83|15.71|14.83|14.1|12.56|11.81|0|17.45|16.52|17.29|12.02|14.28|15.71|15.28|16.86|11.53|13.09|13.63|11.88|12.91|11.88|17.45|17.45|14.53|11.55|12.05|17.45|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|17.45|11.53|11.88|0|17.45
HOSP OP|0301 - LAB/CHEMISTRY||84311|Hb Adenosine Deaminase Varied Sources|69.2|36.68|51.9|55.36|58.82|62.28|58.82|55.91|49.82|46.83|0|69.2|10.45|10.94|7.6|56.64|9.93|9.66|10.67|8.91|51.9|54.05|8.34|9.07|8.34|16.98|16.98|8.81|8.12|7.59|16.98|9.07|8.91|9.07|0|0|0|5.57|8.1|8.1|8.34|8.1|14.58|8.1|8.34|0|69.2
HOSP OP|0301 - LAB/CHEMISTRY||84999|Hb Chromatography Thin Layer|147|77.91|110.25|117.6|124.95|132.3|124.95|118.78|105.84|99.49|0|147|97.17|82.32|70.85|120.32|92.32|89.82|80.26|40.28|110.25|114.81|58.8|0|58.8|147|147|147|58.8|147|147|41|40.28|19.12|0|0|0|70.16|0|0|58.8|0|73.5|0|58.8|0|147
HOSP OP|0272 - STERILE SUPPLY||C1732|CATHETER; EP HALO XP|2410|1277.3|1807.5|1928|2048.5|2169|0|1947.28|1735.2|1631.09|0|2410|1571.32|0|882.54|1972.59|1491.79|1453.23|0|0|1807.5|1882.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1067.87|0|0|964|0|0|0|0|0|2410
HOSP OP|0301 - LAB/CHEMISTRY||82542|Hb Poprhyrin Fract Plasma|140.85|74.65|105.64|112.68|119.72|126.77|119.72|113.81|101.41|95.33|0|140.85|31.08|32.52|22.6|115.29|29.53|28.74|31.71|26.5|105.64|110|24.81|26.98|24.81|51.95|51.95|24.21|24.14|23.21|51.95|26.98|26.5|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|140.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:BRAZIL NUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|FRUIT:CHERRY|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:CHESTNUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|FRUIT:GRAPE|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0301 - LAB/CHEMISTRY||83516|Hb Transglutaminase Igg|72|38.16|54|57.6|61.2|64.8|61.2|58.18|51.84|48.73|0|72|16.52|17.29|12.02|58.93|15.71|15.28|16.86|11.53|54|56.23|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|72
HOSP OP|0172 - NURSERY/LEVEL II|||Nursery/ Level Ii|4911|2602.83|0|3928.8|0|4419.9|0|3968.09|3535.92|3323.76|0|4911|0|0|0|4019.65|0|0|0|0|0|3835.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4911
HOSP OP|0173 - NURSERY/LEVEL III|||Nicu/level Iii|7775|4120.75|0|6220|0|6997.5|0|6282.2|5598|5262.12|0|7775|0|0|0|6363.84|0|0|0|0|0|6072.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7775
HOSP OP|0174 - NURSERY/LEVEL IV|||Nicu/level Iv|9975|5286.75|0|7980|0|8977.5|0|8059.8|7182|6751.08|0|9975|0|0|0|8164.54|0|0|0|0|0|7790.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9975
HOSP OP|0305 - LAB/HEMATOLOGY||85610|PT MIXING STUDY|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.64|5.9|4.1|25.37|5.36|5.21|5.75|4.29|23.25|24.21|4.42|4.8|4.42|8.99|8.99|4.84|4.3|4.02|8.99|4.37|4.29|4.37|0|0|0|3|4.29|4.29|4.42|4.29|7.72|4.29|4.42|0|31
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33207|INSERT/REPLACE PPM VENT|14693|7787.29|11019.75|11754.4|12489.05|13223.7|12489.05|11871.94|10578.96|9944.22|0|14693|0|742.56|0|12026.22|0|0|723.99|20079.27|11019.75|11475.23|478.29|520.08|478.29|1285.84|1285.84|566.61|465.29|574.52|1285.84|20440.7|20079.27|9533.39|0|0|0|0|464.36|464.36|478.29|464.36|835.85|464.36|478.29|0|20440.7
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33224|INSERT PACE ELECTRODE LVP|9417|4991.01|7062.75|7533.6|8004.45|8475.3|8004.45|7608.94|6780.24|6373.43|0|9417|0|719.69|0|7707.81|0|0|701.69|18154|7062.75|7354.68|511.28|555.96|511.28|1371.76|1371.76|604.03|497.38|612.91|1371.76|18480.77|18154|8619.29|0|0|0|0|496.39|496.39|511.28|496.39|893.5|496.39|511.28|0|18480.77
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33225|Insert CS/LV lead|17783|9424.99|13337.25|14226.4|15115.55|16004.7|0|14368.66|12803.76|12035.53|0|17783|0|0|0|14555.39|0|0|0|0|13337.25|13888.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.74|0|0|451.2|0|0|17783
HOSP OP|0761 - TREATMENT ROOM||64415|NERVE BLOCK/BRACHIAL PLEXUS|1357|719.21|1017.75|1085.6|1153.45|1221.3|1153.45|1096.46|977.04|918.42|0|1357|884.76|228.67|496.93|1110.7|839.98|818.27|222.95|1454.29|1017.75|1059.82|65.56|71.29|65.56|331.7|331.7|145.72|63.78|148.2|331.7|1480.47|1454.29|690.48|0|0|0|601.29|63.65|63.65|65.56|63.65|114.57|63.65|65.56|0|1480.47
HOSP OP|0402 - ULTRASOUND||76811|US DETAIL FETAL ANATOMIC|802|425.06|601.5|641.6|681.7|721.8|681.7|648.02|577.44|542.79|0|802|522.9|451.03|293.69|656.44|496.44|483.61|439.74|328.58|601.5|626.36|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|334.49|328.58|156|0|0|258.25|355.37|499|444.2|257.53|478.81|450.05|250.03|257.5|0|802
HOSP OP|0402 - ULTRASOUND||76812|US OB DETAILED EA ADDL GEST|80|42.4|60|64|68|72|0|64.64|57.6|54.14|0|80|52.16|0|29.3|65.48|49.52|48.24|0|328.58|60|62.48|0|0|0|0|0|0|0|0|0|334.49|328.58|156|0|0|0|35.45|0|0|116.13|0|0|80|0|0|334.49
HOSP OP|0402 - ULTRASOUND||76816|US FOLLOW UP|265|140.45|198.75|212|225.25|238.5|225.25|214.12|190.8|179.35|0|265|172.78|220.09|97.04|216.9|164.04|159.8|214.59|328.58|198.75|206.97|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|334.49|328.58|156|0|0|126.02|117.42|240|213.64|123.86|230.29|216.45|120.25|123.85|0|334.49
HOSP OP|0402 - ULTRASOUND||76819|BIOPHYSICAL PROF W/O NON-STRESS|452|239.56|339|361.6|384.2|406.8|384.2|365.22|325.44|305.91|0|452|294.7|220.09|165.52|369.96|279.79|272.56|214.59|328.58|339|353.01|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|334.49|328.58|156|0|0|126.02|200.28|240|213.64|123.86|230.29|216.45|120.25|123.85|0|452
HOSP OP|0402 - ULTRASOUND||76820|DOPPLER VELOCIMETRY FETAL|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|197.56|220.09|110.96|248.01|187.56|182.71|214.59|328.58|227.25|236.64|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|334.49|328.58|156|0|0|126.02|134.26|240|213.64|123.86|230.29|216.45|120.25|123.85|0|334.49
HOSP OP|0402 - ULTRASOUND||76821|DOPPLER VELOCI MID CEREB ARTERY|426|225.78|319.5|340.8|362.1|383.4|362.1|344.21|306.72|288.32|0|426|277.75|190.15|156|348.68|263.69|256.88|185.4|328.58|319.5|332.71|58.81|63.95|58.81|211.81|211.81|95.09|57.21|94.64|211.81|334.49|328.58|156|0|0|126.02|188.76|57.1|57.1|58.81|57.1|102.78|57.1|58.81|0|426
HOSP OP|0402 - ULTRASOUND||76827|Hb Doppler Flow Echo; Fetal Complete|300.06|159.03|225.05|240.05|255.05|270.05|255.05|242.45|216.04|203.08|0|300.06|195.64|155.25|109.88|245.6|185.74|180.94|151.37|328.58|225.05|234.35|47.15|51.27|47.15|171.85|171.85|77.04|45.87|76.78|171.85|334.49|328.58|156|0|0|126.02|132.96|45.78|45.78|47.15|45.78|82.4|45.78|47.15|0|334.49
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|GROUP TREATMENT LEVEL 3|52|27.56|39|41.6|44.2|46.8|44.2|42.02|37.44|35.19|0|52|52|52|52|42.56|52|52|51.54|622.52|39|40.61|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|50.96|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|GROUP TREATMENT LEVEL 4|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|65|56.56|65|53.2|65|65|51.54|622.52|48.75|50.77|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|63.7|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0306 - LAB/BACT-MICRO||87497|CMV DNA PCR QUANT PLASMA|104.3|55.28|78.23|83.44|88.66|93.87|88.66|84.27|75.1|70.59|0|104.3|61.4|64.26|44.65|85.37|58.36|56.79|62.65|47.12|78.23|81.46|44.13|47.98|44.13|101.91|101.91|53.27|42.93|45.53|101.91|47.97|47.12|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|104.3
HOSP OP|0320 - DX X-RAY||73100|X-RAY WRIST 2 VW|327|173.31|245.25|261.6|277.95|294.3|277.95|264.22|235.44|221.31|0|327|327|121.88|313.38|267.65|327|327|118.83|157.34|245.25|255.39|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|320.46|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|327
HOSP OP|0320 - DX X-RAY||73070|XR ELBOW 2 VIEWS|295|156.35|221.25|236|250.75|265.5|250.75|238.36|212.4|199.66|0|295|295|63.79|295|241.46|295|295|62.19|157.34|221.25|230.4|20.83|22.65|20.83|74.93|74.93|33.46|20.26|33.48|74.93|160.17|157.34|74.7|0|0|69.78|289.1|20.22|20.22|20.83|20.22|36.4|20.22|20.83|0|295
HOSP OP|0460 - PULMONARY FUNCTION||94640|INHALATION TREAT NEB INIT|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|76.94|118|43.21|96.58|73.04|71.15|118|288.95|88.5|92.16|118|221.06|118|118|118|118|118|118|118|294.15|288.95|137.19|0|0|118|52.29|118|118|203.29|118|118|197.37|118|0|294.15
HOSP OP|0460 - PULMONARY FUNCTION||94640|INHALATION TREAT NEB ADDL|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|76.94|118|43.21|96.58|73.04|71.15|118|288.95|88.5|92.16|118|221.06|118|118|118|118|118|118|118|294.15|288.95|137.19|0|0|118|52.29|118|118|203.29|118|118|197.37|118|0|294.15
HOSP OP|0761 - TREATMENT ROOM||96523|Hb Irrig Drug Delivery Device|242|128.26|181.5|193.6|205.7|217.8|205.7|195.54|174.24|163.79|0|242|157.78|109.35|88.62|198.08|149.8|145.93|106.61|343.97|181.5|189|60.79|66.1|60.79|102.25|104.34|43.66|59.14|44.27|104.34|350.16|343.97|163.31|0|0|62.6|107.23|117.8|104.86|60.79|113.03|106.24|59.02|60.79|0|350.16
HOSP OP|0305 - LAB/HEMATOLOGY||85306|PROTEIN S ACTIVITY|111|58.83|83.25|88.8|94.35|99.9|94.35|89.69|79.92|75.12|0|111|21.97|22.99|15.97|90.85|20.88|20.32|22.42|16.85|83.25|86.69|15.78|17.16|15.78|35.97|35.97|18.93|15.35|16.07|35.97|17.15|16.85|17.15|0|0|0|11.73|15.32|15.32|15.78|15.32|27.58|15.32|15.78|0|111
HOSP OP|0306 - LAB/BACT-MICRO||87305|ASPERGILLUS ANTIGEN|81.05|42.96|60.79|64.84|68.89|72.95|68.89|65.49|58.36|54.85|0|81.05|17.18|17.98|12.49|66.34|16.33|15.89|17.53|13.18|60.79|63.3|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|13.42|13.18|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|81.05
HOSP OP|0301 - LAB/CHEMISTRY||83516|PARIETAL CELL ANTIBODY|50.38|26.7|37.79|40.3|42.82|45.34|42.82|40.71|36.27|34.1|0|50.38|16.52|17.29|12.02|41.24|15.71|15.28|16.86|11.53|37.79|39.35|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|50.38
HOSP OP|0302 - LAB/IMMUNOLOGY||86753|TRYPANOSOMA CRUZI AB|71.82|38.06|53.87|57.46|61.05|64.64|61.05|58.03|51.71|48.61|0|71.82|17.75|18.58|12.91|58.78|16.87|16.42|18.12|13.63|53.87|56.09|12.76|13.88|12.76|28.97|28.97|15.41|12.41|12.95|28.97|13.88|13.63|13.88|0|0|0|9.48|12.39|12.39|12.76|12.39|22.3|12.39|12.76|0|71.82
HOSP OP|0301 - LAB/CHEMISTRY||82656|PANCREATIC ELASTASE|114.2|60.53|85.65|91.36|97.07|102.78|97.07|92.27|82.22|77.29|0|114.2|16.52|17.29|12.02|93.47|15.71|15.28|16.86|12.68|85.65|89.19|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|12.91|12.68|12.91|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|114.2
HOSP OP|0250 - PHARMACY||J7120|LACTATED RINGER'S INFUSION|49|25.97|36.75|39.2|41.65|44.1|0|39.59|35.28|33.16|0|49|3.16|0|2.3|40.11|3|2.92|0|2.36|36.75|38.27|0|0|0|0|0|0|0|0|0|2.4|2.36|2.4|0|0|0|1.68|0|0|19.6|0|0|0|0|0|49
HOSP OP|0430 - OCCUPATIONAL THERAPY||97760|Hb Orthotics Management And Training Per 15 Min|326|172.78|244.5|260.8|277.1|293.4|277.1|263.41|234.72|220.64|0|326|207|0|106.79|266.83|196|191|0|199.75|244.5|254.61|0|0|0|134.88|134.88|58.55|0|60.26|134.88|203.35|199.75|94.84|0|0|38.42|173.11|50.44|50.44|0|50.44|0|0|0|0|326
HOSP OP|0278 - SUPPLY IMPLANTS||C1898|Mdtr Atrial PPM Lead|1106|586.18|829.5|884.8|940.1|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|829.5|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|442.4|0|0|0|0|0|1106
HOSP OP|0278 - SUPPLY IMPLANTS||C1898|Mdtr Vent.l PPM Lead|1106|586.18|829.5|884.8|940.1|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|829.5|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|442.4|0|0|0|0|0|1106
HOSP OP|0278 - SUPPLY IMPLANTS||C1898|SJM Vent PPM. Lead|6398|3390.94|4798.5|5118.4|5438.3|5758.2|0|5169.58|4606.56|4330.17|0|6398|4171.5|0|2342.95|5236.76|3960.36|3857.99|0|0|4798.5|4996.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2834.95|0|0|2559.2|0|0|0|0|0|6398
HOSP OP|0278 - SUPPLY IMPLANTS||C1895|Mdtr ICD Lead-Endo|11760|6232.8|8820|9408|9996|10584|0|9502.08|8467.2|7959.17|0|11760|7667.52|0|4306.51|9625.56|7279.44|7091.28|0|0|8820|9184.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5210.86|0|0|4704|0|0|0|0|0|11760
HOSP OP|0278 - SUPPLY IMPLANTS||C1900|Mdtr CS Lead|5407|2865.71|4055.25|4325.6|4595.95|4866.3|0|4368.86|3893.04|3659.46|0|5407|3525.36|0|1980.04|4425.63|3346.93|3260.42|0|0|4055.25|4222.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2395.84|0|0|2162.8|0|0|0|0|0|5407
HOSP OP|0275 - PACEMAKER||C1786|Mdtr Sngl PPM-RR|8672|4596.16|6504|6937.6|7371.2|7804.8|0|7006.98|6243.84|5869.21|0|8672|5654.14|0|3175.69|7098.03|5367.97|5229.22|0|0|6504|6772.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3842.56|0|0|3468.8|0|0|0|0|0|8672
HOSP OP|0275 - PACEMAKER||C1785|Mdtr Dual  PPM-RR|11760|6232.8|8820|9408|9996|10584|0|9502.08|8467.2|7959.17|0|11760|7667.52|0|4306.51|9625.56|7279.44|7091.28|0|0|8820|9184.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5210.86|0|0|4704|0|0|0|0|0|11760
HOSP OP|0275 - PACEMAKER||C1785|SJM Dual PPM-RR|15056|7979.68|11292|12044.8|12797.6|13550.4|0|12165.25|10840.32|10189.9|0|15056|9816.51|0|5513.51|12323.34|9319.66|9078.77|0|0|11292|11758.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6671.31|0|0|6022.4|0|0|0|0|0|15056
HOSP OP|0275 - PACEMAKER||C1785|BSCI Dual PPM-RR|22537|11944.61|16902.75|18029.6|19156.45|20283.3|0|18209.9|16226.64|15253.04|0|22537|14694.12|0|8253.05|18446.53|13950.4|13589.81|0|0|16902.75|17601.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9986.14|0|0|9014.8|0|0|0|0|0|22537
HOSP OP|0275 - PACEMAKER||C1882|Mdtr  CRT-D|53172|28181.16|39879|42537.6|45196.2|47854.8|0|42962.98|38283.84|35986.81|0|53172|34668.14|0|19471.59|43521.28|32913.47|32062.72|0|0|39879|41527.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23560.51|0|0|21268.8|0|0|0|0|0|53172
HOSP OP|0278 - SUPPLY IMPLANTS||C1882|SJM CRT-D|77560|41106.8|58170|62048|65926|69804|0|62668.48|55843.2|52492.61|0|77560|50569.12|0|28402.47|63482.86|48009.64|46768.68|0|0|58170|60574.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34366.84|0|0|31024|0|0|0|0|0|77560
HOSP OP|0278 - SUPPLY IMPLANTS||C1882|BSCI CRT-D|75023|39762.19|56267.25|60018.4|63769.55|67520.7|0|60618.58|54016.56|50775.57|0|75023|48915|0|27473.42|61406.33|46439.24|45238.87|0|0|56267.25|58592.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33242.69|0|0|30009.2|0|0|0|0|0|75023
HOSP OP|0275 - PACEMAKER||C2621|Mdtr  CRT-P|19205|10178.65|14403.75|15364|16324.25|17284.5|0|15517.64|13827.6|12997.94|0|19205|12521.66|0|7032.87|15719.29|11887.9|11580.62|0|0|14403.75|14999.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8509.74|0|0|7682|0|0|0|0|0|19205
HOSP OP|0278 - SUPPLY IMPLANTS||C1722|Mdtr  Sngl  ICD|35199|18655.47|26399.25|28159.2|29919.15|31679.1|0|28440.79|25343.28|23822.68|0|35199|22949.75|0|12889.87|28810.38|21788.18|21225|0|0|26399.25|27490.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15596.68|0|0|14079.6|0|0|0|0|0|35199
HOSP OP|0278 - SUPPLY IMPLANTS||C1721|Mdtr Dual ICD|42815|22691.95|32111.25|34252|36392.75|38533.5|0|34594.52|30826.8|28977.19|0|42815|27915.38|0|15678.85|35044.08|26502.49|25817.45|0|0|32111.25|33438.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18971.33|0|0|17126|0|0|0|0|0|42815
HOSP OP|0278 - SUPPLY IMPLANTS||C1721|BSCI Dual ICD|71576|37935.28|53682|57260.8|60839.6|64418.4|0|57833.41|51534.72|48442.64|0|71576|46667.55|0|26211.13|58584.96|44305.54|43160.33|0|0|53682|55900.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31715.33|0|0|28630.4|0|0|0|0|0|71576
HOSP OP|0306 - LAB/BACT-MICRO||87899|Hb Cryptococcus Antigen Screen Serum|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|20.73|21.69|15.07|54.54|19.7|19.17|21.15|16.07|49.97|52.04|16.55|18|16.55|33.97|33.97|16.29|16.1|15.18|33.97|16.36|16.07|16.36|0|0|0|11.07|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|66.63
HOSP OP|0306 - LAB/BACT-MICRO||86403|Hb Cryptococcal Antigen Titer Csf|154.68|81.98|116.01|123.74|131.48|139.21|131.48|124.98|111.37|104.69|0|154.68|14.89|15.58|10.82|126.61|14.15|13.77|15.19|12.69|116.01|120.81|11.89|12.92|11.89|24.98|24.98|12.77|11.56|11.16|24.98|12.92|12.69|12.92|0|0|0|7.95|11.54|11.54|11.89|11.54|20.77|11.54|11.89|0|154.68
HOSP OP|0250 - PHARMACY|||PHARMACY|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0258 - IV SOLUTIONS|||Rev Code 258 (iv Solutions)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY|||STERILE SUPPLY|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|||DRUGS REQUIRE DETAIL CODING|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0637 - DRUGS/SELF ADMIN|||DRUGS/SELF ADMIN|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0301 - LAB/CHEMISTRY||82103|A-1-A STOOL|59.24|31.4|44.43|47.39|50.35|53.32|50.35|47.87|42.65|40.09|0|59.24|19.26|20.16|14|48.49|18.3|17.81|19.66|14.78|44.43|46.27|13.84|15.05|13.84|31.97|31.97|16.73|13.47|14.28|31.97|15.05|14.78|15.05|0|0|0|10.29|13.44|13.44|13.84|13.44|24.19|13.44|13.84|0|59.24
HOSP OP|0301 - LAB/CHEMISTRY||83519|MUSK ANTIBODY|674.2|357.33|505.65|539.36|573.07|606.78|573.07|544.75|485.42|456.3|0|674.2|23.74|24.84|17.26|551.83|22.56|21.95|24.22|20.24|505.65|526.55|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|674.2
HOSP OP|0483 - ECHOCARDIOLOGY||C8924|ECHO W/CONTRAST LIMITED OR|1036|549.08|777|828.8|880.6|932.4|880.6|837.09|745.92|701.16|0|1036|1036|754.87|629.6|847.97|1036|1036|735.99|1122.41|777|809.12|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1142.61|1122.41|532.91|0|0|432.22|1015.28|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1142.61
HOSP OP|0361 - OR/MINOR||32550|INSERT TUNNEL PLEURAL CATH|5043|2672.79|3782.25|4034.4|4286.55|4538.7|4286.55|4074.74|3630.96|3413.1|0|5043|0|2090.48|0|4127.7|0|0|2038.2|1070.89|3782.25|3938.58|209.92|228.27|209.92|2112.1|2112.1|881.39|204.22|943.69|2112.1|1090.17|1070.89|508.45|0|0|0|0|203.81|203.81|209.92|203.81|366.86|203.81|209.92|0|5043
HOSP OP|0361 - OR/MINOR||32551|CHEST TUBE INSERT|1289|683.17|966.75|1031.2|1095.65|1160.1|1095.65|1041.51|928.08|872.4|0|1289|1289|1289|598.82|1055.05|1289|1289|1289|1070.89|966.75|1006.71|1289|1960.04|1289|1289|1289|1289|1289|1289|1289|1090.17|1070.89|508.45|0|0|1224.95|733.53|1289|1289|1802.54|1289|1289|1750.04|1289|0|1960.04
HOSP OP|0300 - LABORATORY||36591|PORT ACCESS/BLOOD DRAW|155|82.15|116.25|124|131.75|139.5|131.75|125.24|111.6|104.9|0|155|49.74|155|36.17|126.87|47.27|46|155|23.84|116.25|121.06|120.49|131.02|120.49|155|155|86.53|117.21|87.73|155|24.27|23.84|11.32|0|0|119.27|26.57|155|155|120.49|155|155|116.98|120.47|0|155
HOSP OP|0361 - OR/MINOR||36593|DECLOT OF IMPLANTED CATH|602|319.06|451.5|481.6|511.7|541.8|511.7|486.42|433.44|407.43|0|602|0|107.11|0|492.74|0|0|104.43|343.97|451.5|470.16|32.99|35.87|32.99|320.54|320.54|39.62|32.09|39.73|320.54|350.16|343.97|163.31|0|0|0|0|32.03|32.03|32.99|32.03|57.65|32.03|32.99|0|602
HOSP OP|0361 - OR/MINOR||51102|BLADDER DRAIN W/CATH INSERT|4274|2265.22|3205.5|3419.2|3632.9|3846.6|3632.9|3453.39|3077.28|2892.64|0|4274|0|469.37|0|3498.27|0|0|457.63|6486.62|3205.5|3337.99|149.48|162.55|149.48|645.42|645.42|280|145.42|288.37|645.42|6603.38|6486.62|3079.77|0|0|0|0|145.13|145.13|149.48|145.13|261.23|145.13|149.48|0|6603.38
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE|144|76.32|108|115.2|122.4|129.6|0|116.35|103.68|97.46|0|144|93.89|0|52.73|117.86|89.14|86.83|0|0|108|112.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.81|0|0|57.6|0|0|0|0|0|144
HOSP OP|0352 - CT SCAN/BODY||76380|Hb Ct Scanlimited/localized F/u*|214|113.42|160.5|171.2|181.9|192.6|181.9|172.91|154.08|144.84|0|214|214|214|214|175.16|214|214|214|530.28|160.5|167.13|101.32|110.17|101.32|214|214|180.06|98.57|180.79|214|539.83|530.28|251.77|0|0|69.78|209.72|98.37|98.37|101.32|98.37|177.07|98.37|101.32|0|539.83
HOSP OP|0610 - MRI||75557|MRI CARDIAC MORPH/FUNCTION|1617|857.01|1212.75|1293.6|1374.45|1455.3|1374.45|1306.54|1164.24|1094.39|0|1617|1617|706.45|979.08|1323.51|1617|1617|688.79|1075.89|1212.75|1262.88|215.31|234.12|215.31|914.18|914.18|410.76|209.46|408.46|914.18|1095.26|1075.89|510.82|0|0|258.25|1178.54|209.04|209.04|215.31|209.04|376.27|209.04|215.31|0|1617
HOSP OP|0360 - OR SERVICES||15760|Hb Composite Skin Graft|4112.5|2179.62|3084.38|3290|3495.63|3701.25|3495.63|3322.9|2961|2783.34|0|4112.5|0|1733.04|0|3366.08|0|0|1689.7|7392.05|3084.38|3211.86|719.32|782.17|719.32|2344.89|2344.89|1032.84|699.77|1047.7|2344.89|7525.11|7392.05|3509.66|0|0|0|0|698.37|698.37|719.32|698.37|1257.07|698.37|719.32|0|7525.11
HOSP OP|0361 - OR/MINOR||49440|INS GASTROSTOMY TUBE W/IMG|3148|1668.44|2361|2518.4|2675.8|2833.2|2675.8|2543.58|2266.56|2130.57|0|3148|0|2775.27|0|2576.64|0|0|2705.86|2468.03|2361|2458.59|212.31|230.87|212.31|2697.57|2697.57|1211.14|206.54|1205.28|2697.57|2512.45|2468.03|1171.79|0|0|0|0|206.13|206.13|212.31|206.13|371.03|206.13|212.31|0|3148
HOSP OP|0310 - PATHOLOGY LAB||88271|FISH NUCLEIC ACID PROBE EA|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|30.7|32.13|22.32|32.74|29.18|28.39|31.33|23.56|30|31.24|22.06|23.99|22.06|40|40|26.86|21.46|22.77|40|23.98|23.56|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|40
HOSP OP|0310 - PATHOLOGY LAB||88275|FISH ANALYSIS 100-300 CELLS|219.2|116.18|164.4|175.36|186.32|197.28|186.32|177.11|157.82|148.35|0|219.2|66.04|69.11|48.02|179.42|62.76|61.07|67.38|56.31|164.4|171.2|52.73|57.33|52.73|108.9|108.9|51.51|51.29|48.66|108.9|57.32|56.31|57.32|0|0|0|35.28|51.19|51.19|52.73|51.19|92.14|51.19|52.73|0|219.2
HOSP OP|0300 - LABORATORY||81341|Hb T Cell Reflex Sb|207.3|109.87|155.48|165.84|176.21|186.57|176.21|167.5|149.26|140.3|0|207.3|71.08|74.39|51.68|169.68|67.55|65.73|72.53|54.55|155.48|161.9|51.08|55.54|51.08|125.89|125.89|61.64|49.69|56.25|125.89|55.53|54.55|55.53|0|0|61.72|37.98|49.59|49.59|51.08|49.59|89.26|49.59|51.08|0|207.3
HOSP OP|0300 - LABORATORY||81341|Hb T Cell Reflex Sb|130.3|69.06|97.73|104.24|110.76|117.27|110.76|105.28|93.82|88.19|0|130.3|71.08|74.39|51.68|106.65|67.55|65.73|72.53|54.55|97.73|101.76|51.08|55.54|51.08|125.89|125.89|61.64|49.69|56.25|125.89|55.53|54.55|55.53|0|0|61.72|37.98|49.59|49.59|51.08|49.59|89.26|49.59|51.08|0|130.3
HOSP OP|0300 - LABORATORY||81340|Hb T Cell Beta Pcr|243.77|129.2|182.83|195.02|207.2|219.39|207.2|196.97|175.51|164.98|0|243.77|243.77|243.77|217.74|199.53|243.77|243.77|243.77|229.81|182.83|190.38|215.19|233.99|215.19|243.77|243.77|243.77|209.34|237.93|243.77|233.95|229.81|233.95|0|0|243.77|159.99|208.92|208.92|215.19|208.92|243.77|208.92|215.19|0|243.77
HOSP OP|0300 - LABORATORY||81261|Hb B Cell Pcr|322.2|170.77|241.65|257.76|273.87|289.98|273.87|260.34|231.98|218.06|0|322.2|283.79|296.99|206.35|263.72|269.71|262.45|289.57|217.79|241.65|251.64|203.93|221.75|203.93|322.2|322.2|246.98|198.39|225.43|322.2|221.71|217.79|221.71|0|0|246.41|151.61|197.99|197.99|203.93|197.99|322.2|197.99|203.93|0|322.2
HOSP OP|0300 - LABORATORY||81342|Hb T Cell Gamma Pcr|235.07|124.59|176.3|188.06|199.81|211.56|199.81|189.94|169.25|159.1|0|235.07|235.07|235.07|210|192.4|235.07|235.07|235.07|221.65|176.3|183.59|207.55|225.68|207.55|235.07|235.07|235.07|201.9|229.45|235.07|225.64|221.65|225.64|0|0|235.07|154.3|201.5|201.5|207.55|201.5|235.07|201.5|207.55|0|235.07
HOSP OP|0301 - LAB/CHEMISTRY||83721|LDL CHOLESTEROL|42|22.26|31.5|33.6|35.7|37.8|35.7|33.94|30.24|28.43|0|42|13.67|14.31|9.94|34.38|13|12.65|13.95|10.5|31.5|32.8|10.82|11.76|10.82|22.98|22.98|11.89|10.52|10.27|22.98|10.69|10.5|10.69|0|0|0|7.3|10.5|10.5|10.82|10.5|18.9|10.5|10.82|0|42
HOSP OP|0250 - PHARMACY||J3490|ONYX-A LIQUID EMBOLIC PER VIAL|5460|2893.8|4095|4368|4641|4914|0|4411.68|3931.2|3695.33|0|5460|3609.06|0|2631.72|4469.01|3428.88|3336.06|0|0|4095|4264.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2606.06|0|0|2184|0|0|0|0|0|5460
HOSP OP|0361 - OR/MINOR||49450|RPL GASTRO/CECO TUBE W GUID|1579|836.87|1184.25|1263.2|1342.15|1421.1|1342.15|1275.83|1136.88|1068.67|0|1579|0|1579|0|1292.41|0|0|1579|1602.08|1184.25|1233.2|68.32|74.29|68.32|1579|1579|838.68|66.46|844.14|1579|1630.92|1602.08|760.65|0|0|0|0|66.33|66.33|68.32|66.33|119.39|66.33|68.32|0|1630.92
HOSP OP|0361 - OR/MINOR||49446|GASTRO CHG TO GJ W/IMG|2027|1074.31|1520.25|1621.6|1722.95|1824.3|1722.95|1637.82|1459.44|1371.87|0|2027|0|2027|0|1659.1|0|0|2027|2860.27|1520.25|1583.09|153.82|167.26|153.82|2027|2027|1168.87|149.64|1161.98|2027|2911.75|2860.27|1358.02|0|0|0|0|149.34|149.34|153.82|149.34|268.81|149.34|153.82|0|2911.75
HOSP OP|0361 - OR/MINOR||49451|RPL DUOD/JEJUN TUBE W/IMG|1628|862.84|1221|1302.4|1383.8|1465.2|1383.8|1315.42|1172.16|1101.83|0|1628|0|1628|0|1332.52|0|0|1628|1602.08|1221|1271.47|92.98|101.1|92.98|1628|1628|914.85|90.45|916.91|1628|1630.92|1602.08|760.65|0|0|0|0|90.27|90.27|92.98|90.27|162.49|90.27|92.98|0|1630.92
HOSP OP|0361 - OR/MINOR||49452|RPL G-J TUBE W/IMG|2235|1184.55|1676.25|1788|1899.75|2011.5|1899.75|1805.88|1609.2|1512.65|0|2235|0|2235|0|1829.35|0|0|2235|1602.08|1676.25|1745.54|143.62|156.17|143.62|2235|2235|1130.13|139.72|1126.71|2235|1630.92|1602.08|760.65|0|0|0|0|139.44|139.44|143.62|139.44|250.99|139.44|143.62|0|2235
HOSP OP|0361 - OR/MINOR||49460|REM OBSTR MAT STOMY W/IMG|1322|700.66|991.5|1057.6|1123.7|1189.8|1123.7|1068.18|951.84|894.73|0|1322|0|1322|0|1082.06|0|0|1322|1602.08|991.5|1032.48|49.93|54.3|49.93|1322|1322|930.7|48.58|919.14|1322|1630.92|1602.08|760.65|0|0|0|0|48.48|48.48|49.93|48.48|87.26|48.48|49.93|0|1630.92
HOSP OP|0361 - OR/MINOR||49465|INJ(S EVAL EXIS STOMY W/IMG|343|181.79|257.25|274.4|291.55|308.7|291.55|277.14|246.96|232.14|0|343|0|343|0|280.75|0|0|343|881.4|257.25|267.88|31.98|34.78|31.98|343|343|205.6|31.11|200.43|343|897.27|881.4|418.48|0|0|0|0|31.05|31.05|31.98|31.05|55.89|31.05|31.98|0|897.27
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Agna Type 1 Antibody|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|56.65|36.71|38.23|12.41|13.5|12.41|48.95|48.95|22.45|12.07|22.77|48.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0410 - RESPIRATORY THERAPY||94660|NPPV SETUP /1ST DAILY CHARGE|465|246.45|348.75|372|395.25|418.5|395.25|375.72|334.8|314.71|0|465|303.18|374.82|170.28|380.6|287.84|280.4|365.44|1200.62|348.75|363.17|203.29|221.06|203.29|341.93|348.91|145.99|197.77|148.02|348.91|1222.23|1200.62|570.04|0|0|214.61|253.75|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|1222.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86606|Hb Aspergillus Antibodies|44.21|23.43|33.16|35.37|37.58|39.79|37.58|35.72|31.83|29.92|0|44.21|21.58|22.59|15.69|36.19|20.51|19.96|22.03|16.56|33.16|34.53|15.5|16.86|15.5|35.97|35.97|18.93|15.08|16.07|35.97|16.86|16.56|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|44.21
HOSP OP|0320 - DX X-RAY||75600|THORACIC AORTOGRAM|5326|2822.78|3994.5|4260.8|4527.1|4793.4|4527.1|4303.41|3834.72|3604.64|0|5326|694|594.53|313.38|4359.33|660|642|579.66|689.31|3994.5|4159.61|185.6|201.81|185.6|562.49|562.49|250.06|180.55|251.32|562.49|701.72|689.31|327.28|0|0|2958.71|583.1|180.19|180.19|185.6|180.19|324.34|180.19|185.6|0|5326
HOSP OP|0301 - LAB/CHEMISTRY||84702|HCG TUMOR MARKER|42.51|22.53|31.88|34.01|36.13|38.26|36.13|34.35|30.61|28.77|0|42.51|21.58|22.59|15.69|34.79|20.51|19.96|22.03|16.56|31.88|33.2|15.5|16.86|15.5|35.97|35.97|18.93|15.08|16.07|35.97|16.86|16.56|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|42.51
HOSP OP|0410 - RESPIRATORY THERAPY||94664|DEMO/EVAL OF NEB/INHAL/EZPAP CONT|256|135.68|192|204.8|217.6|230.4|217.6|206.85|184.32|173.26|0|256|166.91|256|93.75|209.54|158.46|154.37|256|170.2|192|199.94|203.29|221.06|203.29|256|256|145.99|197.77|148.02|256|173.26|170.2|80.81|0|0|214.61|139.7|256|256|203.29|256|256|197.37|203.27|0|256
HOSP OP|0300 - LABORATORY||36416|COLLECTION CAPILLARY BLOOD|28|14.84|21|22.4|23.8|25.2|0|22.62|20.16|18.95|0|28|3.75|0|2.73|22.92|3.57|3.47|0|3|21|21.87|0|0|0|0|0|0|0|0|0|3.05|3|3.05|0|0|0|2|0|0|11.2|0|0|0|0|0|28
HOSP OP|0300 - LABORATORY|||NEWBORN SPEC COLL & BILIRUBIN|28|14.84|0|22.4|0|25.2|0|22.62|20.16|18.95|0|28|18.51|0|13.5|22.92|17.58|17.11|0|0|0|21.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.36|0|0|0|0|0|0|0|0|28
HOSP OP|0922 - EMG||95925|SOMATOSENSORY TESTING UL|579|306.87|434.25|463.2|492.15|521.1|492.15|467.83|416.88|391.87|0|579|377.51|493.57|212.03|473.91|358.4|349.14|481.23|766.68|434.25|452.2|279.7|304.14|279.7|470.45|480.05|200.87|272.09|203.66|480.05|780.48|766.68|364.01|0|0|282.6|256.55|541.96|482.44|279.7|520.03|488.79|271.55|279.67|0|780.48
HOSP OP|0922 - EMG||95926|SOMATOSENSORY TESTING LL|503|266.59|377.25|402.4|427.55|452.7|427.55|406.42|362.16|340.43|0|503|327.96|340.59|184.2|411.71|311.36|303.31|332.07|766.68|377.25|392.84|111.61|121.36|111.61|360.68|360.68|162.45|108.58|161.15|360.68|780.48|766.68|364.01|0|0|282.6|222.88|108.36|108.36|111.61|108.36|195.05|108.36|111.61|0|780.48
HOSP OP|0922 - EMG||95861|EMG-2EXTREMITIES|282|149.46|211.5|225.6|239.7|253.8|239.7|227.86|203.04|190.86|0|282|183.86|282|103.27|230.82|174.56|170.05|282|766.68|211.5|220.24|94.18|102.41|94.18|282|282|217.05|91.62|217.4|282|780.48|766.68|364.01|0|0|119.27|124.95|91.44|91.44|94.18|91.44|164.59|91.44|94.18|0|780.48
HOSP OP|0900 - PSYCHIATRIC TREATMENT||90846|Hb Family Therapy W/o Patient Present 50 Min|321|170.13|240.75|256.8|272.85|288.9|272.85|259.37|231.12|217.25|0|321|209.29|68.6|117.55|262.74|198.7|193.56|66.88|358.59|240.75|250.7|103.95|113.03|103.95|300.73|300.73|128.55|101.12|134.37|300.73|365.04|358.59|170.25|0|0|142.87|142.24|100.92|100.92|103.95|100.92|181.66|100.92|103.95|0|365.04
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9967|VISIPAQUE 300-399 MG PER ML|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|0.15|0|0.11|2.64|0.15|0.14|0|0.12|2.42|2.52|0|0|0|0|0|0|0|0|0|0.12|0.12|0.12|0|0|0|0.07|0|0|1.29|0|0|0|0|0|3.23
HOSP OP|0301 - LAB/CHEMISTRY||83970|PTH INTRA-OPERATIVE|159|84.27|119.25|127.2|135.15|143.1|135.15|128.47|114.48|107.61|0|159|59.16|61.91|43.02|130.14|56.22|54.71|60.36|45.41|119.25|124.18|42.52|46.23|42.52|97.91|97.91|51.51|41.36|43.75|97.91|46.23|45.41|46.23|0|0|0|31.6|41.28|41.28|42.52|41.28|74.3|41.28|42.52|0|159
HOSP OP|0302 - LAB/IMMUNOLOGY||86615|Hb Bordetella Pertussis Antibody Igg|126.2|66.89|94.65|100.96|107.27|113.58|107.27|101.97|90.86|85.41|0|126.2|18.9|19.78|13.74|103.29|17.96|17.48|19.29|14.51|94.65|98.56|13.59|14.77|13.59|30.97|30.97|16.29|13.22|13.84|30.97|14.77|14.51|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|23.74|13.19|13.59|0|126.2
HOSP OP|0271 - NONSTER SUPPLY||L4398|FOOT DROP SPLINT|119|63.07|89.25|95.2|101.15|107.1|101.15|96.15|85.68|80.54|0|119|77.59|66.64|43.58|97.4|73.66|71.76|64.97|69.65|89.25|92.94|79.71|86.68|79.71|119|119|88.05|77.54|91.51|119|70.9|69.65|70.9|0|0|85.92|52.73|77.39|77.39|79.71|77.39|77.39|77.39|79.71|0|119
HOSP OP|0301 - LAB/CHEMISTRY||83519|VGKA AB SERUM|54.03|28.64|40.52|43.22|45.93|48.63|45.93|43.66|38.9|36.57|0|54.03|23.74|24.84|17.26|44.22|22.56|21.95|24.22|20.24|40.52|42.2|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|54.03
HOSP OP|0361 - OR/MINOR||36478|ENDOVENOUS LASER 1ST VEIN|6071|3217.63|4553.25|4856.8|5160.35|5463.9|5160.35|4905.37|4371.12|4108.85|0|6071|0|3225.38|0|4969.11|0|0|3144.71|4118.11|4553.25|4741.45|276.25|300.38|276.25|3171.14|3171.14|1497.3|268.74|1416.87|3171.14|4192.24|4118.11|1955.23|0|0|0|0|268.2|268.2|276.25|268.2|482.76|268.2|276.25|0|6071
HOSP OP|0361 - OR/MINOR||36479|ENDOVENOUS LASER VEIN ADDON|5173|2741.69|3879.75|4138.4|4397.05|4655.7|0|4179.78|3724.56|3501.09|0|5173|0|0|0|4234.1|0|0|0|4118.11|3879.75|4040.11|0|0|0|0|0|0|0|0|0|4192.24|4118.11|1955.23|0|0|0|0|0|0|135.13|0|0|131.19|0|0|5173
HOSP OP|0761 - TREATMENT ROOM||37765|PHLEB VEINS EXTREM 10-20|6121|3244.13|4590.75|4896.8|5202.85|5508.9|5202.85|4945.77|4407.12|4142.69|0|6121|3990.89|1300.98|2241.51|5010.04|3788.9|3690.96|1268.45|3252.37|4590.75|4780.5|269.7|293.26|269.7|1760.41|1760.41|779.69|262.36|786.56|1760.41|3310.91|3252.37|1544.19|0|0|0|2712.22|261.84|261.84|269.7|261.84|471.31|261.84|269.7|0|6121
HOSP OP|0761 - TREATMENT ROOM||37766|Hb Phleb Veins - Extrem 20+|5600|2968|4200|4480|4760|5040|4760|4524.8|4032|3790.08|0|5600|3651.2|1486.32|2050.72|4583.6|3466.4|3376.8|1449.15|3252.37|4200|4373.6|329.91|358.74|329.91|2086.12|2086.12|925.41|320.94|932.08|2086.12|3310.91|3252.37|1544.19|0|0|0|2481.36|320.3|320.3|329.91|320.3|576.54|320.3|329.91|0|5600
HOSP OP|0301 - LAB/CHEMISTRY||83655|LEAD BLOOD|11.95|6.33|8.96|9.56|10.16|10.76|10.16|9.66|8.6|8.09|0|11.95|11.95|11.95|11.95|9.78|11.95|11.95|11.95|12.11|8.96|9.33|11.95|11.95|11.95|11.95|11.95|11.95|11.95|11.95|11.95|12.33|12.11|12.33|0|0|0|9.27|11.95|11.95|11.95|11.95|11.95|11.95|11.95|0|12.33
HOSP OP|0450 - EMERGENCY ROOM||54700|INCIS/DRAIN SCROTUM/TESTISEPIDIDM|2788|1477.64|2091|2230.4|2369.8|2509.2|2369.8|2252.7|2007.36|1886.92|0|2788|0|323.74|0|2281.98|0|0|315.64|4973.07|2091|2177.43|219.49|238.67|219.49|590.47|590.47|261.51|213.53|263.82|590.47|5062.59|4973.07|2361.16|0|0|0|0|213.1|213.1|219.49|213.1|383.58|213.1|219.49|0|5062.59
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Ena Atb To Any Method Each Atb|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.72|0|0|0|0|0|0|0|0|0|0|0|20.07|19.72|20.07|0|0|0|0|0|0|0|0|0|0|0|0|20.07
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Hypoglycemic Agent Scrn|128.35|68.03|96.26|102.68|109.1|115.52|109.1|103.71|92.41|86.87|0|128.35|83.4|87.28|60.64|105.05|79.26|77.13|85.1|68.35|96.26|100.24|64|69.6|64|128.35|128.35|72.64|62.26|61.6|128.35|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|128.35
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93799|IMPELLA INSERTION|1011|535.83|758.25|808.8|859.35|909.9|859.35|816.89|727.92|684.24|0|1011|0|566.16|0|827.5|0|0|552.01|116.47|758.25|789.59|404.4|0|404.4|802.73|835.69|435.44|404.4|442.51|835.69|118.57|116.47|55.3|0|0|152.27|0|0|0|404.4|0|505.5|0|404.4|0|1011
HOSP OP|0272 - STERILE SUPPLY|||Hb Impella Catheter|70000|37100|0|56000|0|63000|0|56560|50400|47376|0|70000|45640|0|25634|57295|43330|42210|0|0|0|54670|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31017|0|0|0|0|0|0|0|0|70000
HOSP OP|0301 - LAB/CHEMISTRY||82542|Hb Coenzyme Q10|160.88|85.27|120.66|128.7|136.75|144.79|136.75|129.99|115.83|108.88|0|160.88|31.08|32.52|22.6|131.68|29.53|28.74|31.71|26.5|120.66|125.65|24.81|26.98|24.81|51.95|51.95|24.21|24.14|23.21|51.95|26.98|26.5|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|160.88
HOSP OP|0301 - LAB/CHEMISTRY||83013|H. PYLORI BREATH TEST|54.2|28.73|40.65|43.36|46.07|48.78|46.07|43.79|39.02|36.68|0|54.2|54.2|54.2|54.2|44.36|54.2|54.2|54.2|74.1|40.65|42.33|54.2|54.2|54.2|54.2|54.2|54.2|54.2|54.2|54.2|75.43|74.1|75.43|0|0|0|51.57|54.2|54.2|54.2|54.2|54.2|54.2|54.2|0|75.43
HOSP OP|0320 - DX X-RAY||73120|XR HAND 2 VIEWS|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|278|69.8|278|227.54|278|278|68.06|157.34|208.5|217.12|22.7|24.68|22.7|80.93|80.93|34.78|22.08|36.16|80.93|160.17|157.34|74.7|0|0|126.02|272.44|22.04|22.04|22.7|22.04|39.67|22.04|22.7|0|278
HOSP OP|0761 - TREATMENT ROOM||49180|BIOPSY ABDOMINAL MASS|2065|1094.45|1548.75|1652|1755.25|1858.5|1755.25|1668.52|1486.8|1397.59|0|2065|1346.38|358.64|756.2|1690.2|1278.24|1245.2|349.67|1360.36|1548.75|1612.77|87.48|95.12|87.48|463.58|463.58|202.08|85.1|207.13|463.58|1384.85|1360.36|645.88|0|0|0|915|84.93|84.93|87.48|84.93|152.87|84.93|87.48|0|2065
HOSP OP|0302 - LAB/IMMUNOLOGY||86481|T-SPOT TBTB GOLD|82.22|43.58|61.67|65.78|69.89|74|69.89|66.43|59.2|55.65|0|82.22|82.22|82.22|82.22|67.3|82.22|82.22|82.22|110|61.67|64.21|82.22|82.22|82.22|82.22|82.22|82.22|82.22|82.22|82.22|111.98|110|111.98|0|0|0|68.92|82.22|82.22|82.22|82.22|82.22|82.22|82.22|0|111.98
HOSP OP|0301 - LAB/CHEMISTRY||83020|HEMOGLOBIN QUANT BY ELP|29.04|15.39|21.78|23.23|24.68|26.14|24.68|23.46|20.91|19.65|0|29.04|29.04|19.31|27.26|23.77|29.04|29.04|18.83|40.28|21.78|22.68|13.26|14.41|13.26|29.04|29.04|22.45|12.9|22.77|29.04|41|40.28|19.12|0|0|0|20.02|12.87|12.87|13.26|12.87|23.17|12.87|13.26|0|41
HOSP OP|0301 - LAB/CHEMISTRY||83021|HEMOGLOBIN QUANT BY HPLC|27.1|14.36|20.33|21.68|23.04|24.39|23.04|21.9|19.51|18.34|0|27.1|25.88|27.08|18.82|22.18|24.59|23.93|26.4|19.87|20.33|21.17|18.6|20.23|18.6|27.1|27.1|22.45|18.1|19.2|27.1|20.23|19.87|20.23|0|0|0|13.82|18.06|18.06|18.6|18.06|27.1|18.06|18.6|0|27.1
HOSP OP|0301 - LAB/CHEMISTRY||83068|Hb Unstable Hemoglobin|47.87|25.37|35.9|38.3|40.69|43.08|40.69|38.68|34.47|32.4|0|47.87|12.22|12.78|8.88|39.18|11.61|11.3|12.46|10.42|35.9|37.39|9.75|10.61|9.75|19.98|19.98|10.57|9.49|8.93|19.98|10.61|10.42|10.61|0|0|0|6.52|9.47|9.47|9.75|9.47|17.05|9.47|9.75|0|47.87
HOSP OP|0301 - LAB/CHEMISTRY||82664|IEF CONFIRM|55.8|29.57|41.85|44.64|47.43|50.22|47.43|45.09|40.18|37.77|0|55.8|55.8|55.8|55.8|45.67|55.8|55.8|55.8|67.65|41.85|43.58|55.8|55.8|55.8|55.8|55.8|55.8|55.8|55.8|55.8|68.87|67.65|68.87|0|0|0|42.38|55.8|55.8|55.8|55.8|55.8|55.8|55.8|0|68.87
HOSP OP|0301 - LAB/CHEMISTRY||83789|Hb Variant By Mass Spec|149.9|79.45|112.43|119.92|127.42|134.91|127.42|121.12|107.93|101.45|0|149.9|31.1|32.55|22.62|122.69|29.56|28.76|31.74|26.52|112.43|117.07|24.83|27|24.83|51.95|51.95|24.21|24.16|23.21|51.95|27|26.52|27|0|0|0|16.61|24.11|24.11|24.83|24.11|43.4|24.11|24.83|0|149.9
HOSP OP|0420 - PHYSICAL THERAPY||95992|PT CANALITH REPOSITIONING|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|165|150.44|106.79|135.05|165|165|146.68|199.75|123.75|128.87|39.08|42.49|39.08|122.89|122.89|52.83|38.02|54.91|122.89|203.35|199.75|94.84|0|0|34.98|161.7|41.73|41.73|39.08|41.73|68.29|37.94|39.08|0|203.35
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93572|INTRAVAS PRESS MEAS ADDT'L|858|454.74|643.5|686.4|729.3|772.2|0|693.26|617.76|580.69|0|858|0|0|0|702.27|0|0|0|0|643.5|670.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|343.2|0|0|0|0|0|858
HOSP OP|0260 - IV THERAPY||96361|HYDRATION IV INF EA ADD HR|172|91.16|129|137.6|146.2|154.8|146.2|138.98|123.84|116.41|0|172|112.14|74.11|62.99|140.78|106.47|103.72|72.26|525.61|129|134.33|42.11|45.79|42.11|37.23|37.23|30.25|40.97|30.67|37.23|535.07|525.61|249.55|0|0|42.43|76.21|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|535.07
HOSP OP|0260 - IV THERAPY||96366|IV INFUSION EA ADDLT HR|241|127.73|180.75|192.8|204.85|216.9|204.85|194.73|173.52|163.11|0|241|157.13|74.11|88.25|197.26|149.18|145.32|72.26|525.61|180.75|188.22|42.11|45.79|42.11|37.23|37.23|30.25|40.97|30.67|37.23|535.07|525.61|249.55|0|0|42.43|106.79|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|535.07
HOSP OP|0260 - IV THERAPY||96372|INJECTION SQ OR IM|149|78.97|111.75|119.2|126.65|134.1|126.65|120.39|107.28|100.84|0|149|97.15|116.89|54.56|121.96|92.23|89.85|113.97|0|111.75|116.37|66.82|72.66|66.82|83.14|83.14|47.99|65.01|48.65|83.14|0|0|0|0|0|66.92|66.02|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|149
HOSP OP|0260 - IV THERAPY||96374|IV INJECTION / PUSH INITIAL|234|124.02|175.5|187.2|198.9|210.6|198.9|189.07|168.48|158.37|0|234|152.57|234|85.69|191.53|144.85|141.1|234|0|175.5|182.75|203.05|220.79|203.05|113.07|113.07|145.82|197.53|147.85|113.07|0|0|0|0|0|209.65|103.69|234|234|203.05|234|234|197.13|203.03|0|234
HOSP OP|0260 - IV THERAPY||96367|IV INFUSION SEQUENTIAL 1 HR|285|151.05|213.75|228|242.25|256.5|242.25|230.28|205.2|192.89|0|285|185.82|116.89|104.37|233.27|176.42|171.86|113.97|438.62|213.75|222.59|66.82|72.66|66.82|83.14|83.14|47.99|65.01|48.65|83.14|446.52|438.62|208.25|0|0|66.92|126.28|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|446.52
HOSP OP|0260 - IV THERAPY||96375|IV INJ/PUSH EA SUBSEQUENT|176|93.28|132|140.8|149.6|158.4|149.6|142.21|126.72|119.12|0|176|114.75|74.11|64.45|144.06|108.94|106.13|72.26|0|132|137.46|42.11|45.79|42.11|37.23|37.23|30.25|40.97|30.67|37.23|0|0|0|0|0|42.43|77.99|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|176
HOSP OP|0260 - IV THERAPY||96360|HYDRATION IV INF 1ST HOUR|332|175.96|249|265.6|282.2|298.8|282.2|268.26|239.04|224.7|0|332|216.46|332|121.58|271.74|205.51|200.2|332|438.62|249|259.29|203.05|220.79|203.05|269.58|113.07|145.82|197.53|147.85|113.07|446.52|438.62|208.25|0|0|209.65|147.11|332|332|203.05|332|332|197.13|203.03|0|446.52
HOSP OP|0260 - IV THERAPY||96365|IV INFUSION THERAPY 1ST HR|492|260.76|369|393.6|418.2|442.8|418.2|397.54|354.24|332.99|0|492|320.78|366.16|180.17|402.7|304.55|296.68|357|438.62|369|384.25|203.05|220.79|203.05|113.07|113.07|145.82|197.53|147.85|113.07|446.52|438.62|208.25|0|0|209.65|218.01|393.44|350.23|203.05|377.52|354.84|197.13|203.03|0|492
HOSP OP|0260 - IV THERAPY||96376|ADDTL IV PUSH SAME DRUG|194|102.82|145.5|155.2|164.9|174.6|0|156.75|139.68|131.3|0|194|126.49|0|71.04|158.79|120.09|116.98|0|6.92|145.5|151.51|0|0|0|0|0|0|0|0|0|7.04|6.92|7.04|0|0|0|85.96|0|0|77.6|0|0|0|0|0|194
HOSP OP|0483 - ECHOCARDIOLOGY||93306|Hb Echo W/doppler & Color Flow|1222|647.66|916.5|977.6|1038.7|1099.8|1038.7|987.38|879.84|827.05|0|1222|1122|973.2|629.6|1000.21|1161|1130|948.85|1122.41|916.5|954.38|532.19|578.69|532.19|895.15|913.41|382.2|517.72|387.51|913.41|1142.61|1122.41|532.91|0|0|557.22|1023.03|1031.2|917.95|532.19|989.48|930.04|516.69|532.13|0|1222
HOSP OP|0410 - RESPIRATORY THERAPY||99465|NEWBORN RESUSCITATION|783|414.99|587.25|626.4|665.55|704.7|665.55|632.66|563.76|529.93|0|783|510.52|121.55|286.73|640.89|484.68|472.15|118.51|2336.15|587.25|611.52|149.43|162.49|149.43|401.64|401.64|176.98|145.37|179.45|401.64|2378.2|2336.15|1109.18|0|0|589.7|427.28|145.08|145.08|149.43|145.08|261.14|145.08|149.43|0|2378.2
HOSP OP|0480 - CARDIOLOGY||93287|PERI-PROCEDURAL EVAL/PROG ICD|90|47.7|67.5|72|76.5|81|0|72.72|64.8|60.91|0|90|58.68|0|32.96|73.67|55.71|54.27|0|0|67.5|70.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.88|0|0|26.09|0|0|25.33|0|0|90
HOSP OP|0310 - PATHOLOGY LAB||88120|Hb Urovysion For Bladder Cancer|323.8|171.61|242.85|259.04|275.23|291.42|275.23|261.63|233.14|219.15|0|323.8|323.8|323.8|323.8|265.03|323.8|323.8|323.8|143.82|242.85|252.89|551|599.14|551|323.8|323.8|323.8|323.8|323.8|323.8|146.41|143.82|68.29|0|0|323.8|317.32|323.8|323.8|551|323.8|323.8|323.8|551|0|599.14
HOSP OP|0272 - STERILE SUPPLY||C1769|PREMIUM PCI GUIDEWIRE|1120|593.6|840|896|952|1008|0|904.96|806.4|758.02|0|1120|730.24|0|410.14|916.72|693.28|675.36|0|0|840|874.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|496.27|0|0|448|0|0|0|0|0|1120
HOSP OP|0341 - NUC MED/DX||78803|NM RP TUMOR LOC SPECT|3412|1808.36|2559|2729.6|2900.2|3070.8|2900.2|2756.9|2456.64|2309.24|0|3412|1459|891.09|747.53|2792.72|1386|1349|868.8|1907.93|2559|2664.77|1405.88|1528.72|1405.88|2364.7|2412.96|1009.65|1367.66|1023.67|2412.96|1942.27|1907.93|905.86|0|0|510.22|1222.55|2724.11|2424.93|1405.88|2613.89|2456.88|1364.93|1405.72|0|3412
HOSP OP|0450 - EMERGENCY ROOM||40804|REMOVAL FOREIGN BODY/VESTIBULE MOUMOUTH|1133|600.49|849.75|906.4|963.05|1019.7|963.05|915.46|815.76|766.81|0|1133|0|501.86|0|927.36|0|0|489.31|343.97|849.75|884.87|122.56|133.27|122.56|539.51|539.51|228.49|119.23|241.06|539.51|350.16|343.97|163.31|0|0|0|0|118.99|118.99|122.56|118.99|214.18|118.99|122.56|0|1133
HOSP OP|0831 - PERTNL.COMPOSITE||90945|PERITONEAL DIALYSIS|1238|656.14|928.5|990.4|1052.3|1114.2|1052.3|1000.3|891.36|837.88|0|1238|807.18|291.25|453.36|1013.3|766.32|746.51|283.96|507.61|928.5|966.88|88.9|96.67|88.9|236.79|236.79|104.34|86.48|105.8|236.79|516.75|507.61|241.01|0|0|403.64|548.56|86.31|86.31|88.9|86.31|155.36|86.31|88.9|0|1238
HOSP OP|0483 - ECHOCARDIOLOGY||93306|PEDS ECHO W/DOPPLER & COLOR FL|1222|647.66|916.5|977.6|1038.7|1099.8|1038.7|987.38|879.84|827.05|0|1222|1122|973.2|629.6|1000.21|1161|1130|948.85|1122.41|916.5|954.38|532.19|578.69|532.19|895.15|913.41|382.2|517.72|387.51|913.41|1142.61|1122.41|532.91|0|0|557.22|1023.03|1031.2|917.95|532.19|989.48|930.04|516.69|532.13|0|1222
HOSP OP|0305 - LAB/HEMATOLOGY||85613|Hb Drvvt Mix - Mayo|41.95|22.23|31.46|33.56|35.66|37.76|35.66|33.9|30.2|28.39|0|41.95|13.73|14.36|9.98|34.34|13.04|12.69|14|10.54|31.46|32.76|9.87|10.73|9.87|22.98|22.98|11.89|9.6|10.27|22.98|10.73|10.54|10.73|0|0|0|7.33|9.58|9.58|9.87|9.58|17.24|9.58|9.87|0|41.95
HOSP OP|0483 - ECHOCARDIOLOGY||C8925|TRANESOPHAGEAL W/CONTRAST|1730|916.9|1297.5|1384|1470.5|1557|1470.5|1397.84|1245.6|1170.86|0|1730|1122|968.8|629.6|1416.01|1161|1130|944.58|1122.41|1297.5|1351.13|692|0|692|1373.62|1430.02|745.11|692|757.22|1430.02|1142.61|1122.41|532.91|0|0|774.82|1023.03|0|0|692|0|865|0|692|0|1730
HOSP OP|0483 - ECHOCARDIOLOGY||C8929|TTE W/CONTRAST DOPPLER & COLOR|1498|793.94|1123.5|1198.4|1273.3|1348.2|1273.3|1210.38|1078.56|1013.85|0|1498|1122|1353.22|629.6|1226.11|1161|1130|1319.37|0|1123.5|1169.94|752.37|818.11|752.37|1265.48|1291.3|540.32|731.91|547.82|1291.3|0|0|0|0|0|774.82|1023.03|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|1498
HOSP OP|0351 - CT SCAN/HEAD||0042T|CEREBRAL PERFUSION STUDY|423|224.19|317.25|338.4|359.55|380.7|359.55|341.78|304.56|286.29|0|423|423|236.88|423|346.23|423|423|230.96|264.31|317.25|330.36|169.2|0|169.2|423|423|271.2|169.2|274.98|423|269.07|264.31|269.07|0|0|0|414.54|0|0|169.2|0|211.5|0|169.2|0|423
HOSP OP|0710 - RECOVERY ROOM|||RECOVERY MINIMAL|222|117.66|0|177.6|0|199.8|0|179.38|159.84|150.25|0|222|144.74|0|81.3|181.71|137.42|133.87|0|0|0|173.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.37|0|0|0|0|0|0|0|0|222
HOSP OP|0301 - LAB/CHEMISTRY||82565|Hb Poct Creatinine|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|7.34|7.68|5.34|22.1|6.98|6.79|7.49|5.12|20.25|21.09|5.27|5.73|5.27|11.99|11.99|6.6|5.13|5.36|11.99|5.21|5.12|5.21|0|0|0|3.92|5.12|5.12|5.27|5.12|9.22|5.12|5.27|0|27
HOSP OP|0306 - LAB/BACT-MICRO||87015|CONCENTRATION FOR INFECTIOUS AGNT|22.1|11.71|16.58|17.68|18.79|19.89|18.79|17.86|15.91|14.96|0|22.1|9.57|10.02|6.96|18.09|9.1|8.85|9.77|7.35|16.58|17.26|6.88|7.48|6.88|15.99|15.99|8.36|6.69|7.14|15.99|7.48|7.35|7.48|0|0|0|5.11|6.68|6.68|6.88|6.68|12.02|6.68|6.88|0|22.1
HOSP OP|0480 - CARDIOLOGY||93279|PPM Programming Single|229|121.37|171.75|183.2|194.65|206.1|194.65|185.03|164.88|154.99|0|229|149.31|77.02|83.86|187.44|141.75|138.09|75.1|140.9|171.75|178.85|29.85|32.46|29.85|154.86|154.86|61.2|29.04|69.19|154.86|143.44|140.9|66.9|0|0|41.62|101.47|28.98|28.98|29.85|28.98|52.16|28.98|29.85|0|229
HOSP OP|0480 - CARDIOLOGY||93280|PPM Programming dual|270|143.1|202.5|216|229.5|243|229.5|218.16|194.4|182.74|0|270|176.04|89.06|98.87|221|167.13|162.81|86.83|140.9|202.5|210.87|34.74|37.78|34.74|180.84|180.84|71.76|33.8|80.8|180.84|143.44|140.9|66.9|0|0|41.62|119.64|33.73|33.73|34.74|33.73|60.71|33.73|34.74|0|270
HOSP OP|0480 - CARDIOLOGY||93282|ICD Programming single|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|180.6|83.04|101.44|226.72|171.46|167.03|80.96|140.9|207.75|216.34|32.11|34.91|32.11|187.83|187.83|75.28|31.23|83.92|187.83|143.44|140.9|66.9|0|0|41.62|122.74|31.17|31.17|32.11|31.17|56.11|31.17|32.11|0|277
HOSP OP|0480 - CARDIOLOGY||93283|ICD Programming Dual|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|180.6|72.7|101.44|226.72|171.46|167.03|70.88|140.9|207.75|216.34|40.06|43.56|40.06|67.38|68.76|28.77|38.97|29.17|68.76|143.44|140.9|66.9|0|0|41.62|122.74|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|277
HOSP OP|0480 - CARDIOLOGY||93281|PPM PROGRAMMING MULTI-LEAD|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|180.6|90.26|101.44|226.72|171.46|167.03|88.01|140.9|207.75|216.34|35.49|38.6|35.49|194.82|194.82|77.92|34.53|87.05|194.82|143.44|140.9|66.9|0|0|41.62|122.74|34.46|34.46|35.49|34.46|62.03|34.46|35.49|0|277
HOSP OP|0480 - CARDIOLOGY||93284|ICD PROGRAMMING MULTI-LEAD|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|180.6|96.28|101.44|226.72|171.46|167.03|93.87|140.9|207.75|216.34|37.75|41.05|37.75|255.77|255.77|104.78|36.72|114.28|255.77|143.44|140.9|66.9|0|0|41.62|122.74|36.65|36.65|37.75|36.65|65.97|36.65|37.75|0|277
HOSP OP|0480 - CARDIOLOGY||93286|Peri-Procedural Eval/Prog PM|70|37.1|52.5|56|59.5|63|0|56.56|50.4|47.38|0|70|45.64|0|25.63|57.3|43.33|42.21|0|0|52.5|54.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.02|0|0|26.09|0|0|25.33|0|0|70
HOSP OP|0480 - CARDIOLOGY||93288|Interrogation PPM|209|110.77|156.75|167.2|177.65|188.1|177.65|168.87|150.48|141.45|0|209|136.27|72.7|76.54|171.07|129.37|126.03|70.88|140.9|156.75|163.23|40.06|43.56|40.06|67.38|68.76|28.77|38.97|29.17|68.76|143.44|140.9|66.9|0|0|41.62|92.61|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|209
HOSP OP|0480 - CARDIOLOGY||93289|Interrogation ICD|198|104.94|148.5|158.4|168.3|178.2|168.3|159.98|142.56|134.01|0|198|129.1|72.7|72.51|162.06|122.56|119.39|70.88|140.9|148.5|154.64|40.06|43.56|40.06|67.38|68.76|28.77|38.97|29.17|68.76|143.44|140.9|66.9|0|0|41.62|87.73|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|198
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93978|DUPLEX AORTA/IVC/BYPAS COMP|572|303.16|429|457.6|486.2|514.8|486.2|462.18|411.84|387.13|0|572|372.94|507.88|209.47|468.18|354.07|344.92|495.17|289.27|429|446.73|157.51|171.27|157.51|531.52|531.52|240.38|153.23|237.48|531.52|294.48|289.27|137.34|0|0|258.25|253.45|152.92|152.92|157.51|152.92|275.26|152.92|157.51|0|572
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93979|DUPLE AORTA/IVC/BYPAS LIMIT|388|205.64|291|310.4|329.8|349.2|329.8|313.5|279.36|262.6|0|388|252.98|324.95|142.09|317.58|240.17|233.96|316.82|289.27|291|303.03|101.84|110.73|101.84|337.7|337.7|151.45|99.07|150.88|337.7|294.48|289.27|137.34|0|0|126.02|171.92|98.87|98.87|101.84|98.87|177.97|98.87|101.84|0|388
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90686|INFLUENZA VIRUS VACCINE 3 YRS|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.03|0|0|0|0|0|0|0|0|0|0|0|19.37|19.03|19.37|0|0|0|0|0|0|0|0|0|0|0|0|19.37
HOSP OP|0301 - LAB/CHEMISTRY||84481|T3 FREE|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|24.28|25.41|17.65|55.66|23.07|22.45|24.77|18.63|51|53.11|17.45|18.97|17.45|39.96|39.96|21.13|16.97|17.86|39.96|18.97|18.63|18.97|0|0|0|12.97|16.94|16.94|17.45|16.94|30.49|16.94|17.45|0|68
HOSP OP|0480 - CARDIOLOGY||93291|INTERROGATION LOOP RECORDER|128|67.84|96|102.4|108.8|115.2|108.8|103.42|92.16|86.63|0|128|83.46|66.19|46.87|104.77|79.23|77.18|64.54|140.9|96|99.97|25.71|27.96|25.71|105.9|105.9|40.06|25.01|47.32|105.9|143.44|140.9|66.9|0|0|19.22|56.72|24.96|24.96|25.71|24.96|44.93|24.96|25.71|0|143.44
HOSP OP|0480 - CARDIOLOGY||93285|LOOP RECORDER PROGRAMMING ILR|109|57.77|81.75|87.2|92.65|98.1|92.65|88.07|78.48|73.77|0|109|71.07|74.62|39.92|89.22|67.47|65.73|72.75|140.9|81.75|85.13|28.73|31.24|28.73|109|109|52.39|27.95|60.71|109|143.44|140.9|66.9|0|0|41.62|48.3|27.89|27.89|28.73|27.89|50.2|27.89|28.73|0|143.44
HOSP OP|0301 - LAB/CHEMISTRY||84425|VITAMINE B1 / THIAMINE|50.93|26.99|38.2|40.74|43.29|45.84|43.29|41.15|36.67|34.47|0|50.93|30.43|31.85|22.13|41.69|28.92|28.14|31.05|23.35|38.2|39.78|21.87|23.78|21.87|49.96|49.96|26.42|21.27|22.32|49.96|23.77|23.35|23.77|0|0|0|16.25|21.23|21.23|21.87|21.23|38.21|21.23|21.87|0|50.93
HOSP OP|0302 - LAB/IMMUNOLOGY||87581|MYCOPLASMA PNEUMONIAE AMP PROBE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|38.6|0|0|0|0|0|0|0|0|0|0|0|39.29|38.6|39.29|0|0|0|0|0|0|0|0|0|0|0|0|39.29
HOSP OP|0350 - CT SCAN||72127|CT CERVICAL SPINE WO & W|1188|629.64|891|950.4|1009.8|1069.2|1009.8|959.9|855.36|804.04|0|1188|1158|394.64|605.81|972.38|1101|1072|384.77|564.65|891|927.83|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|574.81|564.65|268.09|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1188
HOSP OP|0942 - EDUC/TRAINING||99406|Hb Tobacco Cessation 3-10 Min|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|33.25|51|18.68|41.74|31.57|30.75|51|38.98|38.25|39.83|30.19|32.83|30.19|50.79|51|21.69|29.37|21.99|51|39.68|38.98|18.51|0|0|37.39|22.6|51|51|30.19|51|51|29.31|30.19|0|51
HOSP OP|0942 - EDUC/TRAINING||99407|Hb Tobacco Cessation > 10 Min|86|45.58|64.5|68.8|73.1|77.4|73.1|69.49|61.92|58.2|0|86|56.07|65.29|31.49|70.39|53.23|51.86|63.66|38.98|64.5|67.17|30.19|32.83|30.19|50.79|51.83|21.69|29.37|21.99|51.83|39.68|38.98|18.51|0|0|37.39|38.11|58.51|52.08|30.19|56.14|52.76|29.31|30.19|0|86
HOSP OP|0260 - IV THERAPY||96368|CONCURRENT INFUSION|192|101.76|144|153.6|163.2|172.8|0|155.14|138.24|129.95|0|192|125.18|0|70.31|157.15|118.85|115.78|0|438.62|144|149.95|0|0|0|0|0|0|0|0|0|446.52|438.62|208.25|0|0|0|85.08|0|0|21.88|0|0|21.24|0|0|446.52
HOSP OP|0361 - OR/MINOR||50593|Hb Cyroablation Renal Tumor U*|14619|7748.07|10964.25|11695.2|12426.15|13157.1|12426.15|11812.15|10525.68|9894.14|0|14619|0|14034.01|0|11965.65|0|0|13683.02|6486.62|10964.25|11417.44|477.51|519.23|477.51|12614.64|12614.64|5698.65|464.53|5636.25|12614.64|6603.38|6486.62|3079.77|0|0|0|0|463.6|463.6|477.51|463.6|834.48|463.6|477.51|0|14619
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|ANIMAL COW DANDER|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.74|30.75|32.02|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0306 - LAB/BACT-MICRO||87801|LEGIONELLA PCR|74.2|39.33|55.65|59.36|63.07|66.78|63.07|59.95|53.42|50.22|0|74.2|74.2|74.2|73.15|60.73|74.2|74.2|74.2|70.2|55.65|57.95|72.31|74.2|72.31|74.2|74.2|74.2|70.34|74.2|74.2|71.46|70.2|71.46|0|0|0|53.75|70.2|70.2|72.31|70.2|74.2|70.2|72.31|0|74.2
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93976|DUPL ABD/PELV/SCROT LIMITED|544|288.32|408|435.2|462.4|489.6|462.4|439.55|391.68|368.18|0|544|354.69|422.43|199.21|445.26|336.74|328.03|411.86|289.27|408|424.86|131.55|143.05|131.55|463.58|463.58|206.92|127.98|207.13|463.58|294.48|289.27|137.34|0|0|126.02|241.05|127.72|127.72|131.55|127.72|229.9|127.72|131.55|0|544
HOSP OP|0301 - LAB/CHEMISTRY||81340|Hb T-cell Antigen Receptor Beta|249.7|132.34|187.28|199.76|212.25|224.73|212.25|201.76|179.78|169|0|249.7|249.7|249.7|217.74|204.38|249.7|249.7|249.7|229.81|187.28|195.02|215.19|233.99|215.19|249.7|249.7|249.7|209.34|237.93|249.7|233.95|229.81|233.95|0|0|249.7|159.99|208.92|208.92|215.19|208.92|249.7|208.92|215.19|0|249.7
HOSP OP|0301 - LAB/CHEMISTRY||82533|CORTISOL SALIVA|77.9|41.29|58.43|62.32|66.22|70.11|66.22|62.94|56.09|52.72|0|77.9|23.36|24.45|16.99|63.76|22.2|21.61|23.84|17.93|58.43|60.84|16.79|18.26|16.79|38.96|38.96|20.25|16.33|17.41|38.96|18.25|17.93|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|77.9
HOSP OP|0335 - CHEMOTHERAPY/IV||96415|CHEMO INFUSION ADDTL HOURS|388|205.64|291|310.4|329.8|349.2|329.8|313.5|279.36|262.6|0|388|252.98|116.89|142.09|317.58|240.17|233.96|113.97|525.61|291|303.03|66.82|72.66|66.82|83.14|83.14|47.99|65.01|48.65|83.14|535.07|525.61|249.55|0|0|66.92|171.92|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|535.07
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||96375|IV INJ/PUSH EA SUBSEQUENT|177|93.81|132.75|141.6|150.45|159.3|150.45|143.02|127.44|119.79|0|177|115.4|74.11|64.82|144.87|109.56|106.73|72.26|0|132.75|138.24|42.11|45.79|42.11|37.23|37.23|30.25|40.97|30.67|37.23|0|0|0|0|0|42.43|78.43|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|177
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT: PINE NUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.74|42|43.74|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0301 - LAB/CHEMISTRY||83520|INTERLEUKIN 6|119.2|63.18|89.4|95.36|101.32|107.28|101.32|96.31|85.82|80.67|0|119.2|22.28|23.31|16.2|97.57|21.17|20.6|22.73|17.27|89.4|93.1|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|119.2
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|ALLODERM PER SQ CENTIMETER|84|44.52|63|67.2|71.4|75.6|0|67.87|60.48|56.85|0|84|54.77|0|30.76|68.75|52|50.65|0|31.03|63|65.6|0|0|0|0|0|0|0|0|0|31.59|31.03|31.59|0|0|0|37.22|0|0|33.6|0|0|0|0|0|84
HOSP OP|0301 - LAB/CHEMISTRY||81342|Hb T-cell Antigen Receptor Gamma|241.25|127.86|180.94|193|205.06|217.13|205.06|194.93|173.7|163.28|0|241.25|241.25|241.25|210|197.46|241.25|241.25|241.25|221.65|180.94|188.42|207.55|225.68|207.55|241.25|241.25|241.25|201.9|229.45|241.25|225.64|221.65|225.64|0|0|241.25|154.3|201.5|201.5|207.55|201.5|241.25|201.5|207.55|0|241.25
HOSP OP|0260 - IV THERAPY||96367|TH/PRO/DIAG NEW SEQ 1 ST HR|285|151.05|213.75|228|242.25|256.5|242.25|230.28|205.2|192.89|0|285|185.82|116.89|104.37|233.27|176.42|171.86|113.97|438.62|213.75|222.59|66.82|72.66|66.82|83.14|83.14|47.99|65.01|48.65|83.14|446.52|438.62|208.25|0|0|66.92|126.28|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|446.52
HOSP OP|0300 - LABORATORY||36591|BLOOD DRAW IMPLANTED PORT|155|82.15|116.25|124|131.75|139.5|131.75|125.24|111.6|104.9|0|155|49.74|155|36.17|126.87|47.27|46|155|23.84|116.25|121.06|120.49|131.02|120.49|155|155|86.53|117.21|87.73|155|24.27|23.84|11.32|0|0|119.27|26.57|155|155|120.49|155|155|116.98|120.47|0|155
HOSP OP|0300 - LABORATORY||36592|BLOOD DRAW CENTRAL/PICC LINE|185|98.05|138.75|148|157.25|166.5|157.25|149.48|133.2|125.21|0|185|55.52|185|40.37|151.42|52.77|51.35|185|23.84|138.75|144.49|120.49|131.02|120.49|185|185|86.53|117.21|87.73|185|24.27|23.84|11.32|0|0|119.27|29.66|185|185|120.49|185|185|116.98|120.47|0|185
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||96523|PORT FLUSH|238|126.14|178.5|190.4|202.3|214.2|202.3|192.3|171.36|161.08|0|238|155.18|109.35|87.16|194.8|147.32|143.51|106.61|343.97|178.5|185.88|60.79|66.1|60.79|102.25|104.34|43.66|59.14|44.27|104.34|350.16|343.97|163.31|0|0|62.6|105.46|117.8|104.86|60.79|113.03|106.24|59.02|60.79|0|350.16
HOSP OP|0450 - EMERGENCY ROOM||27842|CLOSED TX ANKLE W/ANESTH|3150|1669.5|2362.5|2520|2677.5|2835|2677.5|2545.2|2268|2131.92|0|3150|0|915.86|0|2578.28|0|0|892.96|2976.74|2362.5|2460.15|501.84|545.69|501.84|1338.79|1338.79|593.46|488.19|598.18|1338.79|3030.32|2976.74|1413.32|0|0|0|0|487.22|487.22|501.84|487.22|877|487.22|501.84|0|3150
HOSP OP|0306 - LAB/BACT-MICRO||87906|Hb Hiv-1 Integrase Genotype|409.2|216.88|306.9|327.36|347.82|368.28|347.82|330.63|294.62|276.95|0|409.2|184.51|193.09|134.16|334.93|175.35|170.63|188.26|141.6|306.9|319.59|132.59|144.18|132.59|305.72|305.72|160.69|128.99|136.6|305.72|144.15|141.6|144.15|0|0|0|98.57|128.73|128.73|132.59|128.73|231.71|128.73|132.59|0|409.2
HOSP OP|0306 - LAB/BACT-MICRO||87899|Hb Cryptococcal Antigen Screen Csf|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|20.73|21.69|15.07|54.54|19.7|19.17|21.15|16.07|49.97|52.04|16.55|18|16.55|33.97|33.97|16.29|16.1|15.18|33.97|16.36|16.07|16.36|0|0|0|11.07|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|66.63
HOSP OP|0272 - STERILE SUPPLY||C1887|BSCI GUIDING CATHETERS|980|519.4|735|784|833|882|0|791.84|705.6|663.26|0|980|638.96|0|358.88|802.13|606.62|590.94|0|0|735|765.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|434.24|0|0|392|0|0|0|0|0|980
HOSP OP|0272 - STERILE SUPPLY||C1769|BSCI PTCA GUIDEWIRES|1120|593.6|840|896|952|1008|0|904.96|806.4|758.02|0|1120|730.24|0|410.14|916.72|693.28|675.36|0|0|840|874.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|496.27|0|0|448|0|0|0|0|0|1120
HOSP OP|0272 - STERILE SUPPLY||C1725|BSCI PTCA BALLOON|266|140.98|199.5|212.8|226.1|239.4|0|214.93|191.52|180.03|0|266|173.43|0|97.41|217.72|164.65|160.4|0|0|199.5|207.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.86|0|0|106.4|0|0|0|0|0|266
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|BSCI DES STENTS|3136|1662.08|2352|2508.8|2665.6|2822.4|0|2533.89|2257.92|2122.44|0|3136|2044.67|0|1148.4|2566.82|1941.18|1891.01|0|0|2352|2449.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1389.56|0|0|1254.4|0|0|0|0|0|3136
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|BSCI STENTS|1867|989.51|1400.25|1493.6|1586.95|1680.3|0|1508.54|1344.24|1263.59|0|1867|1217.28|0|683.7|1528.14|1155.67|1125.8|0|0|1400.25|1458.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|827.27|0|0|746.8|0|0|0|0|0|1867
HOSP OP|0272 - STERILE SUPPLY||C1884|BSCI FILTERWIRE|3640|1929.2|2730|2912|3094|3276|0|2941.12|2620.8|2463.55|0|3640|2373.28|0|1332.97|2979.34|2253.16|2194.92|0|0|2730|2842.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1612.88|0|0|1456|0|0|0|0|0|3640
HOSP OP|0306 - LAB/BACT-MICRO||87210|CRYPTOCOCCUS SCREEN BY INDIA INK|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|7.51|7.86|5.46|25.37|7.14|6.94|7.66|5.82|23.25|24.21|5.99|6.52|5.99|11.99|11.99|5.72|5.83|5.36|11.99|5.92|5.82|5.92|0|0|0|4|5.82|5.82|5.99|5.82|10.48|5.82|5.99|0|31
HOSP OP|0306 - LAB/BACT-MICRO||87491|Hb Chlamydia Trachomatis Pcr Urine|221|117.13|165.75|176.8|187.85|198.9|187.85|178.57|159.12|149.57|0|221|50.3|52.64|36.57|180.89|47.8|46.52|51.32|38.6|165.75|172.6|36.14|39.3|36.14|221|221|61.2|35.16|124.1|221|39.29|38.6|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|221
HOSP OP|0301 - LAB/CHEMISTRY||84112|Hb Amnisure; Eval Of Cervicovaginal Fluid|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|118|118|92.03|96.58|118|117.05|118|107.92|88.5|92.16|101.05|109.88|101.05|118|118|99.06|98.31|93.74|118|109.86|107.92|109.86|0|0|0|67.61|98.11|98.11|101.05|98.11|118|98.11|101.05|0|118
HOSP OP|0300 - LABORATORY||81229|Hb Chromosomal Microarray Congenital Blood|1424.2|754.83|1068.15|1139.36|1210.57|1281.78|1210.57|1150.75|1025.42|963.9|0|1424.2|1424.2|1424.2|1088.08|1165.71|1422.16|1383.88|1424.2|1276|1068.15|1112.3|1194.8|1299.2|1194.8|1424.2|1424.2|380.82|1162.32|1188.32|1424.2|1298.97|1276|1298.97|0|0|1299.29|799.49|1160|1160|1194.8|1160|1424.2|1160|1194.8|0|1424.2
HOSP OP|0306 - LAB/BACT-MICRO||87591|Hb Neisseria Gonorrhoeae Pcr Urine|222|117.66|166.5|177.6|188.7|199.8|188.7|179.38|159.84|150.25|0|222|50.3|52.64|36.57|181.71|47.8|46.52|51.32|38.6|166.5|173.38|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|222
HOSP OP|0301 - LAB/CHEMISTRY||82172|Hb Apolipoprotein|73.83|39.13|55.37|59.06|62.76|66.45|62.76|59.65|53.16|49.97|0|73.83|27.21|28.47|19.78|60.43|25.86|25.16|27.76|23.2|55.37|57.66|21.72|23.62|21.72|44.96|44.96|21.13|21.13|20.09|44.96|23.62|23.2|23.62|0|0|0|14.53|21.09|21.09|21.72|21.09|37.96|21.09|21.72|0|73.83
HOSP OP|0301 - LAB/CHEMISTRY||82247|Hb Bilirubin Total|26.57|14.08|19.93|21.26|22.58|23.91|22.58|21.47|19.13|17.98|0|26.57|7.19|7.52|5.22|21.75|6.83|6.65|7.33|5.02|19.93|20.75|5.17|5.62|5.17|11.99|11.99|6.16|5.03|5.36|11.99|5.11|5.02|5.11|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|26.57
HOSP OP|0301 - LAB/CHEMISTRY||82977|Hb Ggt|36.41|19.3|27.31|29.13|30.95|32.77|30.95|29.42|26.22|24.64|0|36.41|10.32|10.8|7.5|29.8|9.81|9.54|10.53|7.2|27.31|28.44|7.42|8.06|7.42|16.98|16.98|8.81|7.21|7.59|16.98|7.33|7.2|7.33|0|0|0|5.5|7.2|7.2|7.42|7.2|12.96|7.2|7.42|0|36.41
HOSP OP|0301 - LAB/CHEMISTRY||83010|Hb Haptoglobin; Quantitative|57.5|30.47|43.13|46|48.88|51.75|48.88|46.46|41.4|38.92|0|57.5|18.02|18.86|13.1|47.06|17.13|16.67|18.39|13.84|43.13|44.91|12.96|14.09|12.96|29.97|29.97|15.85|12.61|13.39|29.97|14.09|13.84|14.09|0|0|0|9.62|12.58|12.58|12.96|12.58|22.64|12.58|12.96|0|57.5
HOSP OP|0301 - LAB/CHEMISTRY||83883|Hb Nephelometry Each Analyte Nes|62|32.86|46.5|49.6|52.7|55.8|52.7|50.1|44.64|41.96|0|62|19.49|20.4|14.17|50.75|18.52|18.03|19.89|14.96|46.5|48.42|14.01|15.23|14.01|31.97|31.97|17.17|13.63|14.28|31.97|15.23|14.96|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|24.48|13.6|14.01|0|62
HOSP OP|0301 - LAB/CHEMISTRY||84460|Hb Alt/sgpt|27.89|14.78|20.92|22.31|23.71|25.1|23.71|22.54|20.08|18.88|0|27.89|7.6|7.95|5.52|22.83|7.22|7.03|7.75|5.3|20.92|21.78|5.46|5.94|5.46|12.99|12.99|6.6|5.31|5.8|12.99|5.4|5.3|5.4|0|0|0|4.05|5.3|5.3|5.46|5.3|9.54|5.3|5.46|0|27.89
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Cath Translum Angio Non Laser Choc Balloon 40 Or 80 Cm|2240|1187.2|1680|1792|1904|2016|0|1809.92|1612.8|1516.03|0|2240|1460.48|0|820.29|1833.44|1386.56|1350.72|0|0|1680|1749.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|992.54|0|0|896|0|0|0|0|0|2240
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Cath Translum Angio Non Laser Choc Balloon 120 Cm|2240|1187.2|1680|1792|1904|2016|0|1809.92|1612.8|1516.03|0|2240|1460.48|0|820.29|1833.44|1386.56|1350.72|0|0|1680|1749.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|992.54|0|0|896|0|0|0|0|0|2240
HOSP OP|0272 - STERILE SUPPLY||C1876|Hb Stent Visipro Non Coated Non Cov W Del Syst|1515|802.95|1136.25|1212|1287.75|1363.5|0|1224.12|1090.8|1025.35|0|1515|987.78|0|554.79|1240.03|937.79|913.55|0|0|1136.25|1183.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.3|0|0|606|0|0|0|0|0|1515
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Cath Transluminal Angioplasty Non Laser Nanocross|238|126.14|178.5|190.4|202.3|214.2|0|192.3|171.36|161.08|0|238|155.18|0|87.16|194.8|147.32|143.51|0|0|178.5|185.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|105.46|0|0|95.2|0|0|0|0|0|238
HOSP OP|0272 - STERILE SUPPLY||C1887|Hb Catheter Guiding Viance|4357|2309.21|3267.75|3485.6|3703.45|3921.3|0|3520.46|3137.04|2948.82|0|4357|2840.76|0|1595.53|3566.2|2696.98|2627.27|0|0|3267.75|3402.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1930.59|0|0|1742.8|0|0|0|0|0|4357
HOSP OP|0300 - LABORATORY||81340|Hb T Cell Beta Pcr|243.77|129.2|182.83|195.02|207.2|219.39|207.2|196.97|175.51|164.98|0|243.77|243.77|243.77|217.74|199.53|243.77|243.77|243.77|229.81|182.83|190.38|215.19|233.99|215.19|243.77|243.77|243.77|209.34|237.93|243.77|233.95|229.81|233.95|0|0|243.77|159.99|208.92|208.92|215.19|208.92|243.77|208.92|215.19|0|243.77
HOSP OP|0300 - LABORATORY||81342|Hb T Cell Gamma Pcr|243.77|129.2|182.83|195.02|207.2|219.39|207.2|196.97|175.51|164.98|0|243.77|243.77|243.77|210|199.53|243.77|243.77|243.77|221.65|182.83|190.38|207.55|225.68|207.55|243.77|243.77|243.77|201.9|229.45|243.77|225.64|221.65|225.64|0|0|243.77|154.3|201.5|201.5|207.55|201.5|243.77|201.5|207.55|0|243.77
HOSP OP|0302 - LAB/IMMUNOLOGY||86902|Hb Mbc Unit Antigen Test (donor)|186|98.58|139.5|148.8|158.1|167.4|158.1|150.29|133.92|125.88|0|186|8.19|186|5.96|152.24|7.79|7.58|186|6.99|139.5|145.27|186|340.56|186|186|186|186|186|186|186|7.12|6.99|7.12|0|0|7.1|4.37|186|186|313.19|186|186|304.07|186|0|340.56
HOSP OP|0301 - LAB/CHEMISTRY||81479|Hb Severe Combined Immune Deficiency|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|11.51|9.76|8.4|14.26|10.94|10.64|9.51|202.49|13.07|13.61|6.97|0|6.97|17.42|17.42|17.42|6.97|17.42|17.42|206.13|202.49|96.14|0|0|6.97|8.31|0|0|6.97|0|8.71|0|6.97|0|206.13
HOSP OP|0301 - LAB/CHEMISTRY||82760|Hb Galactose|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|16.05|16.79|11.67|14.26|15.25|14.84|16.37|12.32|13.07|13.61|11.54|12.54|11.54|17.42|17.42|14.09|11.22|12.05|17.42|12.54|12.32|12.54|0|0|0|8.57|11.2|11.2|11.54|11.2|17.42|11.2|11.54|0|17.42
HOSP OP|0301 - LAB/CHEMISTRY||83021|Hb Hemoglobin Fract/quant; Elp|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|19.87|13.07|13.61|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|20.23|19.87|20.23|0|0|0|13.82|17.42|17.42|17.42|17.42|17.42|17.42|17.42|0|20.23
HOSP OP|0300 - LABORATORY||81228|Hb Cgh Genetic Hybridization|1822.49|965.92|1366.87|1457.99|1549.12|1640.24|1549.12|1472.57|1312.19|1233.46|0|1822.49|1161|1215|844.2|1491.71|1103.4|1073.7|1184.63|990|1366.87|1423.36|927|1008|927|1822.49|1822.49|218.81|901.8|921.82|1822.49|1007.82|990|1007.82|0|0|1008.06|620.29|900|900|927|900|1620|900|927|0|1822.49
HOSP OP|0300 - LABORATORY||81206|Hb Bcr/abl 1 Gene Major Bp|203|107.59|152.25|162.4|172.55|182.7|172.55|164.02|146.16|137.39|0|203|203|203|170.88|166.16|203|203|203|180.36|152.25|158.54|168.88|183.64|168.88|203|203|203|164.29|186.6|203|183.61|180.36|183.61|0|0|203|125.55|163.96|163.96|168.88|163.96|203|163.96|168.88|0|203
HOSP OP|0300 - LABORATORY||81207|Hb Bcr/abl 1 Gene Minor Bp|115.99|61.47|86.99|92.79|98.59|104.39|98.59|93.72|83.51|78.5|0|115.99|115.99|115.99|115.99|94.94|115.99|115.99|115.99|159.32|86.99|90.59|115.99|115.99|115.99|115.99|115.99|115.99|115.99|115.99|115.99|162.19|159.32|162.19|0|0|115.99|110.91|115.99|115.99|115.99|115.99|115.99|115.99|115.99|0|162.19
HOSP OP|0300 - LABORATORY||81208|Hb Bcr/abl 1 Gene Other Bp|127.97|67.82|95.98|102.38|108.77|115.17|108.77|103.4|92.14|86.61|0|127.97|127.97|127.97|127.97|104.74|127.97|127.97|127.97|236.08|95.98|99.94|127.97|127.97|127.97|127.97|127.97|127.97|127.97|127.97|127.97|240.33|236.08|240.33|0|0|127.97|125.41|127.97|127.97|127.97|127.97|127.97|127.97|127.97|0|240.33
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||37236|Hb Stent Excl Fem Il Pop Car Initial|22440|11893.2|16830|17952|19074|20196|19074|18131.52|16156.8|15187.39|0|22440|0|11176.9|0|18367.14|0|0|10897.37|19530.8|16830|17525.64|438.68|477.01|438.68|10139.87|10139.87|4796.13|426.75|4530.51|10139.87|19882.35|19530.8|9272.98|0|0|0|0|425.9|425.9|438.68|425.9|766.62|425.9|438.68|0|22440
HOSP OP|0361 - OR/MINOR||37237|Hb Stent Excl Fem Il Pop Car Add'l|2134|1131.02|1600.5|1707.2|1813.9|1920.6|0|1724.27|1536.48|1444.29|0|2134|0|0|0|1746.68|0|0|0|19530.8|1600.5|1666.65|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|0|0|0|208.67|0|0|202.59|0|0|19882.35
HOSP OP|0361 - OR/MINOR||37238|Hb Transcath Stent Open/perc Initial Vein|20119|10663.07|15089.25|16095.2|17101.15|18107.1|17101.15|16256.15|14485.68|13616.54|0|20119|0|11625.81|0|16467.4|0|0|11335.04|10912.4|15089.25|15712.94|305.07|331.72|305.07|10295.73|10295.73|5226.26|296.77|4600.15|10295.73|11108.82|10912.4|5181.07|0|0|0|0|296.18|296.18|305.07|296.18|533.12|296.18|305.07|0|20119
HOSP OP|0361 - OR/MINOR||37241|Hb Vascular Embo Venous Ot Than Hemorrhage|15872|8412.16|11904|12697.6|13491.2|14284.8|13491.2|12824.58|11427.84|10742.17|0|15872|0|15475.81|0|12991.23|0|0|15088.75|18154|11904|12396.03|441.22|479.77|441.22|13767.6|13767.6|5925.82|429.23|6151.39|13767.6|18480.77|18154|8619.29|0|0|0|0|428.37|428.37|441.22|428.37|771.07|428.37|441.22|0|18480.77
HOSP OP|0361 - OR/MINOR||37242|Hb Vascular Embo Arterial Ot Than Hemorrhage|19644|10411.32|14733|15715.2|16697.4|17679.6|16697.4|15872.35|14143.68|13295.06|0|19644|0|19644|0|16078.61|0|0|19644|18154|14733|15341.96|483.53|525.78|483.53|19644|19644|9196.47|470.39|9501.62|19644|18480.77|18154|8619.29|0|0|0|0|469.45|469.45|483.53|469.45|845.01|469.45|483.53|0|19644
HOSP OP|0361 - OR/MINOR||37243|Hb Vascular Embo For Tumorischemia Infarction|26227|13900.31|19670.25|20981.6|22292.95|23604.3|22292.95|21191.42|18883.44|17750.43|0|26227|0|26227|0|21466.8|0|0|26227|18154|19670.25|20483.29|582.62|633.53|582.62|26227|26227|12205.6|566.78|12313.5|26227|18480.77|18154|8619.29|0|0|0|0|565.65|565.65|582.62|565.65|1018.17|565.65|582.62|0|26227
HOSP OP|0361 - OR/MINOR||37244|Hb Vascular Embo For Arterial Or Venous Hemorra|26119|13843.07|19589.25|20895.2|22201.15|23507.1|22201.15|21104.15|18805.68|17677.34|0|26119|0|21894.07|0|21378.4|0|0|21346.49|18154|19589.25|20398.94|689.46|749.71|689.46|19668.28|19668.28|8489.42|670.72|8787.83|19668.28|18480.77|18154|8619.29|0|0|0|0|669.38|669.38|689.46|669.38|1204.88|669.38|689.46|0|26119
HOSP OP|0361 - OR/MINOR||10030|Hb Image Guided Drainage By Cath Soft Tissue|2699|1430.47|2024.25|2159.2|2294.15|2429.1|2294.15|2180.79|1943.28|1826.68|0|2699|0|1627.13|0|2209.13|0|0|1586.44|3113.94|2024.25|2107.92|142.16|154.58|142.16|1624.54|1624.54|705.29|138.3|725.85|1624.54|3169.99|3113.94|1478.46|0|0|0|0|138.02|138.02|142.16|138.02|248.44|138.02|142.16|0|3169.99
HOSP OP|0361 - OR/MINOR||49405|Hb Image Guided Drainage By Cath Visceral|3410|1807.3|2557.5|2728|2898.5|3069|2898.5|2755.28|2455.2|2307.89|0|3410|0|2398.58|0|2791.09|0|0|2338.59|1070.89|2557.5|2663.21|204.5|222.36|204.5|2390.85|2390.85|1009.94|198.94|1068.24|2390.85|1090.17|1070.89|508.45|0|0|0|0|198.54|198.54|204.5|198.54|357.37|198.54|204.5|0|3410
HOSP OP|0310 - PATHOLOGY LAB||0058U|Hb Onc Merkel Cell Carc Detcj Ab Quan|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|355.26|0|0|0|0|0|0|0|0|0|0|0|361.65|355.26|361.65|0|0|0|0|0|0|0|0|0|0|0|0|361.65
HOSP OP|0361 - OR/MINOR||49406|Hb Ct Abd Drainage|4172|2211.16|3129|3337.6|3546.2|3754.8|3546.2|3370.98|3003.84|2823.61|0|4172|0|2397.37|0|3414.78|0|0|2337.41|1070.89|3129|3258.33|204.36|222.22|204.36|2389.85|2389.85|1009.5|198.81|1067.79|2389.85|1090.17|1070.89|508.45|0|0|0|0|198.41|198.41|204.36|198.41|357.14|198.41|204.36|0|4172
HOSP OP|0761 - TREATMENT ROOM||19081|Hb Bx Breast With Marker If Done 1st Lesion|3468|1838.04|2601|2774.4|2947.8|3121.2|2947.8|2802.14|2496.96|2347.14|0|3468|2261.14|1820.9|1269.98|2838.56|2146.69|2091.2|1775.35|2617.18|2601|2708.51|172.06|187.1|172.06|1833.35|1833.35|862.02|167.38|819.14|1833.35|2664.29|2617.18|1242.6|0|0|0|1536.67|167.05|167.05|172.06|167.05|300.69|167.05|172.06|0|3468
HOSP OP|0761 - TREATMENT ROOM||19082|Hb Bx Breast With Marker If Done  Each Addl|2813|1490.89|2109.75|2250.4|2391.05|2531.7|0|2272.9|2025.36|1903.84|0|2813|1834.08|0|1030.12|2302.44|1741.25|1696.24|0|2617.18|2109.75|2196.95|0|0|0|0|0|0|0|0|0|2664.29|2617.18|1242.6|0|0|0|1246.44|0|0|86.41|0|0|83.89|0|0|2813
HOSP OP|0761 - TREATMENT ROOM||19083|Hb Bx Breast With Marker If Done 1st Lesion Us|2394|1268.82|1795.5|1915.2|2034.9|2154.6|2034.9|1934.35|1723.68|1620.26|0|2394|1560.89|1798.03|876.68|1959.49|1481.89|1443.58|1753.06|2617.18|1795.5|1869.71|162.37|176.56|162.37|1796.38|1796.38|838.68|157.96|802.63|1796.38|2664.29|2617.18|1242.6|0|0|0|1060.78|157.64|157.64|162.37|157.64|283.75|157.64|162.37|0|2664.29
HOSP OP|0761 - TREATMENT ROOM||19084|Hb Bx Breast With Marker If Done Each Addl Us|2052|1087.56|1539|1641.6|1744.2|1846.8|0|1658.02|1477.44|1388.79|0|2052|1337.9|0|751.44|1679.56|1270.19|1237.36|0|2617.18|1539|1602.61|0|0|0|0|0|0|0|0|0|2664.29|2617.18|1242.6|0|0|0|909.24|0|0|80.78|0|0|78.43|0|0|2664.29
HOSP OP|0761 - TREATMENT ROOM||19085|Hb Bx Breast With Marker If Done 1st With Mri|4107|2176.71|3080.25|3285.6|3490.95|3696.3|3490.95|3318.46|2957.04|2779.62|0|4107|2677.76|2858.31|1503.98|3361.58|2542.23|2476.52|2786.83|2617.18|3080.25|3207.57|189.7|206.27|189.7|2742.53|2742.53|1258.69|184.54|1225.37|2742.53|2664.29|2617.18|1242.6|0|0|0|1819.81|184.17|184.17|189.7|184.17|331.51|184.17|189.7|0|4107
HOSP OP|0761 - TREATMENT ROOM||19086|Hb Bx Breast W Marker If Done  Each Addl Mri|373|197.69|279.75|298.4|317.05|335.7|0|301.38|268.56|252.45|0|373|243.2|0|136.59|305.3|230.89|224.92|0|2617.18|279.75|291.31|0|0|0|0|0|0|0|0|0|2664.29|2617.18|1242.6|0|0|0|165.28|0|0|94.96|0|0|92.19|0|0|2664.29
HOSP OP|0761 - TREATMENT ROOM||19281|Hb Place Breast Marker Perc; 1st Lesion With Mam Guidance|2464|1305.92|1848|1971.2|2094.4|2217.6|2094.4|1990.91|1774.08|1667.64|0|2464|1606.53|589.72|902.32|2016.78|1525.22|1485.79|574.97|343.97|1848|1924.38|104.31|113.42|104.31|683.38|683.38|298.05|101.47|305.34|683.38|350.16|343.97|163.31|0|0|0|1091.8|101.27|101.27|104.31|101.27|182.29|101.27|104.31|0|2464
HOSP OP|0761 - TREATMENT ROOM||19282|Hb Breast Marker Each Addl With Mam Guidance|2540|1346.2|1905|2032|2159|2286|0|2052.32|1828.8|1719.07|0|2540|1656.08|0|930.15|2078.99|1572.26|1531.62|0|343.97|1905|1983.74|0|0|0|0|0|0|0|0|0|350.16|343.97|163.31|0|0|0|1125.47|0|0|52.28|0|0|50.76|0|0|2540
HOSP OP|0302 - LAB/IMMUNOLOGY||86148|Hb Phosphatidylserine Ab Igg|41.35|21.92|31.01|33.08|35.15|37.22|35.15|33.41|29.77|27.99|0|41.35|23.03|24.1|16.74|33.84|21.88|21.3|23.5|17.68|31.01|32.29|16.55|18|16.55|37.97|37.97|20.25|16.1|16.96|37.97|18|17.68|18|0|0|0|12.3|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|41.35
HOSP OP|0761 - TREATMENT ROOM||19285|Hb Place Breast Marker Perc; 1st Lesion With Us Guidance|1120|593.6|840|896|952|1008|952|904.96|806.4|758.02|0|1120|730.24|1120|410.14|916.72|693.28|675.36|1104.96|343.97|840|874.72|674.11|733.02|674.11|1120|1120|484.13|655.79|490.85|1120|350.16|343.97|163.31|0|0|648.9|496.27|1120|1120|674.11|1120|1120|654.48|674.04|0|1120
HOSP OP|0761 - TREATMENT ROOM||19286|Hb Place Breast Marker Perc; Each Add'l With Us Guidance|845|447.85|633.75|676|718.25|760.5|0|682.76|608.4|571.9|0|845|550.94|0|309.44|691.63|523.06|509.54|0|343.97|633.75|659.95|0|0|0|0|0|0|0|0|0|350.16|343.97|163.31|0|0|0|374.42|0|0|44.83|0|0|43.52|0|0|845
HOSP OP|0302 - LAB/IMMUNOLOGY||86148|Hb Phosphatidylserine Ab Igm|41.35|21.92|31.01|33.08|35.15|37.22|35.15|33.41|29.77|27.99|0|41.35|23.03|24.1|16.74|33.84|21.88|21.3|23.5|17.68|31.01|32.29|16.55|18|16.55|37.97|37.97|20.25|16.1|16.96|37.97|18|17.68|18|0|0|0|12.3|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|41.35
HOSP OP|0301 - LAB/CHEMISTRY||80230|Hb Infliximab Activity|227.1|120.36|170.33|181.68|193.04|204.39|193.04|183.5|163.51|153.7|0|227.1|150.11|52.07|109.46|185.88|142.62|138.76|50.77|42.43|170.33|177.37|39.73|43.2|39.73|82.93|82.93|97.81|38.65|37.05|82.93|43.19|42.43|43.19|0|0|90.84|108.39|38.57|38.57|39.73|38.57|69.43|38.57|39.73|0|227.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86787|Hb Varicella Zoster Immune Status|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.17|0|0|0|0|0|0|0|0|0|0|0|14.43|14.17|14.43|0|0|0|0|0|0|0|0|0|0|0|0|14.43
HOSP OP|0310 - PATHOLOGY LAB||0059U|Hb Onc Merkel Cell Carc Detcj Ab Reprtd|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|355.26|0|0|0|0|0|0|0|0|0|0|0|361.65|355.26|361.65|0|0|0|0|0|0|0|0|0|0|0|0|361.65
HOSP OP|0301 - LAB/CHEMISTRY||80145|Hb Adalimumab Qn|293.6|155.61|220.2|234.88|249.56|264.24|249.56|237.23|211.39|198.71|0|293.6|194.07|52.07|141.52|240.31|184.38|179.39|50.77|42.43|220.2|229.3|39.73|43.2|39.73|82.93|82.93|126.45|38.65|37.05|82.93|43.19|42.43|43.19|0|0|117.44|140.14|38.57|38.57|39.73|38.57|69.43|38.57|39.73|0|293.6
HOSP OP|0301 - LAB/CHEMISTRY||83520|Hb Adalimumab Antibody|183.5|97.25|137.63|146.8|155.98|165.15|155.98|148.27|132.12|124.19|0|183.5|22.28|23.31|16.2|150.19|21.17|20.6|22.73|17.27|137.63|143.31|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|183.5
HOSP OP|0301 - LAB/CHEMISTRY||84220|Pyruvate Kinase Rbc|50.38|26.7|37.79|40.3|42.82|45.34|42.82|40.71|36.27|34.1|0|50.38|13.53|14.16|9.84|41.24|12.86|12.51|13.81|10.38|37.79|39.35|9.72|10.57|9.72|21.98|21.98|11.89|9.46|9.82|21.98|10.57|10.38|10.57|0|0|0|7.22|9.44|9.44|9.72|9.44|16.99|9.44|9.72|0|50.38
HOSP OP|0301 - LAB/CHEMISTRY||83020|Hemoglobin Electrophoresis|52.17|27.65|39.13|41.74|44.34|46.95|44.34|42.15|37.56|35.31|0|52.17|37.49|19.31|27.26|42.7|35.63|34.67|18.83|40.28|39.13|40.74|13.26|14.41|13.26|50.95|50.95|22.45|12.9|22.77|50.95|41|40.28|19.12|0|0|0|20.02|12.87|12.87|13.26|12.87|23.17|12.87|13.26|0|52.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1822|Generator Neurostimulator (implant) High Freq Battery Charging Sys|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0301 - LAB/CHEMISTRY||83021|Hemoglobin A2 And F|73.19|38.79|54.89|58.55|62.21|65.87|62.21|59.14|52.7|49.53|0|73.19|25.88|27.08|18.82|59.91|24.59|23.93|26.4|19.87|54.89|57.16|18.6|20.23|18.6|42.96|42.96|22.45|18.1|19.2|42.96|20.23|19.87|20.23|0|0|0|13.82|18.06|18.06|18.6|18.06|32.51|18.06|18.6|0|73.19
HOSP OP|0305 - LAB/HEMATOLOGY||85557|Osmotic Fragility|54.14|28.69|40.61|43.31|46.02|48.73|46.02|43.75|38.98|36.64|0|54.14|19.14|20.03|13.92|44.31|18.19|17.7|19.53|14.7|40.61|42.28|13.76|14.96|13.76|31.97|31.97|16.73|13.39|14.28|31.97|14.96|14.7|14.96|0|0|0|10.22|13.36|13.36|13.76|13.36|24.05|13.36|13.76|0|54.14
HOSP OP|0310 - PATHOLOGY LAB||88184|Band 3 Fluorescence Staining Rbc|78.34|41.52|58.76|62.67|66.59|70.51|66.59|63.3|56.4|53.02|0|78.34|78.34|78.34|78.34|64.12|78.34|78.34|78.34|143.82|58.76|61.18|78.34|340.56|78.34|78.34|78.34|78.34|78.34|78.34|78.34|146.41|143.82|68.29|0|0|76.2|72.41|78.34|78.34|313.19|78.34|78.34|304.07|78.34|0|340.56
HOSP OP|0301 - LAB/CHEMISTRY||83915|Reflexed Rbc Enzymes|663.3|351.55|497.48|530.64|563.81|596.97|563.81|535.95|477.58|448.92|0|663.3|15.98|16.73|11.62|542.91|15.19|14.78|16.31|12.27|497.48|518.04|11.48|12.49|11.48|26.98|26.98|14.09|11.17|12.05|26.98|12.49|12.27|12.49|0|0|0|8.53|11.15|11.15|11.48|11.15|20.07|11.15|11.48|0|663.3
HOSP OP|0905 - INTENSIVE OUTPATIENT SERVICES-PSYCHIATRIC||H2012|Hb Iop Group|183|96.99|137.25|146.4|155.55|164.7|155.55|147.86|131.76|123.85|0|183|0|35|0|149.79|0|0|34.13|21.43|137.25|142.92|25.59|0|25.59|153.86|153.86|32.14|73.2|68.75|153.86|21.82|21.43|21.82|0|0|24.94|0|0|0|25.59|0|91.5|24.84|25.59|0|183
HOSP OP|0761 - TREATMENT ROOM||36251|RENAL 1ST ORDER UNILAT|6594|3494.82|4945.5|5275.2|5604.9|5934.6|5604.9|5327.95|4747.68|4462.82|0|6594|4299.29|4106.34|2414.72|5397.19|4081.69|3976.18|4003.64|9721.71|4945.5|5149.91|259.06|281.69|259.06|3898.49|3898.49|1718.75|252.01|1741.85|3898.49|9896.7|9721.71|4615.75|0|0|0|2921.8|251.51|251.51|259.06|251.51|452.72|251.51|259.06|0|9896.7
HOSP OP|0761 - TREATMENT ROOM||36252|RENAL 1ST ORDER BILAT|9912|5253.36|7434|7929.6|8425.2|8920.8|8425.2|8008.9|7136.64|6708.44|0|9912|6462.62|4295.29|3629.77|8112.97|6135.53|5976.94|4187.86|9721.71|7434|7741.27|354.78|385.78|354.78|4183.23|4183.23|1842.9|345.14|1869.08|4183.23|9896.7|9721.71|4615.75|0|0|0|4392.01|344.45|344.45|354.78|344.45|620.01|344.45|354.78|0|9912
HOSP OP|0761 - TREATMENT ROOM||36253|RENAL SUPER SEL UNILAT|7674|4067.22|5755.5|6139.2|6522.9|6906.6|6522.9|6200.59|5525.28|5193.76|0|7674|5003.45|6655.36|2810.22|6281.17|4750.21|4627.42|6488.9|9721.71|5755.5|5993.39|366.86|398.91|366.86|6264.36|6264.36|2761.27|356.88|2798.93|6264.36|9896.7|9721.71|4615.75|0|0|0|3400.35|356.17|356.17|366.86|356.17|641.11|356.17|366.86|0|9896.7
HOSP OP|0361 - OR/MINOR||37191|INSERT IVC FILTER|11660|6179.8|8745|9328|9911|10494|9911|9421.28|8395.2|7891.49|0|11660|0|7881.72|0|9543.71|0|0|7684.6|12736.97|8745|9106.46|227.17|247.02|227.17|7021.67|7021.67|3216.5|220.99|3137.3|7021.67|12966.24|12736.97|6047.36|0|0|0|0|220.55|220.55|227.17|220.55|396.99|220.55|227.17|0|12966.24
HOSP OP|0361 - OR/MINOR||37193|REMOVE IVC FILTER|6814|3611.42|5110.5|5451.2|5791.9|6132.6|5791.9|5505.71|4906.08|4611.72|0|6814|0|4448.14|0|5577.26|0|0|4336.89|7698.94|5110.5|5321.73|354.77|385.77|354.77|4381.05|4381.05|1900.14|345.13|1957.46|4381.05|7837.52|7698.94|3655.36|0|0|0|0|344.44|344.44|354.77|344.44|619.99|344.44|354.77|0|7837.52
HOSP OP|0361 - OR/MINOR||49083|Abdominal paracentesis with imaging|1240|657.2|930|992|1054|1116|1054|1001.92|892.8|839.23|0|1240|1240|1240|965.1|1014.94|1240|1240|1240|1070.89|930|968.44|868.51|944.4|868.51|1240|1240|623.73|844.9|632.39|1240|1090.17|1070.89|508.45|0|0|853|1215.2|1240|1240|868.51|1240|1240|843.21|868.42|0|1240
HOSP OP|0761 - TREATMENT ROOM||64633|DESTR PV FAC C/T 1ST W XR|3677|1948.81|2757.75|2941.6|3125.45|3309.3|3125.45|2971.02|2647.44|2488.59|0|3677|2397.4|968.82|1346.52|3009.62|2276.06|2217.23|944.59|1752.53|2757.75|2871.74|232.3|252.59|232.3|1176.94|1176.94|520.38|225.98|525.86|1176.94|1784.08|1752.53|832.08|0|0|0|1629.28|225.53|225.53|232.3|225.53|405.95|225.53|232.3|0|3677
HOSP OP|0761 - TREATMENT ROOM||64634|DESTR PV FAC C/T EA AD W XR|1344|712.32|1008|1075.2|1142.4|1209.6|0|1085.95|967.68|909.62|0|1344|876.29|0|492.17|1100.06|831.94|810.43|0|1752.53|1008|1049.66|0|0|0|0|0|0|0|0|0|1784.08|1752.53|832.08|0|0|0|595.53|0|0|70.23|0|0|68.18|0|0|1784.08
HOSP OP|0761 - TREATMENT ROOM||64635|DESTR PV FAC L/S 1ST|4040|2141.2|3030|3232|3434|3636|3434|3264.32|2908.8|2734.27|0|4040|2634.08|3191.53|1479.45|3306.74|2500.76|2436.12|3111.69|1752.53|3030|3155.24|1900.03|2066.05|1900.03|3195.85|3261.08|1364.53|1848.38|1383.47|3261.08|1784.08|1752.53|832.08|0|0|1827.38|1790.12|3681.6|3277.26|1900.03|3532.63|3320.44|1844.69|1899.82|0|4040
HOSP OP|0761 - TREATMENT ROOM||64636|DESTR PV FAC L/S EA AD W XR|1929|1022.37|1446.75|1543.2|1639.65|1736.1|0|1558.63|1388.88|1305.55|0|1929|1257.71|0|706.4|1578.89|1194.05|1163.19|0|1752.53|1446.75|1506.55|0|0|0|0|0|0|0|0|0|1784.08|1752.53|832.08|0|0|0|854.74|0|0|61.51|0|0|59.72|0|0|1929
HOSP OP|0352 - CT SCAN/BODY||74174|CTA ABD & PELVIS|1752|928.56|1314|1401.6|1489.2|1576.8|1489.2|1415.62|1261.44|1185.75|0|1752|1158|754.87|605.81|1434.01|1101|1072|735.99|955.91|1314|1368.31|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|973.12|955.91|453.85|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1752
HOSP OP|0341 - NUC MED/DX||78226|HEPATOBILIARY|1279|677.87|959.25|1023.2|1087.15|1151.1|1087.15|1033.43|920.88|865.63|0|1279|1279|691.51|747.53|1046.86|1279|1279|674.21|936.36|959.25|998.9|406.82|442.36|406.82|684.26|698.22|292.16|395.76|296.21|698.22|953.21|936.36|444.57|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1279
HOSP OP|0341 - NUC MED/DX||78227|HEPATOBILIARY W PHARM|1535|813.55|1151.25|1228|1304.75|1381.5|1304.75|1240.28|1105.2|1038.89|0|1535|1459|891.09|747.53|1256.4|1386|1349|868.8|936.36|1151.25|1198.84|521.58|567.15|521.58|877.31|895.21|374.58|507.4|379.78|895.21|953.21|936.36|444.57|0|0|510.22|1222.55|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1535
HOSP OP|0341 - NUC MED/DX||78582|PULMONARY VENT &PERFUSION|1343|711.79|1007.25|1074.4|1141.55|1208.7|1141.55|1085.14|966.96|908.94|0|1343|1343|891.09|747.53|1099.25|1343|1343|868.8|936.36|1007.25|1048.88|521.58|567.15|521.58|877.31|895.21|374.58|507.4|379.78|895.21|953.21|936.36|444.57|0|0|510.22|1222.55|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1343
HOSP OP|0341 - NUC MED/DX||78597|QUANT PULMONARY PERFUSION|1035|548.55|776.25|828|879.75|931.5|879.75|836.28|745.2|700.49|0|1035|1035|575.27|747.53|847.15|1035|1035|560.89|936.36|776.25|808.34|177.58|193.1|177.58|580.48|580.48|262.39|172.75|259.36|580.48|953.21|936.36|444.57|0|0|395.93|1014.3|172.41|172.41|177.58|172.41|310.34|172.41|177.58|0|1035
HOSP OP|0361 - OR/MINOR||G0260|INJECTION SI JOINT|1070|567.1|802.5|856|909.5|963|909.5|864.56|770.4|724.18|0|1070|1070|1070|598.82|875.8|1070|1070|1070|124.03|802.5|835.67|690.73|751.09|690.73|1070|1070|496.06|671.96|502.94|1070|126.26|124.03|126.26|0|0|670.7|733.53|1070|1070|690.73|1070|1070|670.62|690.65|0|1070
HOSP OP|0460 - PULMONARY FUNCTION||94726|Plethysmography|345|182.85|258.75|276|293.25|310.5|293.25|278.76|248.4|233.5|0|345|224.94|140.81|126.34|282.38|213.56|208.04|137.29|269.98|258.75|269.45|43.39|47.19|43.39|150.86|150.86|68.24|42.21|67.41|150.86|274.84|269.98|128.18|0|0|282.6|152.87|42.13|42.13|43.39|42.13|75.83|42.13|43.39|0|345
HOSP OP|0460 - PULMONARY FUNCTION||94729|Diffusing Capacity|274|145.22|205.5|219.2|232.9|246.6|0|221.39|197.28|185.44|0|274|178.65|0|100.34|224.27|169.61|165.22|0|269.98|205.5|213.99|0|0|0|0|0|0|0|0|0|274.84|269.98|128.18|0|0|0|121.41|0|0|49.79|0|0|48.34|0|0|274.84
HOSP OP|0361 - OR/MINOR||49082|Abdominal paracentesis w/o imaging|1188|629.64|891|950.4|1009.8|1069.2|1009.8|959.9|855.36|804.04|0|1188|0|533.15|0|972.38|0|0|519.82|1070.89|891|927.83|75.57|82.17|75.57|561.49|561.49|242.58|73.52|250.88|561.49|1090.17|1070.89|508.45|0|0|0|0|73.37|73.37|75.57|73.37|132.07|73.37|75.57|0|1188
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33221|Hb Initial Ppm Gen With Existing Multiple Leads|42924|22749.72|32193|34339.2|36485.4|38631.6|36485.4|34682.59|30905.28|29050.96|0|42924|0|588.51|0|35133.29|0|0|573.79|20079.27|32193|33523.64|361.95|393.58|361.95|966.13|966.13|425.73|352.11|431.67|966.13|20440.7|20079.27|9533.39|0|0|0|0|351.41|351.41|361.95|351.41|632.54|351.41|361.95|0|42924
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33262|REMOVE/REPL ICD SINGLE|23961|12699.33|17970.75|19168.8|20366.85|21564.9|20366.85|19360.49|17251.92|16216.8|0|23961|0|602.95|0|19612.08|0|0|587.87|51742.44|17970.75|18713.54|373.65|406.3|373.65|1000.1|1000.1|440.25|363.5|446.85|1000.1|52673.8|51742.44|24566.67|0|0|0|0|362.77|362.77|373.65|362.77|652.99|362.77|373.65|0|52673.8
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33227|REMOVE/REPL GEN SINGLE|15156|8032.68|11367|12124.8|12882.6|13640.4|12882.6|12246.05|10912.32|10257.58|0|15156|0|550|0|12405.19|0|0|536.24|20079.27|11367|11836.84|338.58|368.17|338.58|907.18|907.18|399.75|329.38|405.33|907.18|20440.7|20079.27|9533.39|0|0|0|0|328.72|328.72|338.58|328.72|591.7|328.72|338.58|0|20440.7
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33263|REMOVE/REPL ICD DUAL|23961|12699.33|17970.75|19168.8|20366.85|21564.9|20366.85|19360.49|17251.92|16216.8|0|23961|0|624.62|0|19612.08|0|0|608.99|51742.44|17970.75|18713.54|388.49|422.43|388.49|1041.06|1041.06|458.3|377.92|465.15|1041.06|52673.8|51742.44|24566.67|0|0|0|0|377.17|377.17|388.49|377.17|678.91|377.17|388.49|0|52673.8
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33228|REMOVE/REPL GEN DUAL|19036|10089.08|14277|15228.8|16180.6|17132.4|16180.6|15381.09|13705.92|12883.56|0|19036|0|570.46|0|15580.97|0|0|556.19|20079.27|14277|14867.12|354.06|385|354.06|948.15|948.15|417.8|344.44|423.63|948.15|20440.7|20079.27|9533.39|0|0|0|0|343.75|343.75|354.06|343.75|618.75|343.75|354.06|0|20440.7
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33264|REMOVE/REPL ICD MULTI|43958|23297.74|32968.5|35166.4|37364.3|39562.2|37364.3|35518.06|31649.76|29750.77|0|43958|0|651.09|0|35979.62|0|0|634.81|51742.44|32968.5|34331.2|405.36|440.78|405.36|1085.02|1085.02|477.68|394.34|484.79|1085.02|52673.8|51742.44|24566.67|0|0|0|0|393.55|393.55|405.36|393.55|708.39|393.55|405.36|0|52673.8
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33229|REMOVE/REPL GEN MULTI|26293|13935.29|19719.75|21034.4|22349.05|23663.7|22349.05|21244.74|18930.96|17795.1|0|26293|0|611.38|0|21520.82|0|0|596.09|20079.27|19719.75|20534.83|375.17|407.95|375.17|1005.09|1005.09|442.9|364.97|449.08|1005.09|20440.7|20079.27|9533.39|0|0|0|0|364.24|364.24|375.17|364.24|655.63|364.24|375.17|0|26293
HOSP OP|0370 - ANESTHESIA|||Hb Anes Cardiac General Base 30 Min|1130|598.9|0|904|0|1017|0|913.04|813.6|764.78|0|1130|736.76|0|413.81|924.91|699.47|681.39|0|0|0|882.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|500.7|0|0|0|0|0|0|0|0|1130
HOSP OP|0301 - LAB/CHEMISTRY||83735|Hb Magnesium Random Urine|48.5|25.7|36.38|38.8|41.23|43.65|41.23|39.19|34.92|32.82|0|48.5|9.6|10.04|6.98|39.7|9.12|8.88|9.79|7.37|36.38|37.88|6.9|7.5|6.9|15.99|15.99|8.36|6.71|7.14|15.99|7.5|7.37|7.5|0|0|0|5.12|6.7|6.7|6.9|6.7|12.06|6.7|6.9|0|48.5
HOSP OP|0301 - LAB/CHEMISTRY||82725|FREE FATTY ACIDS|64.46|34.16|48.35|51.57|54.79|58.01|54.79|52.08|46.41|43.63|0|64.46|24.21|25.34|17.61|52.76|23.01|22.39|24.71|20.65|48.35|50.34|19.33|21.02|19.33|39.96|39.96|18.93|18.81|17.86|39.96|21.02|20.65|21.02|0|0|0|12.94|18.77|18.77|19.33|18.77|33.79|18.77|19.33|0|64.46
HOSP OP|0370 - ANESTHESIA|||Hb Anes General Base 30 Min|930|492.9|0|744|0|837|0|751.44|669.6|629.42|0|930|606.36|0|340.57|761.21|575.67|560.79|0|0|0|726.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|412.08|0|0|0|0|0|0|0|0|930
HOSP OP|0272 - STERILE SUPPLY|||ESI NAVX PATCH|2926|1550.78|0|2340.8|0|2633.4|0|2364.21|2106.72|1980.32|0|2926|1907.75|0|1071.5|2394.93|1811.19|1764.38|0|0|0|2285.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1296.51|0|0|0|0|0|0|0|0|2926
HOSP OP|0761 - TREATMENT ROOM||62369|ANALYZE PUMP/ FILL & REPROGRAM|1077|570.81|807.75|861.6|915.45|969.3|915.45|870.22|775.44|728.91|0|1077|702.2|321.33|394.4|881.52|666.66|649.43|313.3|969.62|807.75|841.14|36.26|39.42|36.26|332.7|332.7|149.69|35.27|148.65|332.7|987.07|969.62|460.36|0|0|0|477.22|35.2|35.2|36.26|35.2|63.36|35.2|36.26|0|1077
HOSP OP|0352 - CT SCAN/BODY||75571|CARDIAC SCORE SCREENING SELF PAY|380|201.4|285|304|323|342|323|307.04|273.6|257.18|0|380|380|121.88|380|311.03|380|380|118.83|881.4|285|296.78|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|897.27|881.4|418.48|0|0|69.78|372.4|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|897.27
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||95810|Hb Polysom;4 Or More Parameters <2 Hrs Sleep Time|3469|1838.57|2601.75|2775.2|2948.65|3122.1|2948.65|2802.95|2497.68|2347.82|0|3469|2261.79|1672.87|1270.35|2839.38|2147.31|2091.81|1631.03|2693.38|2601.75|2709.29|514.95|559.94|514.95|1736.44|1736.44|783.21|500.95|775.84|1736.44|2741.86|2693.38|1278.78|0|0|1022.39|1537.11|499.95|499.95|514.95|499.95|899.91|499.95|514.95|0|3469
HOSP OP|0306 - LAB/BACT-MICRO||87153|D2 FUNGAL SEQUENCING ID|137.2|72.72|102.9|109.76|116.62|123.48|116.62|110.86|98.78|92.86|0|137.2|137.2|137.2|120.22|112.3|137.2|137.2|137.2|126.9|102.9|107.15|118.82|129.2|118.82|137.2|137.2|137.2|115.59|122.31|137.2|129.18|126.9|129.18|0|0|0|88.33|115.36|115.36|118.82|115.36|137.2|115.36|118.82|0|137.2
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen Presumptive (tox Assure)|19.76|10.47|14.82|15.81|16.8|17.78|16.8|15.97|14.23|13.37|0|19.76|19.76|19.76|19.76|16.17|19.76|19.76|19.76|68.35|14.82|15.43|19.76|19.76|19.76|19.76|19.76|19.76|19.76|19.76|19.76|69.58|68.35|69.58|0|0|0|19.36|19.76|19.76|19.76|19.76|19.76|19.76|19.76|0|69.58
HOSP OP|0301 - LAB/CHEMISTRY||80324|Hb Amphetamine (tox Assure)|11.76|6.23|8.82|9.41|10|10.58|10|9.5|8.47|7.96|0|11.76|11.76|0|11.76|9.63|11.76|11.76|0|26.5|8.82|9.18|11.76|0|11.76|9.34|9.72|11.76|4.7|5.15|9.72|26.98|26.5|26.98|0|0|0|11.52|11.76|11.76|11.76|11.76|11.76|11.76|11.76|0|26.98
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Benzodiazepines (tox Assure)|11.76|6.23|8.82|9.41|10|10.58|10|9.5|8.47|7.96|0|11.76|11.76|0|11.76|9.63|11.76|11.76|0|33.75|8.82|9.18|11.76|0|11.76|9.34|9.72|11.76|4.7|5.15|9.72|34.36|33.75|34.36|0|0|0|11.52|11.76|11.76|11.76|11.76|11.76|11.76|11.76|0|34.36
HOSP OP|0370 - ANESTHESIA|||Hb Anes Epidural Base 30 Min|915|484.95|0|732|0|823.5|0|739.32|658.8|619.27|0|915|596.58|0|335.07|748.93|566.39|551.75|0|0|0|714.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|405.44|0|0|0|0|0|0|0|0|915
HOSP OP|0301 - LAB/CHEMISTRY||80348|Hb Buprenorphine (tox Assure)|11.76|6.23|8.82|9.41|10|10.58|10|9.5|8.47|7.96|0|11.76|7.77|0|5.67|9.63|7.39|7.19|0|23.35|8.82|9.18|11.76|0|11.76|11.76|11.76|11.76|4.7|11.76|11.76|23.77|23.35|23.77|0|0|0|11.52|11.76|11.76|11.76|11.76|11.76|11.76|11.76|0|23.77
HOSP OP|0301 - LAB/CHEMISTRY||80353|Hb Cocaine And Metabolite (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|25.85|8.83|9.19|11.77|0|11.77|9.35|9.73|11.77|4.71|5.15|9.73|26.32|25.85|26.32|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|26.32
HOSP OP|0301 - LAB/CHEMISTRY||80354|Hb Fentanyl (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|23.35|8.83|9.19|11.77|0|11.77|11.77|11.77|11.77|4.71|11.77|11.77|23.77|23.35|23.77|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|23.77
HOSP OP|0301 - LAB/CHEMISTRY||80358|Hb Methadone (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|27.85|8.83|9.19|11.77|0|11.77|9.35|9.73|11.77|4.71|5.15|9.73|28.35|27.85|28.35|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|28.35
HOSP OP|0301 - LAB/CHEMISTRY||80359|Hb Methylenedioxyamphetamines (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|26.5|8.83|9.19|11.77|0|11.77|11.77|11.77|11.77|4.71|11.77|11.77|26.98|26.5|26.98|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|26.98
HOSP OP|0301 - LAB/CHEMISTRY||80361|Hb Opiates Drug And Metabolites (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|35.21|8.83|9.19|11.77|0|11.77|9.35|9.73|11.77|4.71|5.15|9.73|35.84|35.21|35.84|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|35.84
HOSP OP|0301 - LAB/CHEMISTRY||80365|Hb Oxycodone (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|20.15|8.83|9.19|11.77|0|11.77|9.35|9.73|11.77|4.71|5.15|9.73|20.51|20.15|20.51|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|20.51
HOSP OP|0301 - LAB/CHEMISTRY||80372|Hb Tapentadol (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|23.35|8.83|9.19|11.77|0|11.77|11.77|11.77|11.77|4.71|11.77|11.77|23.77|23.35|23.77|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|23.77
HOSP OP|0301 - LAB/CHEMISTRY||80373|Hb Tramadol (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|23.35|8.83|9.19|11.77|0|11.77|11.77|11.77|11.77|4.71|11.77|11.77|23.77|23.35|23.77|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|23.77
HOSP OP|0306 - LAB/BACT-MICRO||87106|YEAST IDENT PANEL A|56.5|29.94|42.38|45.2|48.03|50.85|48.03|45.65|40.68|38.24|0|56.5|14.8|15.48|10.76|46.25|14.06|13.68|15.09|11.35|42.38|44.13|10.63|11.56|10.63|24.98|24.98|12.77|10.34|11.16|24.98|11.55|11.35|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|56.5
HOSP OP|0370 - ANESTHESIA|||Hb Anes Regional Block Base 30 Min|900|477|0|720|0|810|0|727.2|648|609.12|0|900|586.8|0|329.58|736.65|557.1|542.7|0|0|0|702.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|398.79|0|0|0|0|0|0|0|0|900
HOSP OP|0272 - STERILE SUPPLY|||Hb Venaseal Supply|3588|1901.64|0|2870.4|0|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|0|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0370 - ANESTHESIA|||Hb Anes Axillary Block Base 30 Min|900|477|0|720|0|810|0|727.2|648|609.12|0|900|586.8|0|329.58|736.65|557.1|542.7|0|0|0|702.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|398.79|0|0|0|0|0|0|0|0|900
HOSP OP|0370 - ANESTHESIA|||Hb Anes Spinal Base 30 Min|890|471.7|0|712|0|801|0|719.12|640.8|602.35|0|890|580.28|0|325.92|728.47|550.91|536.67|0|0|0|695.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|394.36|0|0|0|0|0|0|0|0|890
HOSP OP|0320 - DX X-RAY||77086|Hb Chg Vertebral Fracture Assessment Via Dxa|214|113.42|160.5|171.2|181.9|192.6|181.9|172.91|154.08|144.84|0|214|214|90.26|214|175.16|214|214|88.01|250.56|160.5|167.13|27.22|29.6|27.22|97.91|97.91|44.91|26.48|43.75|97.91|255.07|250.56|118.96|0|0|69.78|209.72|26.43|26.43|27.22|26.43|47.57|26.43|27.22|0|255.07
HOSP OP|0306 - LAB/BACT-MICRO||87529|Herpes Simplex Virus Pcr Csf|31.06|16.46|23.3|24.85|26.4|27.95|26.4|25.1|22.36|21.02|0|31.06|31.06|31.06|31.06|25.42|31.06|31.06|31.06|38.6|23.3|24.26|31.06|31.06|31.06|31.06|31.06|31.06|31.06|31.06|31.06|39.29|38.6|39.29|0|0|0|26.87|31.06|31.06|31.06|31.06|31.06|31.06|31.06|0|39.29
HOSP OP|0370 - ANESTHESIA|||Hb Anes Bier Block Base 30 Min|865|458.45|0|692|0|778.5|0|698.92|622.8|585.43|0|865|563.98|0|316.76|708|535.44|521.6|0|0|0|675.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|383.28|0|0|0|0|0|0|0|0|865
HOSP OP|0450 - EMERGENCY ROOM||69209|Hb Irrigation/lavage Impacted Cerumen|149|78.97|111.75|119.2|126.65|134.1|126.65|120.39|107.28|100.84|0|149|0|48.14|0|121.96|0|0|46.94|343.97|111.75|116.37|14.8|16.09|14.8|38.96|38.96|17.17|14.4|17.41|38.96|350.16|343.97|163.31|0|0|0|0|14.37|14.37|14.8|14.37|25.87|14.37|14.8|0|350.16
HOSP OP|0275 - PACEMAKER||C1786|Hb Mdtr Leadless Ppm|24500|12985|18375|19600|20825|22050|0|19796|17640|16581.6|0|24500|15974|0|8971.9|20053.25|15165.5|14773.5|0|0|18375|19134.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10855.95|0|0|9800|0|0|0|0|0|24500
HOSP OP|0370 - ANESTHESIA|||Hb Anes Mac Base 30 Min|825|437.25|0|660|0|742.5|0|666.6|594|558.36|0|825|537.9|0|302.12|675.26|510.68|497.48|0|0|0|644.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|365.56|0|0|0|0|0|0|0|0|825
HOSP OP|0370 - ANESTHESIA|||Hb Anes Cardiac General 15 Min|310|164.3|0|248|0|279|0|250.48|223.2|209.81|0|310|202.12|0|113.52|253.74|191.89|186.93|0|0|0|242.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|137.36|0|0|0|0|0|0|0|0|310
HOSP OP|0370 - ANESTHESIA|||Hb Anes General 15 Min|288|152.64|0|230.4|0|259.2|0|232.7|207.36|194.92|0|288|187.78|0|105.47|235.73|178.27|173.66|0|0|0|224.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|127.61|0|0|0|0|0|0|0|0|288
HOSP OP|0370 - ANESTHESIA|||Hb Anes Epidural 15 Min|285|151.05|0|228|0|256.5|0|230.28|205.2|192.89|0|285|185.82|0|104.37|233.27|176.42|171.86|0|0|0|222.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|126.28|0|0|0|0|0|0|0|0|285
HOSP OP|0274 - PROSTH/ORTH DEV||L8614|Hb Cochlear Device Includes Internal And External|4240|2247.2|3180|3392|3604|3816|0|3425.92|3052.8|2869.63|0|4240|2764.48|0|1552.69|3470.44|2624.56|2556.72|0|17688.41|3180|3311.44|0|0|0|0|0|0|0|0|0|18006.8|17688.41|18006.8|0|0|0|1878.74|0|0|20243.4|0|0|4240|0|0|20243.4
HOSP OP|0370 - ANESTHESIA|||Hb Anes Regional Block 15 Min|275|145.75|0|220|0|247.5|0|222.2|198|186.12|0|275|179.3|0|100.71|225.09|170.23|165.83|0|0|0|214.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|121.85|0|0|0|0|0|0|0|0|275
HOSP OP|0370 - ANESTHESIA|||Hb Anes Axillary Block 15 Min|275|145.75|0|220|0|247.5|0|222.2|198|186.12|0|275|179.3|0|100.71|225.09|170.23|165.83|0|0|0|214.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|121.85|0|0|0|0|0|0|0|0|275
HOSP OP|0300 - LABORATORY||81270|Hb Myeloproliferative Neoplasm Jak2|309.2|163.88|231.9|247.36|262.82|278.28|262.82|249.83|222.62|209.27|0|309.2|131.39|137.5|95.54|253.08|124.87|121.51|134.06|100.83|231.9|241.49|94.41|102.66|94.41|233.79|233.79|114.47|91.84|104.46|233.79|102.64|100.83|102.64|0|0|114.08|70.19|91.66|91.66|94.41|91.66|164.99|91.66|94.41|0|309.2
HOSP OP|0300 - LABORATORY||81403|Hb Mpl Exon 10 Mutation Detection|662|350.86|496.5|529.6|562.7|595.8|562.7|534.9|476.64|448.04|0|662|238.91|250.02|173.72|541.85|227.06|220.94|243.77|203.72|496.5|517.02|190.76|207.42|190.76|424.62|424.62|139.12|185.57|189.72|424.62|207.39|203.72|207.39|0|0|207.44|127.64|185.2|185.2|190.76|185.2|333.36|185.2|190.76|0|662
HOSP OP|0370 - ANESTHESIA|||Hb Anes Spinal 15 Min|270|143.1|0|216|0|243|0|218.16|194.4|182.74|0|270|176.04|0|98.87|221|167.13|162.81|0|0|0|210.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|119.64|0|0|0|0|0|0|0|0|270
HOSP OP|0370 - ANESTHESIA|||Hb Anes Bier Block 15 Min|250|132.5|0|200|0|225|0|202|180|169.2|0|250|163|0|91.55|204.63|154.75|150.75|0|0|0|195.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110.78|0|0|0|0|0|0|0|0|250
HOSP OP|0360 - OR SERVICES||27532|Hb Closed Rx Tib Plat Fx W/manip|6435|3410.55|4826.25|5148|5469.75|5791.5|5469.75|5199.48|4633.2|4355.21|0|6435|0|1221.55|0|5267.05|0|0|1191|1358.67|4826.25|5025.74|586.43|637.67|586.43|1682.48|1682.48|740.95|570.49|751.74|1682.48|1383.13|1358.67|645.08|0|0|0|0|569.35|569.35|586.43|569.35|1024.83|569.35|586.43|0|6435
HOSP OP|0370 - ANESTHESIA|||Hb Anes Mac 15 Min|240|127.2|0|192|0|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|0|0|187.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|106.34|0|0|0|0|0|0|0|0|240
HOSP OP|0410 - RESPIRATORY THERAPY||94667|Hb Metaneb Treatment Initial|468|248.04|351|374.4|397.8|421.2|397.8|378.14|336.96|316.74|0|468|305.14|85.45|171.38|383.06|289.69|282.2|83.31|288.95|351|365.51|25.84|28.1|25.84|70.94|70.94|33.46|25.14|31.69|70.94|294.15|288.95|137.19|0|0|119.27|255.39|25.09|25.09|25.84|25.09|45.16|25.09|25.84|0|468
HOSP OP|0410 - RESPIRATORY THERAPY||94668|Hb Metaneb Treatment Subsequent|200|106|150|160|170|180|170|161.6|144|135.36|0|200|130.4|110.72|73.24|163.7|123.8|120.6|107.95|288.95|150|156.2|29.98|32.6|29.98|91.92|91.92|40.06|29.17|41.07|91.92|294.15|288.95|137.19|0|0|119.27|109.14|29.11|29.11|29.98|29.11|52.4|29.11|29.98|0|294.15
HOSP OP|0761 - TREATMENT ROOM||64616|Hb Chemodenervation Neck Muscle|813|430.89|609.75|650.4|691.05|731.7|691.05|656.9|585.36|550.24|0|813|530.08|273.19|297.72|665.44|503.25|490.24|266.36|1454.29|609.75|634.95|105.75|114.99|105.75|348.69|348.69|151.01|102.88|155.79|348.69|1480.47|1454.29|690.48|0|0|0|360.24|102.67|102.67|105.75|102.67|184.81|102.67|105.75|0|1480.47
HOSP OP|0761 - TREATMENT ROOM||64642|Hb Chemodenervation 1 Extrem 1-4 Muscles|1351|716.03|1013.25|1080.8|1148.35|1215.9|1148.35|1091.61|972.72|914.36|0|1351|880.85|300.88|494.74|1105.79|836.27|814.65|293.35|1454.29|1013.25|1055.13|106.99|116.33|106.99|392.65|392.65|171.7|104.08|175.44|392.65|1480.47|1454.29|690.48|0|0|0|598.63|103.87|103.87|106.99|103.87|186.97|103.87|106.99|0|1480.47
HOSP OP|0761 - TREATMENT ROOM||64643|Hb Chemodenerv 1 Ext Ea Addl Ext 1-4 Muscles|1005|532.65|753.75|804|854.25|904.5|0|812.04|723.6|680.18|0|1005|655.26|0|368.03|822.59|622.1|606.02|0|1454.29|753.75|784.91|0|0|0|0|0|0|0|0|0|1480.47|1454.29|690.48|0|0|0|445.32|0|0|71.6|0|0|69.51|0|0|1480.47
HOSP OP|0761 - TREATMENT ROOM||64644|Hb Chemodenerv 1 Extrem 5 Or More Muscles|1892|1002.76|1419|1513.6|1608.2|1702.8|1608.2|1528.74|1362.24|1280.51|0|1892|1233.58|361.05|692.85|1548.6|1171.15|1140.88|352.02|1454.29|1419|1477.65|116.96|127.18|116.96|458.59|458.59|197.23|113.78|204.9|458.59|1480.47|1454.29|690.48|0|0|0|838.35|113.55|113.55|116.96|113.55|204.39|113.55|116.96|0|1892
HOSP OP|0361 - OR/MINOR||64645|Hb Chemodenerv 1 Ext Ea Addl Ext 5 Or More Mcs|1456|771.68|1092|1164.8|1237.6|1310.4|0|1176.45|1048.32|985.42|0|1456|0|0|0|1191.74|0|0|0|1454.29|1092|1137.14|0|0|0|0|0|0|0|0|0|1480.47|1454.29|690.48|0|0|0|0|0|0|81.72|0|0|79.34|0|0|1480.47
HOSP OP|0761 - TREATMENT ROOM||64646|Hb Chemodenervation Trunk Muscles 1-5|1051|557.03|788.25|840.8|893.35|945.9|893.35|849.21|756.72|711.32|0|1051|685.25|306.89|384.88|860.24|650.57|633.75|299.22|1454.29|788.25|820.83|114.1|124.07|114.1|409.63|409.63|177.86|111|183.02|409.63|1480.47|1454.29|690.48|0|0|0|465.7|110.78|110.78|114.1|110.78|199.4|110.78|114.1|0|1480.47
HOSP OP|0761 - TREATMENT ROOM||64647|Hb Chemodenervation Trunk Muscles 6 Or More|1338|709.14|1003.5|1070.4|1137.3|1204.2|1137.3|1081.1|963.36|905.56|0|1338|872.38|362.25|489.98|1095.15|828.22|806.81|353.19|1454.29|1003.5|1044.98|131.76|143.27|131.76|474.57|474.57|208.68|128.18|212.04|474.57|1480.47|1454.29|690.48|0|0|0|592.87|127.92|127.92|131.76|127.92|230.26|127.92|131.76|0|1480.47
HOSP OP|0360 - OR SERVICES|||Hb Canceled Procedure - No Evaluation|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0360 - OR SERVICES||G0463|Hb Canceled Procedure - Evaluation Performed|240|127.2|180|192|204|216|204|193.92|172.8|162.43|0|240|0|226.63|0|196.44|0|0|220.96|17.08|180|187.44|128.11|139.31|128.11|215.49|219.88|92.01|124.63|93.28|219.88|17.39|17.08|17.39|0|0|129.76|0|240|220.97|128.11|238.19|223.89|124.38|128.1|0|240
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Lgi1-igg Cba S|250|132.5|187.5|200|212.5|225|212.5|202|180|169.2|0|250|37.49|18.08|27.26|204.63|35.63|34.67|17.63|56.65|187.5|195.25|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|250
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Caspr2-igg Cba S|250|132.5|187.5|200|212.5|225|212.5|202|180|169.2|0|250|37.49|18.08|27.26|204.63|35.63|34.67|17.63|56.65|187.5|195.25|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|250
HOSP OP|0761 - TREATMENT ROOM||62370|Hb Elec Anlys Implt Ithcl/edrl Pmp W/repr&ref Phys|798|422.94|598.5|638.4|678.3|718.2|678.3|644.78|574.56|540.09|0|798|520.3|309.3|292.23|653.16|493.96|481.19|301.56|969.62|598.5|623.24|47.81|51.99|47.81|344.69|344.69|157.61|46.51|154.01|344.69|987.07|969.62|460.36|0|0|0|353.59|46.42|46.42|47.81|46.42|83.56|46.42|47.81|0|987.07
HOSP OP|0361 - OR/MINOR||49999|Reposition Of Peritoneal Dialysis Catheter W/guidewire Manipulation|1133|600.49|849.75|906.4|963.05|1019.7|963.05|915.46|815.76|766.81|0|1133|0|634.48|0|927.36|0|0|618.62|6606.99|849.75|884.87|453.2|0|453.2|899.6|936.54|487.98|453.2|495.91|936.54|6725.92|6606.99|3136.92|0|0|0|0|0|0|453.2|0|566.5|0|453.2|0|6725.92
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen Presumptive|50|26.5|37.5|40|42.5|45|42.5|40.4|36|33.84|0|50|50|50|50|40.93|50|50|50|68.35|37.5|39.05|50|50|50|50|50|50|50|50|50|69.58|68.35|69.58|0|0|0|44.55|50|50|50|50|50|50|50|0|69.58
HOSP OP|0272 - STERILE SUPPLY|||Hb Pipeline Stent|36400|19292|0|29120|0|32760|0|29411.2|26208|24635.52|0|36400|23732.8|0|13329.68|29793.4|22531.6|21949.2|0|0|0|28428.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16128.84|0|0|0|0|0|0|0|0|36400
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90744|Hb Hepatitis B Virus Vac Recom(pf) 5 Mcg/0.5 Ml Intramuscular Susp|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.9|0|0|0|0|0|0|0|0|0|0|0|27.38|26.9|27.38|0|0|0|0|0|0|0|0|0|0|0|0|27.38
HOSP OP|0305 - LAB/HEMATOLOGY||85613|Hb Dilute Russell Viper Venom Time W/ Reflex|44.93|23.81|33.7|35.94|38.19|40.44|38.19|36.3|32.35|30.41|0|44.93|13.73|14.36|9.98|36.78|13.04|12.69|14|10.54|33.7|35.09|9.87|10.73|9.87|22.98|22.98|11.89|9.6|10.27|22.98|10.73|10.54|10.73|0|0|0|7.33|9.58|9.58|9.87|9.58|17.24|9.58|9.87|0|44.93
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Ribosomal P Antibody|29.92|15.86|22.44|23.94|25.43|26.93|25.43|24.18|21.54|20.25|0|29.92|25.71|26.91|18.69|24.49|24.43|23.78|26.24|19.72|22.44|23.37|18.47|20.08|18.47|29.92|29.92|22.45|17.97|19.2|29.92|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|29.92|17.93|18.47|0|29.92
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Smrnp Antibody|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|25.71|26.91|18.69|49.93|24.43|23.78|26.24|19.72|45.75|47.64|18.47|20.08|18.47|42.96|42.96|22.45|17.97|19.2|42.96|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|61
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||Q4121|Hb Theraskin Per Square Centimeter|975|516.75|731.25|780|828.75|877.5|0|787.8|702|659.88|0|975|55.5|0|40.35|798.04|52.74|51.32|0|40.63|731.25|761.48|0|0|0|0|0|0|0|0|0|41.36|40.63|41.36|0|0|0|29.64|0|0|390|0|0|0|0|0|975
HOSP OP|0301 - LAB/CHEMISTRY||80347|Hb Benzodiazepines Ms Wb/sp|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|23.14|0|16.87|28.65|21.98|21.39|0|6.93|26.25|27.34|35|0|35|27.79|28.93|35|14|15.32|28.93|7.05|6.93|7.05|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0301 - LAB/CHEMISTRY||80356|Hb Heroin Metabolites Ms Wb/sp|17.3|9.17|12.98|13.84|14.71|15.57|14.71|13.98|12.46|11.71|0|17.3|17.3|0|17.3|14.16|17.3|17.3|0|30.35|12.98|13.51|17.3|0|17.3|13.74|14.3|17.3|6.92|7.57|14.3|30.9|30.35|30.9|0|0|0|16.95|17.3|17.3|17.3|17.3|17.3|17.3|17.3|0|30.9
HOSP OP|0301 - LAB/CHEMISTRY||80365|Hb Oxycodones Ms Wb/sp|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|31.49|0|22.9|28.65|29.93|29.12|0|20.15|26.25|27.34|35|0|35|27.79|28.93|35|14|15.32|28.93|20.51|20.15|20.51|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0761 - TREATMENT ROOM||10021|Hb Fine Needle Asp; W/o Imaging Guid*|619|328.07|464.25|495.2|526.15|557.1|526.15|500.15|445.68|418.94|0|619|403.59|210.61|226.68|506.65|383.16|373.26|205.35|1360.36|464.25|483.44|56.57|61.51|56.57|270.76|270.76|148.81|55.03|120.97|270.76|1384.85|1360.36|645.88|0|0|0|274.28|54.92|54.92|56.57|54.92|98.86|54.92|56.57|0|1384.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86593|Rpr Syphilis Titer|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|6.31|6.6|4.59|26.19|6|5.83|6.44|4.84|24|24.99|4.53|4.93|4.53|9.99|9.99|5.28|4.41|4.46|9.99|4.93|4.84|4.93|0|0|5.47|3.37|4.4|4.4|4.53|4.4|7.92|4.4|4.53|0|32
HOSP OP|0306 - LAB/BACT-MICRO||87449|Hb Blastomyces Quant Antigen|143.23|75.91|107.42|114.58|121.75|128.91|121.75|115.73|103.13|96.94|0|143.23|17.18|17.98|12.49|117.23|16.33|15.89|17.53|11.98|107.42|111.86|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|12.2|11.98|12.2|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|143.23
HOSP OP|0260 - IV THERAPY||96377|Hb Appl On-body Injector For Timed Subq Injection|142|75.26|106.5|113.6|120.7|127.8|120.7|114.74|102.24|96.11|0|142|92.58|68.6|52|116.23|87.9|85.63|66.88|0|106.5|110.9|20.74|22.56|20.74|37.23|37.23|25.09|20.18|25|37.23|0|0|0|0|0|0|62.92|20.14|20.14|20.74|20.14|36.25|20.14|20.74|0|142
HOSP OP|0310 - PATHOLOGY LAB||81269|Hb Alpha-globin Gene Analysis|412.54|218.65|309.41|330.03|350.66|371.29|350.66|333.33|297.03|279.21|0|412.54|261.1|273.24|189.85|337.66|248.14|241.46|266.41|222.64|309.41|322.19|208.47|226.69|208.47|412.54|412.54|204.28|202.8|207.13|412.54|226.65|222.64|226.65|0|0|226.7|139.5|202.4|202.4|208.47|202.4|364.32|202.4|208.47|0|412.54
HOSP OP|0302 - LAB/IMMUNOLOGY||86644|Hb Cmv Avidity|169.44|89.8|127.08|135.55|144.02|152.5|144.02|136.91|122|114.68|0|169.44|20.63|21.59|15|138.69|19.6|19.08|21.05|15.83|127.08|132.33|14.82|16.12|14.82|33.97|33.97|18.05|14.42|15.18|33.97|16.11|15.83|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|169.44
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Benzodiazepine Comp Quant Urine|157.64|83.55|118.23|126.11|133.99|141.88|133.99|127.37|113.5|106.69|0|157.64|31.49|0|22.9|129.03|29.93|29.12|0|33.75|118.23|123.12|117.86|0|117.86|125.17|130.31|134.28|63.06|69|130.31|34.36|33.75|34.36|0|0|0|78.86|114.43|114.43|117.86|114.43|157.64|114.43|117.86|0|157.64
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93657|Ablate L/r Fibril W/isolated Pulm Vein|13682|7251.46|10261.5|10945.6|11629.7|12313.8|0|11055.06|9851.04|9259.98|0|13682|0|0|0|11198.72|0|0|0|13161.24|10261.5|10685.64|0|0|0|0|0|0|0|0|0|13398.14|13161.24|6248.79|0|0|0|0|0|0|421.47|0|0|409.19|0|0|13682
HOSP OP|0914 - INDIVIDUAL PSYCHIATRY||90834|Hb Psychotherapy 45 Minutes W Patient|356|188.68|267|284.8|302.6|320.4|302.6|287.65|256.32|240.94|0|356|0|55.36|0|291.39|0|0|53.98|312.14|267|278.04|85.94|93.45|85.94|239.78|239.78|102.58|83.61|107.14|239.78|317.76|312.14|148.2|0|0|142.87|0|83.44|83.44|85.94|83.44|150.19|83.44|85.94|0|356
HOSP OP|0914 - INDIVIDUAL PSYCHIATRY||90837|Hb Psychotherapy 60 Minutes W Patient|413|218.89|309.75|330.4|351.05|371.7|351.05|333.7|297.36|279.52|0|413|0|83.04|0|338.04|0|0|80.96|312.14|309.75|322.55|128.78|140.03|128.78|362.67|362.67|154.53|125.28|162.04|362.67|317.76|312.14|148.2|0|0|142.87|0|125.03|125.03|128.78|125.03|225.05|125.03|128.78|0|413
HOSP OP|0915 - GROUP PSYCHIATRY||90853|Hb Group Psychotherapy|207|109.71|155.25|165.6|175.95|186.3|175.95|167.26|149.04|140.1|0|207|0|18.05|0|169.43|0|0|17.6|686.06|155.25|161.67|25.59|27.82|25.59|74.93|74.93|32.14|24.89|33.48|74.93|698.41|686.06|325.73|0|0|85.56|0|24.84|24.84|25.59|24.84|44.71|24.84|25.59|0|698.41
HOSP OP|0918 - PSYCH - TESTING||96116|Hb Neurobehavioral Status Exam 1st Hr|296|156.88|222|236.8|251.6|266.4|251.6|239.17|213.12|200.33|0|296|192.99|296|108.4|242.28|183.22|178.49|296|830.4|222|231.18|87.26|94.89|87.26|264.76|264.76|114.47|84.89|118.3|264.76|845.35|830.4|394.27|0|0|282.6|131.16|84.72|84.72|87.26|84.72|152.5|84.72|87.26|0|845.35
HOSP OP|0324 - DX X-RAY/CHEST||71045|Hb Xr Chest 1 View|248|131.44|186|198.4|210.8|223.2|210.8|200.38|178.56|167.85|0|248|248|121.88|248|202.99|248|248|118.83|157.34|186|193.69|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|243.04|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|248
HOSP OP|0324 - DX X-RAY/CHEST||71046|Hb Xr Chest 2 Views|262|138.86|196.5|209.6|222.7|235.8|222.7|211.7|188.64|177.32|0|262|262|121.88|262|214.45|262|262|118.83|157.34|196.5|204.62|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|256.76|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|262
HOSP OP|0320 - DX X-RAY||74018|Hb Xr Abdomen 1 View|242|128.26|181.5|193.6|205.7|217.8|205.7|195.54|174.24|163.79|0|242|242|121.88|242|198.08|242|242|118.83|157.34|181.5|189|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|237.16|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|242
HOSP OP|0320 - DX X-RAY||74019|Hb Xr Abdomen 2 Views|309|163.77|231.75|247.2|262.65|278.1|262.65|249.67|222.48|209.13|0|309|309|220.09|309|252.92|309|309|214.59|157.34|231.75|241.33|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|302.82|240|213.64|123.86|230.29|216.45|120.25|123.85|0|309
HOSP OP|0460 - PULMONARY FUNCTION||94618|Hb Pulmonary Stress Test (6min Walk)|462|244.86|346.5|369.6|392.7|415.8|392.7|373.3|332.64|312.68|0|462|301.22|208.31|169.18|378.15|285.98|278.59|203.1|659.36|346.5|360.82|120.49|131.02|120.49|202.66|206.8|86.53|117.21|87.73|206.8|671.23|659.36|313.06|0|0|119.27|204.71|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|671.23
HOSP OP|0403 - SCRN MAMMOGRAPHY||77067|Hb Screening Mammo Unilateral Inc Cad|414|219.42|310.5|331.2|351.9|372.6|351.9|334.51|298.08|280.2|0|414|269.93|332.17|151.61|338.86|256.27|249.64|323.86|215.02|310.5|323.33|103.96|113.04|103.96|382.66|382.66|171.26|101.13|170.97|382.66|218.89|215.02|102.09|0|0|79.7|183.44|100.93|100.93|103.96|100.93|181.67|100.93|103.96|0|414
HOSP OP|0306 - LAB/BACT-MICRO||87799|Hb Jc Polyoma Virus Dna Quant Pcr|335.54|177.84|251.66|268.43|285.21|301.99|285.21|271.12|241.59|227.09|0|335.54|61.4|64.26|44.65|274.64|58.36|56.79|62.65|47.12|251.66|262.06|44.13|47.98|44.13|101.91|101.91|53.27|42.93|45.53|101.91|47.97|47.12|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|335.54
HOSP OP|0300 - LABORATORY||81450|Hb Targeted Genomic Seq; Hem Neoplasma|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|835.48|0|0|0|0|0|0|0|0|0|0|0|850.52|835.48|850.52|0|0|0|0|0|0|0|0|0|0|0|0|850.52
HOSP OP|0420 - PHYSICAL THERAPY||97161|Hb Pt Evaluation Low Complexity|196|103.88|147|156.8|166.6|176.4|166.6|158.37|141.12|132.65|0|196|196|196|106.79|160.43|196|191|196|199.75|147|153.08|89.66|97.5|89.66|196|127.5|103.9|88.79|106.24|127.5|203.35|199.75|94.84|0|0|68.24|173.11|95.76|95.76|89.66|95.76|156.69|87.05|89.66|0|203.35
HOSP OP|0420 - PHYSICAL THERAPY||97162|Hb Pt Evaluation Moderate Complexity|339|179.67|254.25|271.2|288.15|305.1|288.15|273.91|244.08|229.44|0|339|207|259.96|106.79|277.47|196|191|234.69|199.75|254.25|264.76|89.66|97.5|89.66|237.79|127.5|103.9|88.79|106.24|127.5|203.35|199.75|94.84|0|0|68.24|173.11|95.76|95.76|89.66|95.76|156.69|87.05|89.66|0|339
HOSP OP|0420 - PHYSICAL THERAPY||97163|Hb Pt Evaluation High Complexity|591|313.23|443.25|472.8|502.35|531.9|502.35|477.53|425.52|399.99|0|591|207|259.96|106.79|483.73|196|191|234.69|199.75|443.25|461.57|89.66|97.5|89.66|237.79|127.5|103.9|88.79|106.24|127.5|203.35|199.75|94.84|0|0|68.24|173.11|95.76|95.76|89.66|95.76|156.69|87.05|89.66|0|591
HOSP OP|0424 - PHYSICAL THERAPY EVALUATION||97164|Hb Pt Re-eval Est Plan Of Care|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|207|0|106.79|227.54|196|191|0|199.75|208.5|217.12|0|0|0|161.85|127.5|70.44|0|72.32|127.5|203.35|199.75|94.84|0|0|46.44|173.11|59.96|59.96|0|59.96|0|0|0|0|278
HOSP OP|0430 - OCCUPATIONAL THERAPY||97165|Hb Ot Evaluation Low Complexity|218|115.54|163.5|174.4|185.3|196.2|185.3|176.14|156.96|147.54|0|218|207|218|106.79|178.43|196|191|218|286.68|163.5|170.26|95.31|103.63|95.31|218|127.5|112.26|94.38|114.28|127.5|291.84|286.68|136.11|0|0|73.39|173.11|101.78|101.78|95.31|101.78|166.55|92.53|95.31|0|291.84
HOSP OP|0430 - OCCUPATIONAL THERAPY||97166|Hb Ot Evaluation Moderate Complexity|339|179.67|254.25|271.2|288.15|305.1|288.15|273.91|244.08|229.44|0|339|207|279.21|106.79|277.47|196|191|253.34|286.68|254.25|264.76|94.92|103.22|94.92|255.77|127.5|112.26|94|114.28|127.5|291.84|286.68|136.11|0|0|73.39|173.11|101.38|101.38|94.92|101.38|165.89|92.16|94.92|0|339
HOSP OP|0430 - OCCUPATIONAL THERAPY||97167|Hb Ot Evaluation High Complexity|585|310.05|438.75|468|497.25|526.5|497.25|472.68|421.2|395.93|0|585|207|279.21|106.79|478.82|196|191|253.34|286.68|438.75|456.89|94.92|103.22|94.92|255.77|127.5|112.26|94|114.28|127.5|291.84|286.68|136.11|0|0|73.39|173.11|101.38|101.38|94.92|101.38|165.89|92.16|94.92|0|585
HOSP OP|0434 - OCCUPATIONAL THERAPY EVAL||97168|Hb Ot Re-eval Est Plan Of Care|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|165|0|106.79|135.05|165|165|0|286.68|123.75|128.87|0|0|0|165|127.5|76.6|0|78.57|127.5|291.84|286.68|136.11|0|0|50.46|161.7|63.98|63.98|0|63.98|0|0|0|0|291.84
HOSP OP|0300 - LABORATORY||81170|Hb Bcr/abl1 Mutation Sequencing|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|330|0|0|0|0|0|0|0|0|0|0|0|335.94|330|335.94|0|0|0|0|0|0|0|0|0|0|0|0|335.94
HOSP OP|0401 - OTHER IMAG - MAMMAGRAM DIAG||77065|Hb Diagnostic Mammography Incl Cad Unilateral|394|208.82|295.5|315.2|334.9|354.6|334.9|318.35|283.68|266.66|0|394|256.89|314.11|144.28|322.49|243.89|237.58|306.26|215.02|295.5|307.71|98.31|106.9|98.31|375.66|375.66|168.18|95.64|167.85|375.66|218.89|215.02|102.09|0|0|75.41|174.58|95.45|95.45|98.31|95.45|171.81|95.45|98.31|0|394
HOSP OP|0401 - OTHER IMAG - MAMMAGRAM DIAG||77066|Hb Diagnostic Mammography Incl Cad Bilateral|476|252.28|357|380.8|404.6|428.4|404.6|384.61|342.72|322.16|0|476|310.35|401.97|174.31|389.61|294.64|287.03|391.92|215.02|357|371.76|125.4|136.36|125.4|475.57|475.57|212.64|121.99|212.49|475.57|218.89|215.02|102.09|0|0|96.62|210.92|121.75|121.75|125.4|121.75|219.15|121.75|125.4|0|476
HOSP OP|0403 - SCRN MAMMOGRAPHY||77067|Hb Screening Mammo Bilateral Inc Cad|402|213.06|301.5|321.6|341.7|361.8|341.7|324.82|289.44|272.07|0|402|262.1|332.17|147.21|329.04|248.84|242.41|323.86|215.02|301.5|313.96|103.96|113.04|103.96|382.66|382.66|171.26|101.13|170.97|382.66|218.89|215.02|102.09|0|0|79.7|178.13|100.93|100.93|103.96|100.93|181.67|100.93|103.96|0|402
HOSP OP|0361 - OR/MINOR||36901|Hb Ir Access Dial Chb Ircuit W/img|1879|995.87|1409.25|1503.2|1597.15|1691.1|1597.15|1518.23|1352.88|1271.71|0|1879|0|1801.64|0|1537.96|0|0|1756.58|7698.94|1409.25|1467.5|171.14|186.1|171.14|1817.36|1817.36|740.07|166.49|812|1817.36|7837.52|7698.94|3655.36|0|0|0|0|166.16|166.16|171.14|166.16|299.09|166.16|171.14|0|7837.52
HOSP OP|0361 - OR/MINOR||36902|Hb Ir Access Dial Chb Ircuit Img W/pta|13504|7157.12|10128|10803.2|11478.4|12153.6|11478.4|10911.23|9722.88|9139.51|0|13504|0|3762.14|0|11053.02|0|0|3668.05|10912.4|10128|10546.62|243.34|264.6|243.34|3596.76|3596.76|1551.46|236.72|1607.04|3596.76|11108.82|10912.4|5181.07|0|0|0|0|236.25|236.25|243.34|236.25|425.25|236.25|243.34|0|13504
HOSP OP|0361 - OR/MINOR||36903|Hb Ir Access Dial Chb Ircuit Img W/stent|28322|15010.66|21241.5|22657.6|24073.7|25489.8|24073.7|22884.18|20391.84|19168.33|0|28322|0|17549.44|0|23181.56|0|0|17110.52|19530.8|21241.5|22119.48|320.6|348.61|320.6|15305.21|15305.21|7048.47|311.88|6838.4|15305.21|19882.35|19530.8|9272.98|0|0|0|0|311.26|311.26|320.6|311.26|560.27|311.26|320.6|0|28322
HOSP OP|0361 - OR/MINOR||36904|Hb Ir Thrombectomy/lysis Dial Chb Ircuit W/img|12357|6549.21|9267.75|9885.6|10503.45|11121.3|10503.45|9984.46|8897.04|8363.22|0|12357|0|5489.16|0|10114.2|0|0|5351.88|10912.4|9267.75|9650.82|376.08|408.95|376.08|5289.24|5289.24|2252.78|365.86|2363.24|5289.24|11108.82|10912.4|5181.07|0|0|0|0|365.13|365.13|376.08|365.13|657.23|365.13|376.08|0|12357
HOSP OP|0361 - OR/MINOR||36905|Hb Ir Thrombectomys Periph Dial Chb Irc W/img & Pta|24975|13236.75|18731.25|19980|21228.75|22477.5|21228.75|20179.8|17982|16903.08|0|24975|0|6956.23|0|20442.04|0|0|6782.25|19530.8|18731.25|19505.48|452.51|492.05|452.51|6658|6658|2856.81|440.21|2974.81|6658|19882.35|19530.8|9272.98|0|0|0|0|439.33|439.33|452.51|439.33|790.79|439.33|452.51|0|24975
HOSP OP|0361 - OR/MINOR||36907|Hb Ir Central Dial Chb Irc W/ Pta|379|200.87|284.25|303.2|322.15|341.1|0|306.23|272.88|256.51|0|379|0|0|0|310.21|0|0|0|10912.4|284.25|296|0|0|0|0|0|0|0|0|0|11108.82|10912.4|5181.07|0|0|0|0|0|0|148.56|0|0|144.23|0|0|11108.82
HOSP OP|0361 - OR/MINOR||36908|Hb Ir Central Dial Chb Irc W/ Stent|568|301.04|426|454.4|482.8|511.2|0|458.94|408.96|384.42|0|568|0|0|0|464.91|0|0|0|19530.8|426|443.61|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|0|0|0|209.22|0|0|203.13|0|0|19882.35
HOSP OP|0361 - OR/MINOR||37246|Hb Ir Pta Non Low Ext Pulm Car Or Dial Initial Art|12357|6549.21|9267.75|9885.6|10503.45|11121.3|10503.45|9984.46|8897.04|8363.22|0|12357|0|6291.9|0|10114.2|0|0|6134.54|19530.8|9267.75|9650.82|349.57|380.12|349.57|5907.68|5907.68|2663.98|340.07|2639.56|5907.68|19882.35|19530.8|9272.98|0|0|0|0|339.39|339.39|349.57|339.39|610.9|339.39|349.57|0|19882.35
HOSP OP|0761 - TREATMENT ROOM||37247|Hb Ir Pta Non Low Ext Pulm Car Or Dial Add'l|1235|654.55|926.25|988|1049.75|1111.5|0|997.88|889.2|835.85|0|1235|805.22|0|452.26|1010.85|764.47|744.71|0|19530.8|926.25|964.54|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|547.23|0|0|171.53|0|0|166.53|0|0|19882.35
HOSP OP|0361 - OR/MINOR||37248|Hb Ir Pta Non Dial Venous|12357|6549.21|9267.75|9885.6|10503.45|11121.3|10503.45|9984.46|8897.04|8363.22|0|12357|0|4378.33|0|10114.2|0|0|4268.83|19530.8|9267.75|9650.82|302.38|328.8|302.38|4219.2|4219.2|1843.78|294.16|1885.15|4219.2|19882.35|19530.8|9272.98|0|0|0|0|293.57|293.57|302.38|293.57|528.43|293.57|302.38|0|19882.35
HOSP OP|0761 - TREATMENT ROOM||62320|Hb Inj Interlaminar/subarachnoid C/t W/o Img|1339|709.67|1004.25|1071.2|1138.15|1205.1|1138.15|1081.91|964.08|906.24|0|1339|873.03|346.61|490.34|1095.97|828.84|807.42|337.94|1454.29|1004.25|1045.76|102.4|111.35|102.4|460.59|460.59|205.16|99.62|205.79|460.59|1480.47|1454.29|690.48|0|0|0|593.31|99.42|99.42|102.4|99.42|178.96|99.42|102.4|0|1480.47
HOSP OP|0361 - OR/MINOR||62321|Hb Inj Interlaminar/subarachnoid C/t W/img|1299|688.47|974.25|1039.2|1104.15|1169.1|1104.15|1049.59|935.28|879.16|0|1299|0|630.63|0|1063.23|0|0|614.86|1454.29|974.25|1014.52|110.99|120.69|110.99|714.36|714.36|308.18|107.98|319.18|714.36|1480.47|1454.29|690.48|0|0|0|0|107.76|107.76|110.99|107.76|193.97|107.76|110.99|0|1480.47
HOSP OP|0761 - TREATMENT ROOM||62322|Hb Inj Interlaminar/subarachnoid L/s W/o Img|1299|688.47|974.25|1039.2|1104.15|1169.1|1104.15|1049.59|935.28|879.16|0|1299|846.95|338.18|475.69|1063.23|804.08|783.3|329.73|1454.29|974.25|1014.52|87.07|94.67|87.07|429.61|429.61|192.83|84.7|191.95|429.61|1480.47|1454.29|690.48|0|0|0|575.59|84.53|84.53|87.07|84.53|152.15|84.53|87.07|0|1480.47
HOSP OP|0361 - OR/MINOR||62323|Hb Inj Interlaminar/subarachnoid L/s W/img|1366|723.98|1024.5|1092.8|1161.1|1229.4|1161.1|1103.73|983.52|924.51|0|1366|1366|1171.41|598.82|1118.07|1366|1366|1142.11|1454.29|1024.5|1066.85|690.73|751.09|690.73|1161.81|1185.52|496.06|671.96|502.94|1185.52|1480.47|1454.29|690.48|0|0|670.7|733.53|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1480.47
HOSP OP|0361 - OR/MINOR||36906|Hb Ir Thrombectomy Periph Dial Chb Irc W/img & Stent|39806|21097.18|29854.5|31844.8|33835.1|35825.4|33835.1|32163.25|28660.32|26940.7|0|39806|0|21198.45|0|32581.21|0|0|20668.27|19530.8|29854.5|31088.49|521.14|566.68|521.14|18740.12|18740.12|8544.45|506.97|8373.12|18740.12|19882.35|19530.8|9272.98|0|0|0|0|505.96|505.96|521.14|505.96|910.73|505.96|521.14|0|39806
HOSP OP|0402 - ULTRASOUND||76706|Hb Us Abdl Aorta Real Time Aaa|290|153.7|217.5|232|246.5|261|246.5|234.32|208.8|196.27|0|290|189.08|220.09|106.2|237.37|179.51|174.87|214.59|289.27|217.5|226.49|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|128.5|240|213.64|123.86|230.29|216.45|120.25|123.85|0|294.48
HOSP OP|0302 - LAB/IMMUNOLOGY||86160|Hb Complement C4a Level|156.57|82.98|117.43|125.26|133.08|140.91|133.08|126.51|112.73|105.97|0|156.57|17.2|18|12.5|128.15|16.34|15.9|17.55|13.2|117.43|122.28|12.36|13.44|12.36|28.97|28.97|14.97|12.02|12.95|28.97|13.44|13.2|13.44|0|0|0|9.18|12|12|12.36|12|21.6|12|12.36|0|156.57
HOSP OP|0305 - LAB/HEMATOLOGY||85576|Hb Platelet Function P2y12|240.5|127.46|180.38|192.4|204.43|216.45|204.43|194.32|173.16|162.77|0|240.5|37.49|33.63|27.26|196.85|35.63|34.67|32.79|57.23|180.38|187.83|25.66|27.9|25.66|52.95|52.95|26.86|24.96|23.66|52.95|58.26|57.23|27.17|0|0|0|20.02|24.91|24.91|25.66|24.91|44.84|24.91|25.66|0|240.5
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 1 Base 30 Minutes|2000|1060|0|1600|0|1800|0|1616|1440|1353.6|0|2000|0|0|0|1637|0|0|0|0|0|1562|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2000
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 2 Base 30 Minutes|2600|1378|0|2080|0|2340|0|2100.8|1872|1759.68|0|2600|0|0|0|2128.1|0|0|0|0|0|2030.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2600
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 3 Base 30 Minutes|3200|1696|0|2560|0|2880|0|2585.6|2304|2165.76|0|3200|0|0|0|2619.2|0|0|0|0|0|2499.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3200
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 4 Base 30 Minutes|4200|2226|0|3360|0|3780|0|3393.6|3024|2842.56|0|4200|0|0|0|3437.7|0|0|0|0|0|3280.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4200
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 1 10 Minutes|200|106|0|160|0|180|0|161.6|144|135.36|0|200|0|0|0|163.7|0|0|0|0|0|156.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|200
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 2 10 Minutes|260|137.8|0|208|0|234|0|210.08|187.2|175.97|0|260|0|0|0|212.81|0|0|0|0|0|203.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|260
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 3 10 Minutes|320|169.6|0|256|0|288|0|258.56|230.4|216.58|0|320|0|0|0|261.92|0|0|0|0|0|249.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|320
HOSP OP|0361 - OR/MINOR|||Hb Optime Bronch Level 1 Base 30 Minutes|3200|1696|0|2560|0|2880|0|2585.6|2304|2165.76|0|3200|0|0|0|2619.2|0|0|0|0|0|2499.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3200
HOSP OP|0361 - OR/MINOR|||Hb Optime Bronch Level 2 Base 30 Minutes|4200|2226|0|3360|0|3780|0|3393.6|3024|2842.56|0|4200|0|0|0|3437.7|0|0|0|0|0|3280.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4200
HOSP OP|0361 - OR/MINOR|||Hb Optime Bronch Level 1 10 Minutes|320|169.6|0|256|0|288|0|258.56|230.4|216.58|0|320|0|0|0|261.92|0|0|0|0|0|249.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|320
HOSP OP|0361 - OR/MINOR|||Hb Optime Bronch Level 2 10 Minutes|420|222.6|0|336|0|378|0|339.36|302.4|284.26|0|420|0|0|0|343.77|0|0|0|0|0|328.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|420
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|Hb Thyrotropin Receptor Ab|52.31|27.72|39.23|41.85|44.46|47.08|44.46|42.27|37.66|35.4|0|52.31|22.28|23.31|16.2|42.82|21.17|20.6|22.73|17.27|39.23|40.85|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|52.31
HOSP OP|0361 - OR/MINOR||11982|Removal Drug Implants Device|924.6|490.04|693.45|739.68|785.91|832.14|785.91|747.08|665.71|625.77|0|924.6|0|326.15|0|756.79|0|0|317.99|1571.75|693.45|722.11|75.69|82.31|75.69|432.61|432.61|192.39|73.64|193.29|432.61|1600.04|1571.75|746.25|0|0|0|0|73.49|73.49|75.69|73.49|132.28|73.49|75.69|0|1600.04
HOSP OP|0361 - OR/MINOR||37785|Revise Secondary Varicositys|7015.08|3717.99|5261.31|5612.06|5962.82|6313.57|5962.82|5668.18|5050.86|4747.81|0|7015.08|0|738.95|0|5741.84|0|0|720.47|2857.21|5261.31|5478.78|257.21|279.69|257.21|955.14|955.14|422.64|250.22|426.76|955.14|2908.64|2857.21|1356.57|0|0|0|0|249.72|249.72|257.21|249.72|449.5|249.72|257.21|0|7015.08
HOSP OP|0761 - TREATMENT ROOM||36465|Hb Pr Njx Noncmpnd Sclerosant Single Incmptnt Vein|4113.58|2180.2|3085.19|3290.86|3496.54|3702.22|3496.54|3323.77|2961.78|2784.07|0|4113.58|2682.05|4113.58|1506.39|3366.97|2546.31|2480.49|4113.58|3252.37|3085.19|3212.71|118.67|129.04|118.67|4113.58|4113.58|1993.47|115.44|1954.79|4113.58|3310.91|3252.37|1544.19|0|0|0|1822.73|115.21|115.21|118.67|115.21|207.38|115.21|118.67|0|4113.58
HOSP OP|0300 - LABORATORY||81479|Hb Gamma Globin Full Gene Sequencing|357|189.21|267.75|285.6|303.45|321.3|303.45|288.46|257.04|241.62|0|357|235.98|199.92|172.07|292.2|224.2|218.13|194.92|202.49|267.75|278.82|142.8|0|142.8|243.78|243.78|107.42|142.8|108.92|243.78|206.13|202.49|96.14|0|0|142.8|170.4|0|0|142.8|0|178.5|0|142.8|0|357
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Discontinued Proc Level 1|834|442.02|0|667.2|0|750.6|0|673.87|600.48|564.45|0|834|0|0|0|682.63|0|0|0|0|0|651.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|834
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Discontinued Proc Level 2|1073|568.69|0|858.4|0|965.7|0|866.98|772.56|726.21|0|1073|0|0|0|878.25|0|0|0|0|0|838.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1073
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Discontinued Proc Level 3|3090|1637.7|0|2472|0|2781|0|2496.72|2224.8|2091.31|0|3090|0|0|0|2529.17|0|0|0|0|0|2413.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3090
HOSP OP|0761 - TREATMENT ROOM||64461|Hb Paravertebral Block Thoracic Single Inj Site W/imaging Guidance|1590.25|842.83|1192.69|1272.2|1351.71|1431.23|1351.71|1284.92|1144.98|1076.28|0|1590.25|1036.84|265.97|582.35|1301.62|984.36|958.92|259.32|1454.29|1192.69|1241.99|79.57|86.52|79.57|388.65|388.65|181.82|77.4|173.65|388.65|1480.47|1454.29|690.48|0|0|0|704.64|77.25|77.25|79.57|77.25|139.05|77.25|79.57|0|1590.25
HOSP OP|0761 - TREATMENT ROOM||64462|Hb Paravertebral Block Thoracic Second & Addl Inj Sites W/imaging Guidance|159|84.27|119.25|127.2|135.15|143.1|0|128.47|114.48|107.61|0|159|103.67|0|58.23|130.14|98.42|95.88|0|1454.29|119.25|124.18|0|0|0|0|0|0|0|0|0|1480.47|1454.29|690.48|0|0|0|70.45|0|0|50.74|0|0|49.26|0|0|1480.47
HOSP OP|0278 - SUPPLY IMPLANTS||Q4151|Hb Amnioband Guardian 1 Sq Cm|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.88|0|0|0|0|0|0|0|0|0|0|0|143.42|140.88|143.42|0|0|0|0|0|0|0|0|0|0|0|0|143.42
HOSP OP|0301 - LAB/CHEMISTRY||80299|Hb Cycloserine Antimicrobial Level|142.4|75.47|106.8|113.92|121.04|128.16|121.04|115.06|102.53|96.38|0|142.4|24.05|25.16|17.48|116.55|22.85|22.24|24.53|20.5|106.8|111.21|19.2|20.88|19.2|39.96|39.96|18.93|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|142.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1884|Hb Bsc Sentinel Guidewire|11200|5936|8400|8960|9520|10080|0|9049.6|8064|7580.16|0|11200|7302.4|0|4101.44|9167.2|6932.8|6753.6|0|0|8400|8747.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4962.72|0|0|4480|0|0|0|0|0|11200
HOSP OP|0272 - STERILE SUPPLY||C1893|Hb Intro/sheath Guiding Intra Ep Fix-crv Not Peel-away|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92521|HB Eval of HB Speech fluency level 1|968|513.04|726|774.4|822.8|871.2|822.8|782.14|696.96|655.14|0|968|207|0|106.79|792.31|196|191|0|305.9|726|756.01|0|0|0|318.71|318.71|141.32|0|142.4|318.71|311.41|305.9|145.24|0|0|91.18|173.11|114.59|114.59|0|114.59|0|0|0|0|968
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92521|Hb Eval Of Speech Fluency Level 2|968|513.04|726|774.4|822.8|871.2|822.8|782.14|696.96|655.14|0|968|207|0|106.79|792.31|196|191|0|305.9|726|756.01|0|0|0|318.71|318.71|141.32|0|142.4|318.71|311.41|305.9|145.24|0|0|91.18|173.11|114.59|114.59|0|114.59|0|0|0|0|968
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92521|Hb Eval Of Speech Fluency Level 3|968|513.04|726|774.4|822.8|871.2|822.8|782.14|696.96|655.14|0|968|207|0|106.79|792.31|196|191|0|305.9|726|756.01|0|0|0|318.71|318.71|141.32|0|142.4|318.71|311.41|305.9|145.24|0|0|91.18|173.11|114.59|114.59|0|114.59|0|0|0|0|968
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92521|Hb Eval Of Speech Fluency Level 4|968|513.04|726|774.4|822.8|871.2|822.8|782.14|696.96|655.14|0|968|207|0|106.79|792.31|196|191|0|305.9|726|756.01|0|0|0|318.71|318.71|141.32|0|142.4|318.71|311.41|305.9|145.24|0|0|91.18|173.11|114.59|114.59|0|114.59|0|0|0|0|968
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92522|Hb Eval Of Speech Prod Level 1|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|207|0|106.79|302.03|196|191|0|305.9|276.75|288.19|0|0|0|255.77|255.77|112.71|0|114.28|255.77|311.41|305.9|145.24|0|0|73.39|173.11|93.15|93.15|0|93.15|0|0|0|0|369
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92522|Hb Eval Of Speech Prod Level 2|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|207|0|106.79|302.03|196|191|0|305.9|276.75|288.19|0|0|0|255.77|255.77|112.71|0|114.28|255.77|311.41|305.9|145.24|0|0|73.39|173.11|93.15|93.15|0|93.15|0|0|0|0|369
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92522|Hb Eval Of Speech Prod Level 3|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|207|0|106.79|302.03|196|191|0|305.9|276.75|288.19|0|0|0|255.77|255.77|112.71|0|114.28|255.77|311.41|305.9|145.24|0|0|73.39|173.11|93.15|93.15|0|93.15|0|0|0|0|369
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92522|Hb Eval Of Speech Prod Level 4|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|207|0|106.79|302.03|196|191|0|305.9|276.75|288.19|0|0|0|255.77|255.77|112.71|0|114.28|255.77|311.41|305.9|145.24|0|0|73.39|173.11|93.15|93.15|0|93.15|0|0|0|0|369
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92523|Hb Eval Of Speech W/ Lang Comp Level 1|624|330.72|468|499.2|530.4|561.6|530.4|504.19|449.28|422.32|0|624|207|0|106.79|510.74|196|191|0|305.9|468|487.34|0|0|0|549.51|549.51|244.78|0|245.52|549.51|311.41|305.9|145.24|0|0|157.42|173.11|196.98|196.98|0|196.98|0|0|0|0|624
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92523|Hb Eval Of Speech W/ Lang Comp Level 2|624|330.72|468|499.2|530.4|561.6|530.4|504.19|449.28|422.32|0|624|207|0|106.79|510.74|196|191|0|305.9|468|487.34|0|0|0|549.51|549.51|244.78|0|245.52|549.51|311.41|305.9|145.24|0|0|157.42|173.11|196.98|196.98|0|196.98|0|0|0|0|624
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92523|Hb Eval Of Speech W/ Lang Comp Level 3|624|330.72|468|499.2|530.4|561.6|530.4|504.19|449.28|422.32|0|624|207|0|106.79|510.74|196|191|0|305.9|468|487.34|0|0|0|549.51|549.51|244.78|0|245.52|549.51|311.41|305.9|145.24|0|0|157.42|173.11|196.98|196.98|0|196.98|0|0|0|0|624
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92523|Hb Eval Of Speech W/ Lang Comp Level 4|624|330.72|468|499.2|530.4|561.6|530.4|504.19|449.28|422.32|0|624|207|0|106.79|510.74|196|191|0|305.9|468|487.34|0|0|0|549.51|549.51|244.78|0|245.52|549.51|311.41|305.9|145.24|0|0|157.42|173.11|196.98|196.98|0|196.98|0|0|0|0|624
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92524|Hb Beh/qual Analy Voice Level 1|490|259.7|367.5|392|416.5|441|416.5|395.92|352.8|331.63|0|490|207|0|106.79|401.07|196|191|0|305.9|367.5|382.69|0|0|0|247.78|247.78|108.3|0|110.71|247.78|311.41|305.9|145.24|0|0|70.82|173.11|90.96|90.96|0|90.96|0|0|0|0|490
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92524|Hb Beh/qual Analy Voice Level 2|490|259.7|367.5|392|416.5|441|416.5|395.92|352.8|331.63|0|490|207|0|106.79|401.07|196|191|0|305.9|367.5|382.69|0|0|0|247.78|247.78|108.3|0|110.71|247.78|311.41|305.9|145.24|0|0|70.82|173.11|90.96|90.96|0|90.96|0|0|0|0|490
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92524|Hb Beh/qual Analy Voice Level 3|490|259.7|367.5|392|416.5|441|416.5|395.92|352.8|331.63|0|490|207|0|106.79|401.07|196|191|0|305.9|367.5|382.69|0|0|0|247.78|247.78|108.3|0|110.71|247.78|311.41|305.9|145.24|0|0|70.82|173.11|90.96|90.96|0|90.96|0|0|0|0|490
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92524|Hb Beh/qual Analy Voice Level 4|490|259.7|367.5|392|416.5|441|416.5|395.92|352.8|331.63|0|490|207|0|106.79|401.07|196|191|0|305.9|367.5|382.69|0|0|0|247.78|247.78|108.3|0|110.71|247.78|311.41|305.9|145.24|0|0|70.82|173.11|90.96|90.96|0|90.96|0|0|0|0|490
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92526|Hb Feeding/swallow Treatment  Level 1|341|180.73|255.75|272.8|289.85|306.9|289.85|275.53|245.52|230.79|0|341|207|0|106.79|279.11|196|191|0|305.9|255.75|266.32|0|0|0|241.78|241.78|106.1|0|108.03|241.78|311.41|305.9|145.24|0|0|69.1|173.11|88.81|88.81|0|88.81|0|0|0|0|341
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92526|Hb Feeding/swallow Treatment  Level 2|334|177.02|250.5|267.2|283.9|300.6|283.9|269.87|240.48|226.05|0|334|207|0|106.79|273.38|196|191|0|305.9|250.5|260.85|0|0|0|241.78|241.78|106.1|0|108.03|241.78|311.41|305.9|145.24|0|0|69.1|173.11|88.81|88.81|0|88.81|0|0|0|0|334
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92526|Hb Feeding/swallow Treatment  Level 3|341|180.73|255.75|272.8|289.85|306.9|289.85|275.53|245.52|230.79|0|341|207|0|106.79|279.11|196|191|0|305.9|255.75|266.32|0|0|0|241.78|241.78|106.1|0|108.03|241.78|311.41|305.9|145.24|0|0|69.1|173.11|88.81|88.81|0|88.81|0|0|0|0|341
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92526|Hb Feeding/swallow Treatment  Level 4|341|180.73|255.75|272.8|289.85|306.9|289.85|275.53|245.52|230.79|0|341|207|0|106.79|279.11|196|191|0|305.9|255.75|266.32|0|0|0|241.78|241.78|106.1|0|108.03|241.78|311.41|305.9|145.24|0|0|69.1|173.11|88.81|88.81|0|88.81|0|0|0|0|341
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92508|Hb Speech Therapy Group Level 4|82|43.46|61.5|65.6|69.7|73.8|69.7|66.26|59.04|55.5|0|82|82|0|82|67.12|82|82|0|146.23|61.5|64.04|0|0|0|65.94|65.94|28.18|0|29.46|65.94|148.86|146.23|69.43|0|0|18.92|80.36|24.46|24.46|0|24.46|0|0|0|0|148.86
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92626|Hb Eval Of Aud Rehab Status 60 Mns|363|192.39|272.25|290.4|308.55|326.7|308.55|293.3|261.36|245.68|0|363|207|306.89|106.79|297.12|196|191|299.22|305.9|272.25|283.5|79.79|86.77|79.79|252.77|252.77|111.38|77.62|112.94|252.77|311.41|305.9|145.24|0|0|72.54|173.11|77.47|77.47|79.79|77.47|139.45|77.47|79.79|0|363
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92597|Hb Slp Eval Voice Pros Level 1|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|207|0|106.79|283.2|196|191|0|305.9|259.5|270.23|0|0|0|202.82|202.82|88.49|0|90.62|202.82|311.41|305.9|145.24|0|0|57.91|173.11|74|74|0|74|0|0|0|0|346
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92597|Hb Slp Eval Voice Pros Level 2|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|207|0|106.79|283.2|196|191|0|305.9|259.5|270.23|0|0|0|202.82|202.82|88.49|0|90.62|202.82|311.41|305.9|145.24|0|0|57.91|173.11|74|74|0|74|0|0|0|0|346
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92597|Hb Slp Eval Voice Pros Level 3|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|207|0|106.79|283.2|196|191|0|305.9|259.5|270.23|0|0|0|202.82|202.82|88.49|0|90.62|202.82|311.41|305.9|145.24|0|0|57.91|173.11|74|74|0|74|0|0|0|0|346
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92597|Hb Slp Eval Voice Pros Level 4|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|207|0|106.79|283.2|196|191|0|305.9|259.5|270.23|0|0|0|202.82|202.82|88.49|0|90.62|202.82|311.41|305.9|145.24|0|0|57.91|173.11|74|74|0|74|0|0|0|0|346
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92609|Hb Trng For Sp-gen Device Level 1|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|207|0|106.79|272.56|196|191|0|305.9|249.75|260.07|0|0|0|306.72|306.72|136.48|0|137.04|306.72|311.41|305.9|145.24|0|0|87.73|173.11|110.42|110.42|0|110.42|0|0|0|0|333
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92609|Hb Trng For Sp-gen Device Level 2|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|207|0|106.79|272.56|196|191|0|305.9|249.75|260.07|0|0|0|306.72|306.72|136.48|0|137.04|306.72|311.41|305.9|145.24|0|0|87.73|173.11|110.42|110.42|0|110.42|0|0|0|0|333
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92609|Hb Trng For Sp-gen Device Level 3|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|207|0|106.79|272.56|196|191|0|305.9|249.75|260.07|0|0|0|306.72|306.72|136.48|0|137.04|306.72|311.41|305.9|145.24|0|0|87.73|173.11|110.42|110.42|0|110.42|0|0|0|0|333
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92609|Hb Trng For Sp-gen Device Level 4|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|207|0|106.79|272.56|196|191|0|305.9|249.75|260.07|0|0|0|306.72|306.72|136.48|0|137.04|306.72|311.41|305.9|145.24|0|0|87.73|173.11|110.42|110.42|0|110.42|0|0|0|0|333
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||99366|Hb Sp Med Team Conf W/ Patient|304|161.12|228|243.2|258.4|273.6|0|245.63|218.88|205.75|0|304|207|0|106.79|248.82|196|191|0|290.25|228|237.42|0|0|0|0|0|0|0|0|0|295.47|290.25|137.81|0|0|36.86|173.11|0|0|121.6|0|0|0|0|0|304
HOSP OP|0510 - CLINIC||99368|Hb Sp 30 Med Conf W/o Patient|273|144.69|204.75|218.4|232.05|245.7|0|220.58|196.56|184.77|0|273|0|0|0|223.45|0|0|0|290.25|204.75|213.21|0|0|0|0|0|0|0|0|0|295.47|290.25|137.81|0|0|0|0|0|0|109.2|0|0|0|0|0|295.47
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||96105|Hb Assess Of Aphasia Per Hour|342|181.26|256.5|273.6|290.7|307.8|290.7|276.34|246.24|231.47|0|342|207|342|106.79|279.93|196|191|342|830.4|256.5|267.1|107.25|116.63|107.25|290.74|290.74|133.84|104.34|129.9|290.74|845.35|830.4|394.27|0|0|83.44|173.11|104.13|104.13|107.25|104.13|187.43|104.13|107.25|0|845.35
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||96125|Hb Standardized Testing Per Hour|425|225.25|318.75|340|361.25|382.5|361.25|343.4|306|287.64|0|425|207|0|106.79|347.86|196|191|0|830.4|318.75|331.93|0|0|0|308.72|308.72|147.04|0|137.94|308.72|845.35|830.4|394.27|0|0|88.61|173.11|110.59|110.59|0|110.59|0|0|0|0|845.35
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES|||Hb Polysom; W/cpap Wear Trial|2000|1060|0|1600|0|1800|0|1616|1440|1353.6|0|2000|1304|0|732.4|1637|1238|1206|0|0|0|1562|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|886.2|0|0|0|0|0|0|0|0|2000
HOSP OP|0278 - SUPPLY IMPLANTS||Q4152|Hb Dermapure; Per Sq Cm|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1400.77|0|0|0|0|0|0|0|0|0|0|0|1425.98|1400.77|665.07|0|0|0|0|0|0|0|0|0|0|0|0|1425.98
HOSP OP|0460 - PULMONARY FUNCTION||94610|Hb Surfactant Admin Thru Et Tube|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|318.83|191.36|179.07|400.25|302.69|294.87|186.57|288.95|366.75|381.91|57.1|62.09|57.1|152.86|152.86|67.36|55.55|68.3|152.86|294.15|288.95|137.19|0|0|214.61|216.68|55.44|55.44|57.1|55.44|99.79|55.44|57.1|0|489
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33990|Hb Pr Insj Perq Vad W/imaging Artery Access Only|4279|2267.87|3209.25|3423.2|3637.15|3851.1|3637.15|3457.43|3080.88|2896.03|0|4279|0|0|0|3502.36|0|0|2336.33|0|3209.25|3341.9|417.81|454.32|417.81|1126.98|1126.98|496.17|406.45|503.54|1126.98|0|0|0|0|0|0|0|405.64|405.64|417.81|405.64|730.15|405.64|417.81|0|4279
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33991|Hb Pr Insj Perq Vad Trnsptal W/image Art&venous Access|4279|2267.87|3209.25|3423.2|3637.15|3851.1|3637.15|3457.43|3080.88|2896.03|0|4279|0|0|0|3502.36|0|0|2336.33|0|3209.25|3341.9|612.86|666.41|612.86|1653.51|1653.51|729.94|596.2|738.79|1653.51|0|0|0|0|0|0|0|595.01|595.01|612.86|595.01|1071.02|595.01|612.86|0|4279
HOSP OP|0410 - RESPIRATORY THERAPY||94642|Hb Aerosol Inhalation Treatment|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|318.83|273.84|179.07|400.25|302.69|294.87|266.99|31.3|366.75|381.91|195.6|0|195.6|77.93|77.93|33.9|195.6|34.82|77.93|31.86|31.3|31.86|0|0|214.61|266.85|0|0|195.6|0|244.5|0|195.6|0|489
HOSP OP|"0634 - DRUG/EPO<10|000 UNITS"||Q4081|EPOETIN ALFA 100 UNITS|2.15|1.14|1.61|1.72|1.83|1.94|0|1.74|1.55|1.46|0|2.15|1.55|0|1.13|1.76|1.47|1.43|0|1.06|1.61|1.68|0|0|0|0|0|0|0|0|0|1.08|1.06|1.08|0|0|0|0.82|0|0|0.86|0|0|0|0|0|2.15
HOSP OP|0310 - PATHOLOGY LAB||88305|Hb Renalpath Level Iv Wet Tissue|229.4|121.58|172.05|183.52|194.99|206.46|194.99|185.36|165.17|155.26|0|229.4|92.19|99.74|67.04|187.76|87.62|85.26|97.24|99.19|172.05|179.16|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|100.98|99.19|47.1|0|0|34.44|49.25|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|229.4
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92610|Hb Evaluate Swallowing Function|377|199.81|282.75|301.6|320.45|339.3|320.45|304.62|271.44|255.15|0|377|207|294.86|106.79|308.57|196|191|287.48|305.9|282.75|294.44|75.83|82.45|75.83|241.78|241.78|105.66|73.77|108.03|241.78|311.41|305.9|145.24|0|0|69.38|173.11|80.98|80.98|75.83|80.98|132.52|73.62|75.83|0|377
HOSP OP|0361 - OR/MINOR||31641|Hb Bronchoscopy Fluoro Guide W/destruction Of Tumor Laser Therapy|5247|2780.91|3935.25|4197.6|4459.95|4722.3|4459.95|4239.58|3777.84|3551.17|0|5247|0|285.23|0|4294.67|0|0|278.1|5603.85|3935.25|4097.91|262.59|285.53|262.59|706.36|706.36|312.58|255.45|315.6|706.36|5704.72|5603.85|2660.64|0|0|0|0|254.94|254.94|262.59|254.94|458.89|254.94|262.59|0|5704.72
HOSP OP|0361 - OR/MINOR||31623|Hb Bronchoscopy Including Fluoro Guidance W/brushing|2987|1583.11|2240.25|2389.6|2538.95|2688.3|2538.95|2413.5|2150.64|2021.6|0|2987|0|587.31|0|2444.86|0|0|572.62|5603.85|2240.25|2332.85|137.18|149.16|137.18|741.33|741.33|337.23|133.45|331.23|741.33|5704.72|5603.85|2660.64|0|0|0|0|133.18|133.18|137.18|133.18|239.72|133.18|137.18|0|5704.72
HOSP OP|0361 - OR/MINOR||31654|Hb Bronchoscopy Including Fluoro Guidance W/ebus For Peripheral|1215|643.95|911.25|972|1032.75|1093.5|0|981.72|874.8|822.31|0|1215|0|0|0|994.48|0|0|0|5603.85|911.25|948.92|0|0|0|0|0|0|0|0|0|5704.72|5603.85|2660.64|0|0|0|0|0|0|69.68|0|0|67.65|0|0|5704.72
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88344|Hb Stains Special Group Iii Ihc Cocktail|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|230.31|236.71|167.47|227.54|218.89|212.99|230.79|99.19|208.5|217.12|140.82|153.13|140.82|278|278|219.25|136.99|216.95|278|100.98|99.19|47.1|0|0|151.55|123.04|136.72|136.72|140.82|136.72|246.1|136.72|140.82|0|278
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88341|HB Special Stain III Immuno Add?l (Medicare Only)|55.61|29.47|41.71|44.49|47.27|50.05|0|44.93|40.04|37.64|0|55.61|55.61|0|55.61|45.52|55.61|55.61|0|99.19|41.71|43.43|0|0|0|0|0|0|0|0|0|100.98|99.19|47.1|0|0|0|54.5|0|0|67.34|0|0|55.61|0|0|100.98
HOSP OP|0301 - LAB/CHEMISTRY||83735|Hb Magnesium Rbc|37.88|20.08|28.41|30.3|32.2|34.09|32.2|30.61|27.27|25.64|0|37.88|9.6|10.04|6.98|31|9.12|8.88|9.79|7.37|28.41|29.58|6.9|7.5|6.9|15.99|15.99|8.36|6.71|7.14|15.99|7.5|7.37|7.5|0|0|0|5.12|6.7|6.7|6.9|6.7|12.06|6.7|6.9|0|37.88
HOSP OP|0761 - TREATMENT ROOM||64615|Hb Chemodervate Facial/trigem/cerv Musc Migraine|769|407.57|576.75|615.2|653.65|692.1|653.65|621.35|553.68|520.46|0|769|501.39|291.25|281.61|629.43|476.01|463.71|283.96|1454.29|576.75|600.59|118.59|128.96|118.59|389.65|389.65|168.62|115.37|174.1|389.65|1480.47|1454.29|690.48|0|0|0|340.74|115.14|115.14|118.59|115.14|207.25|115.14|118.59|0|1480.47
HOSP OP|0361 - OR/MINOR||37239|Hb Open Or Perc Stent W Rsi Angio Each Addl Vein|16108|8537.24|12081|12886.4|13691.8|14497.2|0|13015.26|11597.76|10901.89|0|16108|0|0|0|13184.4|0|0|0|10912.4|12081|12580.35|0|0|0|0|0|0|0|0|0|11108.82|10912.4|5181.07|0|0|0|0|0|0|150.72|0|0|146.33|0|0|16108
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Buprenorphine And Metabolite Urine|50.01|26.51|37.51|40.01|42.51|45.01|42.51|40.41|36.01|33.85|0|50.01|50.01|50.01|50.01|40.93|50.01|50.01|50.01|68.35|37.51|39.06|50.01|50.01|50.01|50.01|50.01|50.01|50.01|50.01|50.01|69.58|68.35|69.58|0|0|0|44.55|50.01|50.01|50.01|50.01|50.01|50.01|50.01|0|69.58
HOSP OP|0310 - PATHOLOGY LAB||88368|Hb Allina Quant Ish; First Stain (tech Only)|305.87|162.11|229.4|244.7|259.99|275.28|259.99|247.14|220.23|207.01|0|305.87|152.71|305.87|111.04|250.35|145.14|141.23|305.87|143.82|229.4|238.88|305.87|340.56|305.87|305.87|305.87|224.92|304.68|228.04|305.87|146.41|143.82|68.29|0|0|96.86|81.58|305.87|305.87|313.19|305.87|305.87|304.07|305.87|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88369|HB Allina Immunostain ? Add?l ? Medicare|63.9|33.87|47.93|51.12|54.32|57.51|0|51.63|46.01|43.25|0|63.9|63.9|0|63.9|52.3|63.9|63.9|0|143.82|47.93|49.91|0|0|0|0|0|0|0|0|0|146.41|143.82|68.29|0|0|0|62.62|0|0|85.9|0|0|63.9|0|0|146.41
HOSP OP|0310 - PATHOLOGY LAB||88365|Hb Allina Qual Ish First Stain (tech Only)|161.43|85.56|121.07|129.14|137.22|145.29|137.22|130.44|116.23|109.26|0|161.43|161.43|161.43|128.18|132.13|161.43|161.43|161.43|99.19|121.07|126.08|143.59|156.14|143.59|161.43|161.43|161.43|139.69|161.43|161.43|100.98|99.19|47.1|0|0|151.55|94.18|139.41|139.41|143.59|139.41|161.43|139.41|143.59|0|161.43
HOSP OP|0272 - STERILE SUPPLY||C1724|Hb Cath Trans Atherectomy Rotational|10267|5441.51|7700.25|8213.6|8726.95|9240.3|0|8295.74|7392.24|6948.71|0|10267|6694.08|0|3759.78|8403.54|6355.27|6191|0|0|7700.25|8018.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4549.31|0|0|4106.8|0|0|0|0|0|10267
HOSP OP|0450 - EMERGENCY ROOM||67715|Hb Canthotomy|4350|2305.5|3262.5|3480|3697.5|3915|3697.5|3514.8|3132|2944.08|0|4350|0|698.03|0|3560.48|0|0|680.57|3300.57|3262.5|3397.35|110.25|119.88|110.25|703.37|703.37|301.57|107.25|314.27|703.37|3359.98|3300.57|1567.07|0|0|0|0|107.04|107.04|110.25|107.04|192.67|107.04|110.25|0|4350
HOSP OP|0761 - TREATMENT ROOM||20551|Hb Injection Single Tendon Origin/insertion|703|372.59|527.25|562.4|597.55|632.7|597.55|568.02|506.16|475.79|0|703|458.36|93.87|257.44|575.41|435.16|423.91|91.53|813.32|527.25|549.04|40.74|44.3|40.74|148.87|148.87|74.4|39.63|66.51|148.87|827.96|813.32|386.15|0|0|0|311.5|39.55|39.55|40.74|39.55|71.19|39.55|40.74|0|827.96
HOSP OP|0761 - TREATMENT ROOM||37799|Hb Microphlebectomy Less Than 10 Stab Incisions|3190|1690.7|2392.5|2552|2711.5|2871|2711.5|2577.52|2296.8|2158.99|0|3190|2079.88|1786.4|1168.18|2611.02|1974.61|1923.57|1741.74|428.36|2392.5|2491.39|1276|0|1276|2532.86|2636.85|1373.93|1276|1396.26|2636.85|436.07|428.36|203.38|0|0|0|1413.49|0|0|1276|0|1595|0|1276|0|3190
HOSP OP|0301 - LAB/CHEMISTRY||80326|Hb Amphetamines; 5 Or More|7.02|3.72|5.27|5.62|5.97|6.32|5.97|5.67|5.05|4.75|0|7.02|4.64|0|3.38|5.75|4.41|4.29|0|6.9|5.27|5.48|7.02|0|7.02|7.02|7.02|7.02|2.81|7.02|7.02|7.02|6.9|7.02|0|0|0|6.88|7.02|7.02|7.02|7.02|7.02|7.02|7.02|0|7.02
HOSP OP|0301 - LAB/CHEMISTRY||83018|Hb Cobalt Serum|85.48|45.3|64.11|68.38|72.66|76.93|72.66|69.07|61.55|57.85|0|85.48|31.49|32.95|22.9|69.97|29.93|29.12|32.13|24.16|64.11|66.76|22.62|24.6|22.62|51.95|51.95|27.3|22|23.21|51.95|24.59|24.16|24.59|0|0|0|16.82|21.96|21.96|22.62|21.96|39.53|21.96|22.62|0|85.48
HOSP OP|0306 - LAB/BACT-MICRO||87299|Hb Human Metapneumovirus|120.98|64.12|90.74|96.78|102.83|108.88|102.83|97.75|87.11|81.88|0|120.98|20.77|21.74|15.1|99.02|19.74|19.21|21.2|17.71|90.74|94.49|16.58|18.03|16.58|33.97|33.97|16.29|16.13|15.18|33.97|18.03|17.71|18.03|0|0|0|11.09|16.1|16.1|16.58|16.1|28.98|16.1|16.58|0|120.98
HOSP OP|0301 - LAB/CHEMISTRY||80346|HB BENZODIAZEPINES|7.02|3.72|5.27|5.62|5.97|6.32|5.97|5.67|5.05|4.75|0|7.02|7.02|0|7.02|5.75|7.02|7.02|0|33.75|5.27|5.48|7.02|0|7.02|5.57|5.8|7.02|2.81|3.07|5.8|34.36|33.75|34.36|0|0|0|6.88|7.02|7.02|7.02|7.02|7.02|7.02|7.02|0|34.36
HOSP OP|0301 - LAB/CHEMISTRY||80353|HB COCAINE OR METABOLITE|7.02|3.72|5.27|5.62|5.97|6.32|5.97|5.67|5.05|4.75|0|7.02|7.02|0|7.02|5.75|7.02|7.02|0|25.85|5.27|5.48|7.02|0|7.02|5.57|5.8|7.02|2.81|3.07|5.8|26.32|25.85|26.32|0|0|0|6.88|7.02|7.02|7.02|7.02|7.02|7.02|7.02|0|26.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86256|Hb Nmo/aqp4 Facs Titer|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|37.49|18.08|27.26|61.39|35.63|34.67|17.63|56.65|56.25|58.58|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|75
HOSP OP|0275 - PACEMAKER||C1764|Hb Event Recorder Implantable Reveal Linq|14540|7706.2|10905|11632|12359|13086|0|11748.32|10468.8|9840.67|0|14540|9480.08|0|5324.55|11900.99|9000.26|8767.62|0|0|10905|11355.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6442.67|0|0|5816|0|0|0|0|0|14540
HOSP OP|0301 - LAB/CHEMISTRY||84145|PROCALCITONIN|163|86.39|122.25|130.4|138.55|146.7|138.55|131.7|117.36|110.32|0|163|38.4|40.19|27.92|133.42|36.5|35.52|39.19|29.94|122.25|127.3|28.04|30.49|28.04|63.94|63.94|33.46|27.27|28.57|63.94|30.48|29.94|30.48|0|0|0|20.51|27.22|27.22|28.04|27.22|49|27.22|28.04|0|163
HOSP OP|0361 - OR/MINOR||36482|Hb Endoven Ablti Ther Chem Adhesive 1st Vein|11017|5839.01|8262.75|8813.6|9364.45|9915.3|9364.45|8901.74|7932.24|7456.31|0|11017|0|6557.87|0|9017.41|0|0|6393.86|4118.11|8262.75|8604.28|177.74|193.27|177.74|5807.77|5807.77|2651.21|172.91|2594.92|5807.77|4192.24|4118.11|1955.23|0|0|0|0|172.56|172.56|177.74|172.56|310.61|172.56|177.74|0|11017
HOSP OP|0361 - OR/MINOR||36483|Hb Endoven Ablti Ther Chem Adhesive Sbsq Vein|2755|1460.15|2066.25|2204|2341.75|2479.5|0|2226.04|1983.6|1864.58|0|2755|0|0|0|2254.97|0|0|0|4118.11|2066.25|2151.66|0|0|0|0|0|0|0|0|0|4192.24|4118.11|1955.23|0|0|0|0|0|0|88.39|0|0|85.82|0|0|4192.24
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90747|Hb Hepb Vaccine Dialysis/immunsup Pat 4 Dose Im|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|134.12|0|0|0|0|0|0|0|0|0|0|0|136.53|134.12|136.53|0|0|0|0|0|0|0|0|0|0|0|0|136.53
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90620|Hb Menb Recombinant Prot W/out Membr Vesic Vacc Im|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|182.71|0|0|0|0|0|0|0|0|0|0|0|186|182.71|186|0|0|0|0|0|0|0|0|0|0|0|0|186
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|||Rev Code 255 (radiology)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0410 - RESPIRATORY THERAPY||94644|Hb Continuous Inhalation Tx 1st Hr|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|181.26|168.49|101.8|227.54|172.08|167.63|164.28|269.98|208.5|217.12|56.56|61.5|56.56|140.87|140.87|56.35|55.02|62.94|140.87|274.84|269.98|128.18|0|0|119.27|151.7|54.91|54.91|56.56|54.91|98.84|54.91|56.56|0|278
HOSP OP|0410 - RESPIRATORY THERAPY||94645|Hb Continuous Inhalation Tx Each Add Hr|136|72.08|102|108.8|115.6|122.4|0|109.89|97.92|92.04|0|136|88.67|0|49.8|111.32|84.18|82.01|0|269.98|102|106.22|0|0|0|0|0|0|0|0|0|274.84|269.98|128.18|0|0|0|74.22|0|0|17.44|0|0|16.93|0|0|274.84
HOSP OP|0301 - LAB/CHEMISTRY||80299|Hb Itraconazole Serum|67.78|35.92|50.84|54.22|57.61|61|57.61|54.77|48.8|45.87|0|67.78|24.05|25.16|17.48|55.48|22.85|22.24|24.53|20.5|50.84|52.94|19.2|20.88|19.2|39.96|39.96|18.93|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|67.78
HOSP OP|0301 - LAB/CHEMISTRY||80187|Hb Posaconazole Serum|83.43|44.22|62.57|66.74|70.92|75.09|70.92|67.41|60.07|56.47|0|83.43|55.15|36.6|40.21|68.29|52.39|50.98|35.69|29.82|62.57|65.16|27.92|30.36|27.92|57.95|57.95|35.93|27.16|25.89|57.95|30.36|29.82|30.36|0|0|33.37|39.82|27.11|27.11|27.92|27.11|48.8|27.11|27.92|0|83.43
HOSP OP|0301 - LAB/CHEMISTRY||80285|Hb Voriconazole Serum|88.25|46.77|66.19|70.6|75.01|79.43|75.01|71.31|63.54|59.73|0|88.25|58.33|36.6|42.54|72.23|55.42|53.92|35.69|29.82|66.19|68.92|27.92|30.36|27.92|57.95|57.95|38.01|27.16|25.89|57.95|30.36|29.82|30.36|0|0|35.3|42.12|27.11|27.11|27.92|27.11|48.8|27.11|27.92|0|88.25
HOSP OP|0306 - LAB/BACT-MICRO||87449|Hb Fungitell Serum|154.2|81.73|115.65|123.36|131.07|138.78|131.07|124.59|111.02|104.36|0|154.2|17.18|17.98|12.49|126.21|16.33|15.89|17.53|11.98|115.65|120.43|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|12.2|11.98|12.2|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|154.2
HOSP OP|0300 - LABORATORY||81263|Hb Igh Somatic Hypermutation In B-cll|654.2|346.73|490.65|523.36|556.07|588.78|556.07|528.59|471.02|442.76|0|654.2|422.14|441.77|306.95|535.46|401.2|390.4|430.73|323.97|490.65|510.93|303.36|329.86|303.36|654.2|654.2|367.17|295.11|335.25|654.2|329.8|323.97|329.8|0|0|366.53|225.53|294.52|294.52|303.36|294.52|530.14|294.52|303.36|0|654.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86431|Hb Rheumatoid Factor; Quantitative|45|23.85|33.75|36|38.25|40.5|38.25|36.36|32.4|30.46|0|45|8.13|8.51|5.91|36.83|7.72|7.52|8.3|6.24|33.75|35.15|5.84|6.35|5.84|12.99|12.99|7.04|5.68|5.8|12.99|6.35|6.24|6.35|0|0|0|4.34|5.67|5.67|5.84|5.67|10.21|5.67|5.84|0|45
HOSP OP|0302 - LAB/IMMUNOLOGY||86701|Hb Hiv-1 Antibody|63.36|33.58|47.52|50.69|53.86|57.02|53.86|51.19|45.62|42.88|0|63.36|12.73|13.32|9.26|51.86|12.1|11.77|12.99|8.89|47.52|49.48|9.16|9.96|9.16|20.98|20.98|11.01|8.91|9.37|20.98|9.05|8.89|9.05|0|0|0|6.8|8.89|8.89|9.16|8.89|16|8.89|9.16|0|63.36
HOSP OP|0302 - LAB/IMMUNOLOGY||87506|Hb Enteric Pathogen Panel By Pcr|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|339.26|355.04|246.68|555.76|322.43|313.75|346.16|289.29|509.25|530.3|270.88|294.55|270.88|562.49|562.49|266.35|263.52|251.32|562.49|294.5|289.29|294.5|0|0|0|181.25|262.99|262.99|270.88|262.99|473.38|262.99|270.88|0|679
HOSP OP|0302 - LAB/IMMUNOLOGY||86702|Hb Hiv-2 Antibody|63.36|33.58|47.52|50.69|53.86|57.02|53.86|51.19|45.62|42.88|0|63.36|19.38|20.28|14.09|51.86|18.41|17.92|19.77|14.87|47.52|49.48|13.93|15.14|13.93|31.97|31.97|16.73|13.55|14.28|31.97|15.14|14.87|15.14|0|0|0|10.35|13.52|13.52|13.93|13.52|24.34|13.52|13.93|0|63.36
HOSP OP|0306 - LAB/BACT-MICRO||87046|Hb Culture-stool Aerobic Add'l Pathogen|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|13.53|14.16|9.84|23.74|12.86|12.51|13.81|10.38|21.75|22.65|9.72|10.57|9.72|21.98|21.98|11.89|9.46|9.82|21.98|10.57|10.38|10.57|0|0|0|7.22|9.44|9.44|9.72|9.44|16.99|9.44|9.72|0|29
HOSP OP|0301 - LAB/CHEMISTRY||82985|Hb Fructosamine Serum|46.37|24.58|34.78|37.1|39.41|41.73|39.41|37.47|33.39|31.38|0|46.37|21.62|22.63|15.72|37.95|20.55|19.99|22.06|16.76|34.78|36.21|17.26|18.77|17.26|35.97|35.97|18.93|16.79|16.07|35.97|17.06|16.76|17.06|0|0|0|11.54|16.76|16.76|17.26|16.76|30.17|16.76|17.26|0|46.37
HOSP OP|0301 - LAB/CHEMISTRY||80349|Hb Thc Ms Wb/sp Reflex|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|31.49|0|22.9|28.65|29.93|29.12|0|23.35|26.25|27.34|35|0|35|27.79|28.93|35|14|15.32|28.93|23.77|23.35|23.77|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0300 - LABORATORY||81232|Hb Dihydropyrimidine Dehydrogenase Gene|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|192.29|0|0|0|0|0|0|0|0|0|0|0|195.75|192.29|195.75|0|0|0|0|0|0|0|0|0|0|0|0|195.75
HOSP OP|0300 - LABORATORY||0027U|Hb Jak2 Exon12 Mutation Detection Bm|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|149.01|0|0|0|0|0|0|0|0|0|0|0|151.69|149.01|151.69|0|0|0|0|0|0|0|0|0|0|0|0|151.69
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90632|Hb Hepa Vaccine Adult Dose For Intramuscular Use|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|59.91|0|0|0|0|0|0|0|0|0|0|0|60.99|59.91|60.99|0|0|0|0|0|0|0|0|0|0|0|0|60.99
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|Hb Lyme Cns Igg Ab Index|158.24|83.87|118.68|126.59|134.5|142.42|134.5|127.86|113.93|107.1|0|158.24|24.41|25.54|17.75|129.52|23.2|22.57|24.9|17.03|118.68|123.59|17.54|19.07|17.54|39.96|39.96|21.13|17.06|17.86|39.96|17.34|17.03|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|158.24
HOSP OP|0301 - LAB/CHEMISTRY||86618|Hb Gammaglobulin|86.42|45.8|64.82|69.14|73.46|77.78|73.46|69.83|62.22|58.49|0|86.42|24.41|25.54|17.75|70.73|23.2|22.57|24.9|17.03|64.82|67.49|17.54|19.07|17.54|39.96|39.96|21.13|17.06|17.86|39.96|17.34|17.03|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|86.42
HOSP OP|0301 - LAB/CHEMISTRY||82040|HB ALBUMIN; SERUM|46|24.38|34.5|36.8|39.1|41.4|39.1|37.17|33.12|31.13|0|46|7.1|7.43|5.16|37.65|6.74|6.56|7.24|4.95|34.5|35.93|5.1|5.54|5.1|11.99|11.99|6.16|4.96|5.36|11.99|5.04|4.95|5.04|0|0|0|3.79|4.95|4.95|5.1|4.95|8.91|4.95|5.1|0|46
HOSP OP|0301 - LAB/CHEMISTRY||82042|Hb Albumin; Other Source|58.57|31.04|43.93|46.86|49.78|52.71|49.78|47.32|42.17|39.64|0|58.57|10.04|10.5|7.3|47.94|9.54|9.28|10.24|7.78|43.93|45.74|8.01|8.71|8.01|16.98|16.98|7.92|7.8|7.59|16.98|7.92|7.78|7.92|0|0|0|5.36|7.78|7.78|8.01|7.78|14|7.78|8.01|0|58.57
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Nuclear Antigen Antibody|27.72|14.69|20.79|22.18|23.56|24.95|23.56|22.4|19.96|18.76|0|27.72|25.71|26.91|18.69|22.69|24.43|23.78|26.24|19.72|20.79|21.65|18.47|20.08|18.47|27.72|27.72|22.45|17.97|19.2|27.72|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|27.72|17.93|18.47|0|27.72
HOSP OP|0301 - LAB/CHEMISTRY||83516|Hb Immunoassay Nonantibody|18.35|9.73|13.76|14.68|15.6|16.52|15.6|14.83|13.21|12.42|0|18.35|16.52|17.29|12.02|15.02|15.71|15.28|16.86|11.53|13.76|14.33|11.88|12.91|11.88|18.35|18.35|14.53|11.55|12.05|18.35|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|18.35|11.53|11.88|0|18.35
HOSP OP|0361 - OR/MINOR||26236|Hb Part Remv Bone Distal Phalanx|3612|1914.36|2709|2889.6|3070.2|3250.8|3070.2|2918.5|2600.64|2444.6|0|3612|0|867.72|0|2956.42|0|0|846.02|4036.92|2709|2820.97|451.21|490.64|451.21|1208.91|1208.91|533.15|438.95|540.14|1208.91|4109.58|4036.92|1916.68|0|0|0|0|438.07|438.07|451.21|438.07|788.53|438.07|451.21|0|4109.58
HOSP OP|0761 - TREATMENT ROOM||38222|Hb Pcc Bone Marrow Biopsy & Aspiration|3449|1827.97|2586.75|2759.2|2931.65|3104.1|2931.65|2786.79|2483.28|2334.28|0|3449|2248.75|412.8|1263.02|2823.01|2134.93|2079.75|402.48|1360.36|2586.75|2693.67|80.95|88.02|80.95|484.56|484.56|212.2|78.75|216.5|484.56|1384.85|1360.36|645.88|0|0|0|1528.25|78.59|78.59|80.95|78.59|141.46|78.59|80.95|0|3449
HOSP OP|0361 - OR/MINOR||38222|Hb Diagnostic Bone Marrow Biopsies & Aspirations|3483|1845.99|2612.25|2786.4|2960.55|3134.7|2960.55|2814.26|2507.76|2357.29|0|3483|0|412.8|0|2850.84|0|0|402.48|1360.36|2612.25|2720.22|80.95|88.02|80.95|484.56|484.56|212.2|78.75|216.5|484.56|1384.85|1360.36|645.88|0|0|0|0|78.59|78.59|80.95|78.59|141.46|78.59|80.95|0|3483
HOSP OP|0300 - LABORATORY||81272|Hb Kit Mutation Hematologic Neoplasm|999.2|529.58|749.4|799.36|849.32|899.28|849.32|807.35|719.42|676.26|0|999.2|425.07|444.84|309.08|817.85|403.98|393.11|433.72|362.46|749.4|780.38|339.4|369.05|339.4|755.32|755.32|332.83|330.17|337.48|755.32|368.98|362.46|368.98|0|0|369.08|227.1|329.51|329.51|339.4|329.51|593.12|329.51|339.4|0|999.2
HOSP OP|0300 - LABORATORY||81450|Hb Oncoheme Ngs For Hematologic Cancer|2676.5|1418.54|2007.38|2141.2|2275.03|2408.85|2275.03|2162.61|1927.08|1811.46|0|2676.5|979.79|1025.37|712.44|2190.72|931.18|906.12|999.74|835.48|2007.38|2090.35|782.32|850.67|782.32|1741.43|1741.43|767.36|761.05|778.08|1741.43|850.52|835.48|850.52|0|0|850.74|523.48|759.53|759.53|782.32|759.53|1367.15|759.53|782.32|0|2676.5
HOSP OP|0300 - LABORATORY||81450|Hb Next Gen Sequencing Aml|1824.2|966.83|1368.15|1459.36|1550.57|1641.78|1550.57|1473.95|1313.42|1234.62|0|1824.2|979.79|1025.37|712.44|1493.11|931.18|906.12|999.74|835.48|1368.15|1424.7|782.32|850.67|782.32|1741.43|1741.43|767.36|761.05|778.08|1741.43|850.52|835.48|850.52|0|0|850.74|523.48|759.53|759.53|782.32|759.53|1367.15|759.53|782.32|0|1824.2
HOSP OP|0300 - LABORATORY||81206|Hb Bcr/abl1 Gene Major Bp|126.97|67.29|95.23|101.58|107.92|114.27|107.92|102.59|91.42|85.93|0|126.97|126.97|126.97|126.97|103.92|126.97|126.97|126.97|180.36|95.23|99.16|126.97|126.97|126.97|126.97|126.97|126.97|126.97|126.97|126.97|183.61|180.36|183.61|0|0|126.97|124.43|126.97|126.97|126.97|126.97|126.97|126.97|126.97|0|183.61
HOSP OP|0300 - LABORATORY||81207|Hb Bcr/abl1 Gene Minor Bp|113.1|59.94|84.83|90.48|96.14|101.79|96.14|91.38|81.43|76.55|0|113.1|113.1|113.1|113.1|92.57|113.1|113.1|113.1|159.32|84.83|88.33|113.1|113.1|113.1|113.1|113.1|113.1|113.1|113.1|113.1|162.19|159.32|162.19|0|0|113.1|110.84|113.1|113.1|113.1|113.1|113.1|113.1|113.1|0|162.19
HOSP OP|0300 - LABORATORY||81208|Hb Bcr/abl1 Gene Other Bp|134.13|71.09|100.6|107.3|114.01|120.72|114.01|108.38|96.57|90.78|0|134.13|134.13|134.13|134.13|109.79|134.13|134.13|134.13|236.08|100.6|104.76|134.13|134.13|134.13|134.13|134.13|134.13|134.13|134.13|134.13|240.33|236.08|240.33|0|0|134.13|131.45|134.13|134.13|134.13|134.13|134.13|134.13|134.13|0|240.33
HOSP OP|0300 - LABORATORY||81206|Hb Bcr/abl1 P210 Quant Reflex|350|185.5|262.5|280|297.5|315|297.5|282.8|252|236.88|0|350|235.01|245.94|170.88|286.48|223.35|217.34|239.79|180.36|262.5|273.35|168.88|183.64|168.88|350|350|204.28|164.29|186.6|350|183.61|180.36|183.61|0|0|204.06|125.55|163.96|163.96|168.88|163.96|295.13|163.96|168.88|0|350
HOSP OP|0300 - LABORATORY||81219|Hb Mpn Calr Gene Mutation Exon 9|646.3|342.54|484.73|517.04|549.36|581.67|549.36|522.21|465.34|437.42|0|646.3|174.33|182.44|126.76|529|165.68|161.22|177.88|133.79|484.73|504.76|125.28|136.23|125.28|309.72|309.72|151.89|121.87|138.38|309.72|136.2|133.79|136.2|0|0|151.37|93.13|121.63|121.63|125.28|121.63|218.93|121.63|125.28|0|646.3
HOSP OP|0300 - LABORATORY||81207|Hb Bcr/abl P190 Quant Monitor|347.26|184.05|260.45|277.81|295.17|312.53|295.17|280.59|250.03|235.03|0|347.26|207.6|217.26|150.95|284.23|197.3|191.99|211.83|159.32|260.45|271.21|149.19|162.22|149.19|347.26|347.26|180.5|145.13|164.72|347.26|162.19|159.32|162.19|0|0|180.26|110.91|144.84|144.84|149.19|144.84|260.71|144.84|149.19|0|347.26
HOSP OP|0301 - LAB/CHEMISTRY||84484|Hb Troponin T S|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.72|0|0|0|0|0|0|0|0|0|0|0|13.97|13.72|13.97|0|0|0|0|0|0|0|0|0|0|0|0|13.97
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9588|Hb Pet Fluciclovine F-18 Dx 1 Mci|1132|599.96|849|905.6|962.2|1018.8|0|914.66|815.04|766.14|0|1132|1132|0|747.53|926.54|1132|1132|0|408.51|849|884.09|0|0|0|0|0|0|0|0|0|415.86|408.51|415.86|0|0|0|1109.36|0|0|452.8|0|0|0|0|0|1132
HOSP OP|0361 - OR/MINOR||32994|Hb Ablation Therapy 1+ Pulm Tumors Perq Cryoablation|12965|6871.45|9723.75|10372|11020.25|11668.5|11020.25|10475.72|9334.8|8774.71|0|12965|0|12965|0|10611.85|0|0|12965|12736.97|9723.75|10125.67|458.26|498.3|458.26|12965|12965|7757.28|445.8|7170.52|12965|12966.24|12736.97|6047.36|0|0|0|0|444.91|444.91|458.26|444.91|800.84|444.91|458.26|0|12966.24
HOSP OP|0361 - OR/MINOR||62328|Hb Diagnostic Lumbar Spinal Puncture W/fluor Or Ct|1676|888.28|1257|1340.8|1424.6|1508.4|1424.6|1354.21|1206.72|1134.32|0|1676|0|1171.41|0|1371.81|0|0|1142.11|2306.07|1257|1308.96|690.73|751.09|690.73|1161.81|1185.52|496.06|671.96|502.94|1185.52|2347.58|2306.07|1094.9|0|0|670.4|0|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|2347.58
HOSP OP|0361 - OR/MINOR||62329|Hb Therapeutic Spinal Pnxr Drainage Csf W/fluor/ct|1676|888.28|1257|1340.8|1424.6|1508.4|1424.6|1354.21|1206.72|1134.32|0|1676|0|861.71|0|1371.81|0|0|840.15|2306.07|1257|1308.96|111.26|120.98|111.26|898.19|898.19|721.85|108.24|401.31|898.19|2347.58|2306.07|1094.9|0|0|670.4|0|108.02|108.02|111.26|108.02|194.44|108.02|111.26|0|2347.58
HOSP OP|0761 - TREATMENT ROOM||64451|Hb Injection Nerves Innervating Si Joint W/img|1677|888.81|1257.75|1341.6|1425.45|1509.3|1425.45|1355.02|1207.44|1134.99|0|1677|1093.4|537.96|614.12|1372.62|1038.06|1011.23|524.51|1454.29|1257.75|1309.74|81.81|88.96|81.81|593.47|593.47|722.28|79.59|265.16|593.47|1480.47|1454.29|690.48|0|0|670.8|743.08|79.43|79.43|81.81|79.43|142.97|79.43|81.81|0|1677
HOSP OP|0761 - TREATMENT ROOM||64454|Hb Injection Aa&/strd Genicular Nrv Branches W/img|1676|888.28|1257|1340.8|1424.6|1508.4|1424.6|1354.21|1206.72|1134.32|0|1676|1092.75|545.19|613.75|1371.81|1037.44|1010.63|531.55|1454.29|1257|1308.96|84.45|91.83|84.45|599.46|599.46|721.85|82.15|267.84|599.46|1480.47|1454.29|690.48|0|0|670.4|742.64|81.99|81.99|84.45|81.99|147.58|81.99|84.45|0|1676
HOSP OP|0761 - TREATMENT ROOM||64624|Hb Destruction Neurolytic Agt Genicular Nerve W/img|4611|2443.83|3458.25|3688.8|3919.35|4149.9|3919.35|3725.69|3319.92|3120.72|0|4611|3006.37|1091.57|1688.55|3774.1|2854.21|2780.43|1064.27|1752.53|3458.25|3601.19|152.16|165.46|152.16|1151.96|1151.96|1985.96|148.03|514.7|1151.96|1784.08|1752.53|832.08|0|0|1844.4|2043.13|147.73|147.73|152.16|147.73|265.91|147.73|152.16|0|4611
HOSP OP|0333 - RADIATION RX||77402|Hb Rad Tx Delivery 1 Mev Simple|225|119.25|168.75|180|191.25|202.5|191.25|181.8|162|152.28|0|225|146.7|126|82.4|184.16|139.28|135.68|122.85|260.41|168.75|175.73|90|0|90|225|225|174.34|90|176.77|225|265.1|260.41|265.1|0|0|131.04|99.7|0|0|90|0|112.5|0|90|0|265.1
HOSP OP|0761 - TREATMENT ROOM||64625|Hb Radiofrequency Abltj Nrv Nrvtg Si Jt W/img Gdn|4611|2443.83|3458.25|3688.8|3919.35|4149.9|3919.35|3725.69|3319.92|3120.72|0|4611|3006.37|1293.76|1688.55|3774.1|2854.21|2780.43|1261.41|4031.92|3458.25|3601.19|200.98|218.55|200.98|1404.73|1404.73|1985.96|195.52|627.64|1404.73|4104.49|4031.92|1914.3|0|0|1844.4|2043.13|195.13|195.13|200.98|195.13|351.23|195.13|200.98|0|4611
HOSP OP|0333 - RADIATION RX||77412|Hb Rad Tx Delivery 1 Mev Complex|334|177.02|250.5|267.2|283.9|300.6|283.9|269.87|240.48|226.05|0|334|217.77|187.04|122.31|273.38|206.75|201.4|182.36|448.88|250.5|260.85|133.6|0|133.6|334|334|301.13|133.6|305.34|334|456.96|448.88|456.96|0|0|251.41|148|0|0|133.6|0|167|0|133.6|0|456.96
HOSP OP|0420 - PHYSICAL THERAPY||90912|Hb Bfb Traing W/emg &/manometry 1st 15 Min Cntct|365|193.45|273.75|292|310.25|328.5|310.25|294.92|262.8|247.03|0|365|207|273.19|106.79|298.75|196|191|266.36|109.72|273.75|285.07|45.78|49.78|45.78|225.8|225.8|157.21|44.54|100.89|225.8|111.7|109.72|52.09|0|0|146|173.11|44.45|44.45|45.78|44.45|80.01|44.45|45.78|0|365
HOSP OP|0361 - OR/MINOR||32999|Hb Chest Tube Repositioning|1068|566.04|801|854.4|907.8|961.2|907.8|862.94|768.96|722.82|0|1068|0|598.08|0|874.16|0|0|583.13|1070.89|801|834.11|427.2|0|427.2|847.99|882.81|459.99|427.2|467.46|882.81|1090.17|1070.89|508.45|0|0|0|0|0|0|427.2|0|534|0|427.2|0|1090.17
HOSP OP|0420 - PHYSICAL THERAPY||90913|Hb Bfb Traing W/emg&/manometry Ea Addl 15 Min Cntct|365|193.45|273.75|292|310.25|328.5|310.25|294.92|262.8|247.03|0|365|207|110.72|106.79|298.75|196|191|107.95|109.72|273.75|285.07|25.38|27.6|25.38|89.92|89.92|157.21|24.69|40.18|89.92|111.7|109.72|52.09|0|0|146|173.11|24.64|24.64|25.38|24.64|44.35|24.64|25.38|0|365
HOSP OP|0480 - CARDIOLOGY||93356|Hb Myocrd Strain Img Speckle Trck Assmt Myocrd Mech|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|1122.41|83.25|86.69|0|0|0|0|0|0|0|0|0|1142.61|1122.41|532.91|0|0|44.4|49.18|0|0|12.2|0|0|11.84|0|0|1142.61
HOSP OP|0918 - PSYCH - TESTING||96156|Hb Health Behavior Assessment/re-assessment|211|111.83|158.25|168.8|179.35|189.9|179.35|170.49|151.92|142.8|0|211|137.57|211|77.27|172.7|130.61|127.23|211|576.6|158.25|164.79|91.29|99.27|91.29|211|211|90.88|88.81|121.42|211|586.98|576.6|273.76|0|0|84.4|93.49|88.63|88.63|91.29|88.63|159.53|88.63|91.29|0|586.98
HOSP OP|0918 - PSYCH - TESTING||96158|Hb Health Behavior Ivntj Indiv F2f 1st 30 Min|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|69.11|106|38.82|86.76|65.61|63.92|106|0|79.5|82.79|62.46|67.92|62.46|106|106|45.65|60.76|83.03|106|0|0|0|0|0|42.4|46.97|60.64|60.64|62.46|60.64|106|60.64|62.46|0|106
HOSP OP|0918 - PSYCH - TESTING||96164|Hb Health Behavior Ivntj Group F2f 1st 30 Min|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|47.6|33.7|26.73|59.75|45.19|44.02|32.86|0|54.75|57.01|9.06|9.86|9.06|26.98|26.98|31.44|8.82|12.05|26.98|0|0|0|0|0|29.2|32.35|8.8|8.8|9.06|8.8|15.84|8.8|9.06|0|73
HOSP OP|0916 - FAMILY THERAPY||96167|Hb Health Behavior Ivntj Fam W/pt F2f 1st 30 Min|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|0|73|0|59.75|0|0|73|0|54.75|57.01|66.69|72.52|66.69|73|73|31.44|64.88|73|73|0|0|0|0|0|29.2|0|64.75|64.75|66.69|64.75|73|64.75|66.69|0|73
HOSP OP|0430 - OCCUPATIONAL THERAPY||97129|Hb Ot Cognitive Skills 1st 15 Min|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|107.77|30|31.24|24.49|26.63|24.49|40|127.5|17.23|23.83|29.91|127.5|109.71|107.77|51.17|0|0|16|39.2|26.16|26.16|24.49|26.16|40|23.78|24.49|0|127.5
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||97129|Hb Sp Cognitive Skills 1st 15 Min|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|107.77|30|31.24|24.49|26.63|24.49|40|127.5|17.23|23.83|29.91|127.5|109.71|107.77|51.17|0|0|16|39.2|26.16|26.16|24.49|26.16|40|23.78|24.49|0|127.5
HOSP OP|0430 - OCCUPATIONAL THERAPY||97130|Hb Ot Cognitive Skills Ea Addl 15 Min|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|107.77|30|31.24|23.75|25.83|23.75|40|127.5|17.23|23.11|28.57|127.5|109.71|107.77|51.17|0|0|16|39.2|25.37|25.37|23.75|25.37|40|23.06|23.75|0|127.5
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||97130|Hb Sp Cognitive Skills Ea Addl 15 Min|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|107.77|30|31.24|23.75|25.83|23.75|40|127.5|17.23|23.11|28.57|127.5|109.71|107.77|51.17|0|0|16|39.2|25.37|25.37|23.75|25.37|40|23.06|23.75|0|127.5
HOSP OP|0306 - LAB/BACT-MICRO||87081|Hb Culture Presumptive Pathogenic Organisms|105.68|56.01|79.26|84.54|89.83|95.11|89.83|85.39|76.09|71.52|0|105.68|9.49|9.94|6.9|86.5|9.02|8.78|9.69|7.29|79.26|82.54|6.83|7.43|6.83|15.99|15.99|8.36|6.64|7.14|15.99|7.42|7.29|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|105.68
HOSP OP|0300 - LABORATORY||81218|Hb Cebpa Mutation Sequencing|369.81|196|277.36|295.85|314.34|332.83|314.34|298.81|266.26|250.29|0|369.81|346.71|362.84|252.11|302.69|329.51|320.64|353.77|266.09|277.36|288.82|249.16|270.93|249.16|369.81|369.81|301.57|242.38|275.43|369.81|270.88|266.09|270.88|0|0|301.04|185.24|241.9|241.9|249.16|241.9|369.81|241.9|249.16|0|369.81
HOSP OP|0404 - PET SCAN||78430|Hb Myocrd Img Pet Rst/strs W/ct|3873|2052.69|2904.75|3098.4|3292.05|3485.7|3292.05|3129.38|2788.56|2621.25|0|3873|2925|2168.88|1530.99|3170.05|2778|2705|2114.66|3891.4|2904.75|3024.81|1549.2|0|1549.2|185.83|185.83|1668.1|1549.2|83.03|185.83|3961.45|3891.4|1847.59|0|0|1549.2|2449.99|0|0|1549.2|0|1936.5|0|1549.2|0|3961.45
HOSP OP|0306 - LAB/BACT-MICRO||87631|Hb Respiratory Virus By Pcr|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|183.99|192.55|133.79|293.84|174.86|170.16|187.74|142.63|269.25|280.38|146.91|159.75|146.91|304.73|304.73|159.81|142.92|136.15|304.73|145.2|142.63|145.2|0|0|0|98.3|142.63|142.63|146.91|142.63|256.73|142.63|146.91|0|359
HOSP OP|0404 - PET SCAN||78431|Hb Myocrd Img Pet Rst&strs Ct|6036|3199.08|4527|4828.8|5130.6|5432.4|5130.6|4877.09|4345.92|4085.16|0|6036|2925|3380.16|1530.99|4940.47|2778|2705|3295.66|3891.4|4527|4714.12|2414.4|0|2414.4|4676.79|4676.79|2599.71|2414.4|2089.6|4676.79|3961.45|3891.4|1847.59|0|0|2414.4|2449.99|0|0|2414.4|0|3018|0|2414.4|0|6036
HOSP OP|0404 - PET SCAN||78432|Hb Myocrd Img Pet 2rtracer|7378|3910.34|5533.5|5902.4|6271.3|6640.2|6271.3|5961.42|5312.16|4993.43|0|7378|2925|4131.68|1530.99|6038.89|2778|2705|4028.39|3891.4|5533.5|5762.22|2951.2|0|2951.2|5686.88|5686.88|3177.7|2951.2|2540.91|5686.88|3961.45|3891.4|1847.59|0|0|2951.2|2449.99|0|0|2951.2|0|3689|0|2951.2|0|7378
HOSP OP|0404 - PET SCAN||78433|Hb Myocrd Img Pet 2rtracer Ct|7378|3910.34|5533.5|5902.4|6271.3|6640.2|6271.3|5961.42|5312.16|4993.43|0|7378|2925|4131.68|1530.99|6038.89|2778|2705|4028.39|3891.4|5533.5|5762.22|2951.2|0|2951.2|5704.86|5704.86|3177.7|2951.2|2548.94|5704.86|3961.45|3891.4|1847.59|0|0|2951.2|2449.99|0|0|2951.2|0|3689|0|2951.2|0|7378
HOSP OP|0404 - PET SCAN||78434|Hb Aqmbf Pet Rest & Rx Stress|604|320.12|453|483.2|513.4|543.6|0|488.03|434.88|408.79|0|604|604|0|604|494.37|604|604|0|3891.4|453|471.72|0|0|0|0|0|0|0|0|0|3961.45|3891.4|1847.59|0|0|241.6|591.92|0|0|241.6|0|0|0|0|0|3961.45
HOSP OP|0341 - NUC MED/DX||78831|Hb Rp Loclzj Tum Spect 2 Areas|3412|1808.36|2559|2729.6|2900.2|3070.8|2900.2|2756.9|2456.64|2309.24|0|3412|1459|2149.45|747.53|2792.72|1386|1349|2095.69|1907.93|2559|2664.77|669.68|728.19|669.68|2044.16|2044.16|1469.55|651.47|913.33|2044.16|1942.27|1907.93|905.86|0|0|1364.8|1222.55|650.17|650.17|669.68|650.17|1170.31|650.17|669.68|0|3412
HOSP OP|0341 - NUC MED/DX||78832|Hb Rp Loclzj Tum Spect W/ct 2|3873|2052.69|2904.75|3098.4|3292.05|3485.7|3292.05|3129.38|2788.56|2621.25|0|3873|1459|2837.85|747.53|3170.05|1386|1349|2766.88|1907.93|2904.75|3024.81|884.85|962.17|884.85|2662.6|2662.6|1668.1|860.8|1189.66|2662.6|1942.27|1907.93|905.86|0|0|1549.2|1222.55|859.08|859.08|884.85|859.08|1546.34|859.08|884.85|0|3873
HOSP OP|0341 - NUC MED/DX||78835|Hb Rp Quan Meas Single Area|341|180.73|255.75|272.8|289.85|306.9|0|275.53|245.52|230.79|0|341|341|0|341|279.11|341|341|0|936.36|255.75|266.32|0|0|0|0|0|0|0|0|0|953.21|936.36|444.57|0|0|136.4|334.18|0|0|86.65|0|0|84.13|0|0|953.21
HOSP OP|0740 - EEG||95705|Hb Eeg W/o Vid 2-12 Hr Unmntr|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|380.24|248.65|555.76|420.3|409.44|370.73|253.07|509.25|530.3|271.6|0|271.6|539.13|561.26|292.45|271.6|297.2|561.26|257.63|253.07|257.63|0|0|271.6|300.86|0|0|271.6|0|339.5|0|271.6|0|679
HOSP OP|0740 - EEG||95708|Hb Eeg Wo Vid Ea 12-26hr Unmntr|1302|690.06|976.5|1041.6|1106.7|1171.8|1106.7|1052.02|937.44|881.19|0|1302|848.9|729.12|476.79|1065.69|805.94|785.11|710.89|485.55|976.5|1016.86|520.8|0|520.8|1033.79|1076.23|560.77|520.8|569.89|1076.23|494.29|485.55|494.29|0|0|520.8|576.92|0|0|520.8|0|651|0|520.8|0|1302
HOSP OP|0740 - EEG||95711|Hb Veeg 2-12 Hr Unmonitored|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|380.24|248.65|555.76|420.3|409.44|370.73|506.14|509.25|530.3|271.6|0|271.6|539.13|561.26|292.45|271.6|297.2|561.26|515.25|506.14|515.25|0|0|271.6|300.86|0|0|271.6|0|339.5|0|271.6|0|679
HOSP OP|0740 - EEG||95714|Hb Veeg Ea 12-26 Hr Unmntr|1302|690.06|976.5|1041.6|1106.7|1171.8|1106.7|1052.02|937.44|881.19|0|1302|848.9|729.12|476.79|1065.69|805.94|785.11|710.89|971.1|976.5|1016.86|520.8|0|520.8|1033.79|1076.23|560.77|520.8|569.89|1076.23|988.58|971.1|988.58|0|0|520.8|576.92|0|0|520.8|0|651|0|520.8|0|1302
HOSP OP|0341 - NUC MED/DX||78830|Hb Rp Loclzj Tum Spect W/ct 1|3412|1808.36|2559|2729.6|2900.2|3070.8|2900.2|2756.9|2456.64|2309.24|0|3412|1459|1447.81|747.53|2792.72|1386|1349|1411.6|1907.93|2559|2664.77|451.34|490.77|451.34|1413.73|1413.73|1469.55|439.07|631.66|1413.73|1942.27|1907.93|905.86|0|0|1364.8|1222.55|438.19|438.19|451.34|438.19|788.74|438.19|451.34|0|3412
HOSP OP|0200 - INTENSIVE CARE ROOM & BED|||Icu Room Mgh|4654|2466.62|0|3723.2|0|4188.6|0|3760.43|3350.88|3149.83|0|4654|0|0|0|3809.3|0|0|0|0|0|3634.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4654
HOSP OP|0206 - POST ICU|||Icu Intermediate Room|4654|2466.62|0|3723.2|0|4188.6|0|3760.43|3350.88|3149.83|0|4654|0|0|0|3809.3|0|0|0|0|0|3634.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4654
HOSP OP|0305 - LAB/HEMATOLOGY||85445|Hb Heinz Bodies; Induced|107.4|56.92|80.55|85.92|91.29|96.66|91.29|86.78|77.33|72.69|0|107.4|9.77|10.22|7.1|87.91|9.28|9.03|9.96|7.5|80.55|83.88|7.02|7.64|7.02|15.99|15.99|8.36|6.83|7.14|15.99|7.64|7.5|7.64|0|0|0|5.21|6.82|6.82|7.02|6.82|12.28|6.82|7.02|0|107.4
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen 10 Urine|123.2|65.3|92.4|98.56|104.72|110.88|104.72|99.55|88.7|83.38|0|123.2|83.4|87.28|60.64|100.84|79.26|77.13|85.1|68.35|92.4|96.22|64|69.6|64|123.2|123.2|72.64|62.26|61.6|123.2|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|123.2
HOSP OP|0250 - PHARMACY|||Hb Desflurane Per Ml|15.06|7.98|0|12.05|0|13.55|0|12.17|10.84|10.19|0|15.06|9.95|0|7.26|12.33|9.46|9.2|0|0|0|11.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7.19|0|0|0|0|0|0|0|0|15.06
HOSP OP|0250 - PHARMACY|||Hb Sevoflurane Per Ml|3.23|1.71|0|2.58|0|2.91|0|2.61|2.33|2.19|0|3.23|2.14|0|1.56|2.64|2.03|1.97|0|0|0|2.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.54|0|0|0|0|0|0|0|0|3.23
HOSP OP|0250 - PHARMACY|||Hb Isoflurane Per Ml|1.08|0.57|0|0.86|0|0.97|0|0.87|0.78|0.73|0|1.08|0.71|0|0.52|0.88|0.68|0.66|0|0|0|0.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.52|0|0|0|0|0|0|0|0|1.08
HOSP OP|0610 - MRI||75561|Hb Card Mri W & W/o Contrast & Further Seq|2138|1133.14|1603.5|1710.4|1817.3|1924.2|1817.3|1727.5|1539.36|1447|0|2138|1868|1010.94|979.08|1749.95|1775|1728|985.66|1075.89|1603.5|1669.78|308.36|335.31|308.36|1202.92|1202.92|541.95|299.98|537.47|1202.92|1095.26|1075.89|510.82|0|0|432.22|1178.54|299.38|299.38|308.36|299.38|538.88|299.38|308.36|0|2138
HOSP OP|0610 - MRI||75563|Hb Card Mri W & W/o Contrast With Stress|2629|1393.37|1971.75|2103.2|2234.65|2366.1|2234.65|2124.23|1892.88|1779.31|0|2629|1868|1215.54|979.08|2151.84|1775|1728|1185.13|1075.89|1971.75|2053.25|369.31|401.58|369.31|1427.71|1427.71|644.97|359.27|637.91|1427.71|1095.26|1075.89|510.82|0|0|774.82|1178.54|358.55|358.55|369.31|358.55|645.39|358.55|369.31|0|2629
HOSP OP|0300 - LABORATORY||81263|Hb Somatic Hypermutation|613.4|325.1|460.05|490.72|521.39|552.06|521.39|495.63|441.65|415.15|0|613.4|422.14|441.77|306.95|502.07|401.2|390.4|430.73|323.97|460.05|479.07|303.36|329.86|303.36|613.4|613.4|367.17|295.11|335.25|613.4|329.8|323.97|329.8|0|0|366.53|225.53|294.52|294.52|303.36|294.52|530.14|294.52|303.36|0|613.4
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Chromatin Nucleosomal Antibody|29.92|15.86|22.44|23.94|25.43|26.93|25.43|24.18|21.54|20.25|0|29.92|25.71|26.91|18.69|24.49|24.43|23.78|26.24|19.72|22.44|23.37|18.47|20.08|18.47|29.92|29.92|22.45|17.97|19.2|29.92|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|29.92|17.93|18.47|0|29.92
HOSP OP|0302 - LAB/IMMUNOLOGY||86305|Hb Human Epididymis Protein|170.47|90.35|127.85|136.38|144.9|153.42|144.9|137.74|122.74|115.37|0|170.47|29.84|31.23|21.7|139.53|28.36|27.59|30.45|22.89|127.85|133.14|21.43|23.31|21.43|48.96|48.96|25.97|20.85|21.87|48.96|23.3|22.89|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|170.47
HOSP OP|0272 - STERILE SUPPLY|||Hb Retrieval Snare Device|743|393.79|557.25|594.4|631.55|668.7|0|600.34|534.96|502.86|0|743|484.44|0|272.09|608.15|459.92|448.03|0|0|557.25|580.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|329.22|0|0|297.2|0|0|0|0|0|743
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||G0399|Hb In Home Sleep Test With Type 3 Portable Monitor|586|310.58|439.5|468.8|498.1|527.4|498.1|473.49|421.92|396.6|0|586|382.07|328.16|214.59|479.64|362.73|353.36|319.96|185.86|439.5|457.67|234.4|0|234.4|586|586|251.39|234.4|367.83|586|189.21|185.86|189.21|0|0|0|259.66|0|0|234.4|0|293|0|234.4|0|586
HOSP OP|0300 - LABORATORY||36591|Hb Collection Of Blood Via Access Device|155|82.15|116.25|124|131.75|139.5|131.75|125.24|111.6|104.9|0|155|49.74|155|36.17|126.87|47.27|46|155|23.84|116.25|121.06|120.49|131.02|120.49|155|155|86.53|117.21|87.73|155|24.27|23.84|11.32|0|0|119.27|26.57|155|155|120.49|155|155|116.98|120.47|0|155
HOSP OP|0310 - PATHOLOGY LAB||88235|Hb Chromosome Analysis Cvs|323.73|171.58|242.8|258.98|275.17|291.36|275.17|261.57|233.09|219.1|0|323.73|211.08|220.9|153.48|264.97|200.61|195.21|215.38|165.33|242.8|252.83|154.81|168.34|154.81|323.73|323.73|183.59|150.6|156.24|323.73|168.31|165.33|168.31|0|0|0|112.77|150.3|150.3|154.81|150.3|270.54|150.3|154.81|0|323.73
HOSP OP|0301 - LAB/CHEMISTRY||82664|Hb Chylomicron Screen Body Fluid|60.2|31.91|45.15|48.16|51.17|54.18|51.17|48.64|43.34|40.74|0|60.2|60.2|60.2|57.69|49.27|60.2|60.2|60.2|67.65|45.15|47.02|60.2|60.2|60.2|60.2|60.2|60.2|60.2|58.92|60.2|68.87|67.65|68.87|0|0|0|42.38|60.2|60.2|60.2|60.2|60.2|60.2|60.2|0|68.87
HOSP OP|0361 - OR/MINOR||36470|Hb Injection Therapy Vein One View|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|0|273.19|0|400.25|0|0|266.36|3252.37|366.75|381.91|37.88|41.19|37.88|294.73|294.73|128.99|36.85|131.69|294.73|3310.91|3252.37|1544.19|0|0|0|0|36.78|36.78|37.88|36.78|66.2|36.78|37.88|0|3310.91
HOSP OP|0301 - LAB/CHEMISTRY||83883|Hb Nephelometry Each Analyte|128.06|67.87|96.05|102.45|108.85|115.25|108.85|103.47|92.2|86.67|0|128.06|19.49|20.4|14.17|104.82|18.52|18.03|19.89|14.96|96.05|100.01|14.01|15.23|14.01|31.97|31.97|17.17|13.63|14.28|31.97|15.23|14.96|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|24.48|13.6|14.01|0|128.06
HOSP OP|0272 - STERILE SUPPLY||C1885|Hb Pv Catheter Laser|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|3802.4|0|0|0|0|0|9506
HOSP OP|0278 - SUPPLY IMPLANTS||C2623|Hb Pv Drug Eluting Balloon|3360|1780.8|2520|2688|2856|3024|0|2714.88|2419.2|2274.05|0|3360|2190.72|0|1230.43|2750.16|2079.84|2026.08|0|0|2520|2624.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1488.82|0|0|1344|0|0|0|0|0|3360
HOSP OP|0272 - STERILE SUPPLY||C1724|Hb Diamondback|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|3802.4|0|0|0|0|0|9506
HOSP OP|0272 - STERILE SUPPLY||C1769|Hb Csi Specialty Wire|420|222.6|315|336|357|378|0|339.36|302.4|284.26|0|420|273.84|0|153.8|343.77|259.98|253.26|0|0|315|328.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|186.1|0|0|168|0|0|0|0|0|420
HOSP OP|0272 - STERILE SUPPLY||A4649|Surgical Supply; Miscellaneous|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.99|0|0|0|0|0|0|0|0|0|0|0|12.21|11.99|12.21|0|0|0|0|0|0|0|0|0|0|0|0|12.21
HOSP OP|0278 - SUPPLY IMPLANTS||C1716|Hb Brachytherapy Source Non-stranded Gold-198 Per Source|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|940.65|0|0|0|0|0|0|0|0|0|0|0|957.58|940.65|446.61|0|0|0|0|0|0|0|0|0|0|0|0|957.58
HOSP OP|0272 - STERILE SUPPLY||C1725|Cath Translum Angioplasty Non-laser (may Include Guidance Infusion/perfusion Capability)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1726|Catheter Balloon Dilatation Non-vascular|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1727|Catheter Balloon Tissue Dissector Non-vascular (insertable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1729|Catheter Drainage|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|Catheter Hemodialysis/peritoneal Long-term|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1751|Catheter Infusion Inserted Peripherally Centrally Or Midline (other Than Hemodialysis)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1755|Catheter Intraspinal|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1757|Catheter Thrombectomy/embolectomy|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1758|Catheter Ureteral|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1760|Closure Device Vascular (implantable/insertable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|Connective Tissue Human (includes Fascia Lata)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|Connective Tissue Non-human (includes Synthetic)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1765|Adhesion Barrier|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1767|Generator Neurostimulator (implantable) Non-rechargeable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|Graft Vascular|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1769|Guide Wire|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1771|Repair Device Urinary Incontinence With Sling Graft|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1772|Infusion Pump Programmable (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|Joint Device (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1778|Lead Neurostimulator (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|Mesh (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1782|Morcellator|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1787|Patient Programmer Neurostimulator|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|Port Indwelling (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|Prosthesis Breast (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1813|Prosthesis Penile Inflatable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1815|Prosthesis Urinary Sphincter (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1820|Generator Neurostimulator (implantable) With Rechargeable Battery And Charging System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|Interspinous Process Distraction Device (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|Stent Coated/covered With Delivery System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|Stent Non-coated/non-covered With Delivery System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1877|Stent Non-coated/non-covered Without Delivery System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1883|Adaptor/extension Pacing Lead Or Neurostimulator Lead (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1887|Catheter Guiding (may Include Infusion/perfusion Capability)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1894|Intro/sheath Other Than Guiding Or Intracardiac Electrophysiological Non-laser|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1898|Lead Pacemaker Other Than Transvenous Vdd Single Pass|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1785|Hb Pacemaker Dual Chamber Rate-responsive|16100|8533|12075|12880|13685|14490|0|13008.8|11592|10896.48|0|16100|10497.2|0|5895.82|13177.85|9965.9|9708.3|0|0|12075|12574.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7133.91|0|0|6440|0|0|0|0|0|16100
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|Stent Non-coronary Temporary Without Delivery System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C2622|Hb Prosthesis Penile Non-inflatable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1898|Hb Lead Pacemaker Other Than Transvenous Vdd Single Pass|1932|1023.96|1449|1545.6|1642.2|1738.8|0|1561.06|1391.04|1307.58|0|1932|1259.66|0|707.5|1581.34|1195.91|1165|0|0|1449|1508.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|856.07|0|0|772.8|0|0|0|0|0|1932
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|Stent non-coronary temporary with delivery system|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C2627|Hb Catheter Suprapubic/cystoscopic|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C2628|Catheter Occlusion|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C2631|Repair Device Urinary Incontinence Without Sling Graft|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C9363|Skin Substitute Integra Meshed Bilayer Wound Matrix Per Square Centimeter|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0274 - PROSTH/ORTH DEV||L4386|Hb Walking Boot Non-pneumatic With Or Without Joints With Or Without Interface Material Prefab Item That Has Been Customized|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.96|0|0|163.61|177.9|163.61|0|0|0|0|0|0|145.53|142.96|145.53|0|0|0|0|0|0|163.61|0|0|0|163.61|0|177.9
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|Implantable Breast Prosthesis Silicone Or Equal|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|747.82|0|0|0|0|0|0|0|0|0|0|0|761.28|747.82|761.28|0|0|0|0|0|0|855.84|0|0|0|0|0|855.84
HOSP OP|0278 - SUPPLY IMPLANTS||L8606|Inject Bulk Agent Synthetic Implant Ut 1 Ml Syr Incl Ship|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|185.53|0|0|0|0|0|0|0|0|0|0|0|188.87|185.53|188.87|0|0|0|0|0|0|212.32|0|0|0|0|0|212.32
HOSP OP|0278 - SUPPLY IMPLANTS||L8630|Hb Metacarpophalangeal Joint Implant|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.47|0|0|0|0|0|0|0|0|0|0|0|410.73|403.47|410.73|0|0|0|0|0|0|461.75|0|0|0|0|0|461.75
HOSP OP|0278 - SUPPLY IMPLANTS||L8659|HB Interphalangeal finger joint replacement 2 or more pieces metal (e. g.  stainless steel or cobalt chrome) ceramic-like material (e. g.  pyrocarbon) for surgical implantation any size|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1743.28|0|0|0|0|0|0|0|0|0|0|0|1774.66|1743.28|1774.66|0|0|0|0|0|0|1995.09|0|0|0|0|0|1995.09
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|Prosthetic Implant Not Otherwise Specified|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0361 - OR/MINOR||59300|Hb Episio Or Vag Rep Non Attnd|4650|2464.5|3487.5|3720|3952.5|4185|3952.5|3757.2|3348|3147.12|0|4650|0|404.38|0|3806.03|0|0|394.26|4225.76|3487.5|3631.65|143.59|156.14|143.59|539.51|539.51|228.49|139.69|241.06|539.51|4301.82|4225.76|2006.34|0|0|0|0|139.41|139.41|143.59|139.41|250.94|139.41|143.59|0|4650
HOSP OP|0278 - SUPPLY IMPLANTS||C2616|Hb Bracytherapy Src Yttrium-90|46200|24486|34650|36960|39270|41580|39270|37329.6|33264|31268.16|0|46200|30122.4|25872|16918.44|37814.7|28597.8|27858.6|25225.2|18542.79|34650|36082.2|18480|0|18480|36682.8|38188.92|19898.34|18480|20221.74|38188.92|18876.56|18542.79|8803.89|0|0|17453.78|20471.22|0|0|18480|0|23100|0|18480|0|46200
HOSP OP|0272 - STERILE SUPPLY||C2618|Hb Probe/needle Cryoablation|13916|7375.48|10437|11132.8|11828.6|12524.4|0|11244.13|10019.52|9418.35|0|13916|9073.23|0|5096.04|11390.25|8614|8391.35|0|0|10437|10868.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6166.18|0|0|5566.4|0|0|0|0|0|13916
HOSP OP|0272 - STERILE SUPPLY|||Gastrostomy/jejunostomy Tube Standard Any Material Any Type Each|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2156.86|0|0|0|0|0|0|0|0|0|0|0|2195.68|2156.86|2195.68|0|0|0|0|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C9352|Microporous Collagen Implantable Tube (neuragen Nerve Guide) Per Centimeter Length|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||L8610|Ocular Implant|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|614.1|0|0|0|0|0|0|0|0|0|0|0|625.15|614.1|625.15|0|0|0|0|0|0|702.8|0|0|0|0|0|702.8
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|Ossicula Implant|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|307.01|0|0|0|0|0|0|0|0|0|0|0|312.54|307.01|312.54|0|0|0|0|0|0|351.35|0|0|0|0|0|351.35
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||Q9961|Hb High Osmolar Contrast Material 250-299 Mg/ml Iodine Concentration|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.24|0|0|0|0|0|0|0|0|0|0|0|0.24|0.24|0.24|0|0|0|0|0|0|0|0|0|0|0|0|0.24
HOSP OP|0272 - STERILE SUPPLY||C9358|Hb Derm Sub Native Non-denat Coll Fetal Bovine Origin|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0300 - LABORATORY||81364|Hb Beta Globin Gene Sequencing|357|189.21|267.75|285.6|303.45|321.3|303.45|288.46|257.04|241.62|0|357|357|357|304.46|292.2|357|357|357|357.04|267.75|278.82|334.32|357|334.32|357|357|327.99|325.23|332.57|357|363.47|357.04|363.47|0|0|357|223.7|324.58|324.58|334.32|324.58|357|324.58|334.32|0|363.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|Hb Stent Coated/cov W/del Sys|6706|3554.18|5029.5|5364.8|5700.1|6035.4|0|5418.45|4828.32|4538.62|0|6706|4372.31|0|2455.74|5488.86|4151.01|4043.72|0|0|5029.5|5237.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2971.43|0|0|2682.4|0|0|0|0|0|6706
HOSP OP|0331 - CHEMOTHERAPY/INJ||96542|Hb Chemother Injectsubarach/intravent Via Subcutaneous Reservoir|509|269.77|381.75|407.2|432.65|458.1|432.65|411.27|366.48|344.49|0|509|331.87|453.72|186.4|416.62|315.07|306.93|442.37|0|381.75|397.53|43.24|47.02|43.24|113.07|113.07|166.42|42.06|167.85|113.07|0|0|0|0|0|209.65|225.54|41.98|41.98|43.24|41.98|75.56|41.98|43.24|0|509
HOSP OP|0361 - OR/MINOR||37799|REMOVAL OF PICC WITH WIRE FLUOROSCOPY|3011|1595.83|2258.25|2408.8|2559.35|2709.9|2559.35|2432.89|2167.92|2037.84|0|3011|0|1686.16|0|2464.5|0|0|1644.01|428.36|2258.25|2351.59|1204.4|0|1204.4|2390.73|2488.89|1296.84|1204.4|1317.91|2488.89|436.07|428.36|203.38|0|0|0|0|0|0|1204.4|0|1505.5|0|1204.4|0|3011
HOSP OP|0361 - OR/MINOR||36299|Hb Vascular Injection|3011|1595.83|2258.25|2408.8|2559.35|2709.9|0|2432.89|2167.92|2037.84|0|3011|0|0|0|2464.5|0|0|0|3252.37|2258.25|2351.59|0|0|0|0|0|0|0|0|0|3310.91|3252.37|1544.19|0|0|0|0|0|0|1204.4|0|0|0|0|0|3310.91
HOSP OP|0300 - LABORATORY||81229|Hb Cytogenomic Snp Microarray Fetal|1974.2|1046.33|1480.65|1579.36|1678.07|1776.78|1678.07|1595.15|1421.42|1336.14|0|1974.2|1496.4|1566|1088.08|1615.88|1422.16|1383.88|1526.85|1276|1480.65|1541.85|1194.8|1299.2|1194.8|1974.2|1974.2|380.82|1162.32|1188.32|1974.2|1298.97|1276|1298.97|0|0|1299.29|799.49|1160|1160|1194.8|1160|1974.2|1160|1194.8|0|1974.2
HOSP OP|0306 - LAB/BACT-MICRO||87801|Hb 16s Rdna Sequencing|197.2|104.52|147.9|157.76|167.62|177.48|167.62|159.34|141.98|133.46|0|197.2|100.61|105.29|73.15|161.41|95.62|93.04|102.66|70.2|147.9|154.01|72.31|78.62|72.31|166.85|166.85|87.61|70.34|74.55|166.85|71.46|70.2|71.46|0|0|0|53.75|70.2|70.2|72.31|70.2|126.36|70.2|72.31|0|197.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86329|Hb C4 Binding Protein Serum|159.51|84.54|119.63|127.61|135.58|143.56|135.58|128.88|114.85|107.96|0|159.51|20.14|21.07|14.64|130.56|19.14|18.62|20.54|15.46|119.63|124.58|14.47|15.74|14.47|32.97|32.97|17.61|14.08|14.73|32.97|15.74|15.46|15.74|0|0|0|10.75|14.05|14.05|14.47|14.05|25.29|14.05|14.47|0|159.51
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen 10 Whole Blood|154.23|81.74|115.67|123.38|131.1|138.81|131.1|124.62|111.05|104.38|0|154.23|83.4|87.28|60.64|126.24|79.26|77.13|85.1|68.35|115.67|120.45|64|69.6|64|137.88|137.88|72.64|62.26|61.6|137.88|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|154.23
HOSP OP|0361 - OR/MINOR||27517|Hb Closed Rx Dist Fem Epiphysis+manip|3595|1905.35|2696.25|2876|3055.75|3235.5|3055.75|2904.76|2588.4|2433.1|0|3595|0|1261.27|0|2942.51|0|0|1229.72|1358.67|2696.25|2807.7|697.7|758.67|697.7|1861.32|1861.32|821.51|678.73|831.64|1861.32|1383.13|1358.67|645.08|0|0|0|0|677.38|677.38|697.7|677.38|1219.28|677.38|697.7|0|3595
HOSP OP|0390 - BLOOD/STOR-PROC||86940|Hb Hemolysins And Agglutinins; Each|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|0|0|0|9.82|9.65|9.82|0|0|0|0|0|0|0|0|0|0|0|0|9.82
HOSP OP|0390 - BLOOD/STOR-PROC||86941|Hb Hemolysins And Agglutinins; Incubated|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.32|0|0|0|0|0|0|0|0|0|0|0|13.56|13.32|13.56|0|0|0|0|0|0|0|0|0|0|0|0|13.56
HOSP OP|0306 - LAB/BACT-MICRO||87337|Hb Entamoeba Histolytica Group|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.18|0|0|0|0|0|0|0|0|0|0|0|13.42|13.18|13.42|0|0|0|0|0|0|0|0|0|0|0|0|13.42
HOSP OP|0335 - CHEMOTHERAPY/IV||96446|Chemotherapy Administration|792|419.76|594|633.6|673.2|712.8|673.2|639.94|570.24|536.03|0|792|516.38|695.62|290.03|648.25|490.25|477.58|678.23|438.62|594|618.55|23.4|25.45|23.4|320.54|320.54|254.47|22.77|254|320.54|446.52|438.62|208.25|0|0|323|350.94|22.72|22.72|23.4|22.72|40.9|22.72|23.4|0|792
HOSP OP|0272 - STERILE SUPPLY||c2618|Hb Probe/needle Cryoablations|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0306 - LAB/BACT-MICRO||87641|Hb Admit Mrsa By Pcr|161.37|85.53|121.03|129.1|137.16|145.23|137.16|130.39|116.19|109.22|0|161.37|50.3|52.64|36.57|132.08|47.8|46.52|51.32|38.6|121.03|126.03|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|161.37
HOSP OP|0361 - OR/MINOR||46900|Hb Destruct Anal Lesn(s) Simple Chem|828|438.84|621|662.4|703.8|745.2|703.8|669.02|596.16|560.39|0|828|0|583.7|0|677.72|0|0|569.1|585.3|621|646.67|140.04|152.28|140.04|663.4|663.4|300.69|136.23|296.41|663.4|595.84|585.3|277.9|0|0|0|0|135.96|135.96|140.04|135.96|244.73|135.96|140.04|0|828
HOSP OP|0301 - LAB/CHEMISTRY||80324|Hb Amphetamines Ms Rfx|17.5|9.27|13.13|14|14.88|15.75|14.88|14.14|12.6|11.84|0|17.5|17.5|0|17.5|14.32|17.5|17.5|0|26.5|13.13|13.67|17.5|0|17.5|13.9|14.47|17.5|7|7.66|14.47|26.98|26.5|26.98|0|0|0|17.15|17.5|17.5|17.5|17.5|17.5|17.5|17.5|0|26.98
HOSP OP|0301 - LAB/CHEMISTRY||80359|Hb Mda Mdea Mdma|17.5|9.27|13.13|14|14.88|15.75|14.88|14.14|12.6|11.84|0|17.5|17.5|0|17.5|14.32|17.5|17.5|0|26.5|13.13|13.67|17.5|0|17.5|17.5|17.5|17.5|7|17.5|17.5|26.98|26.5|26.98|0|0|0|17.15|17.5|17.5|17.5|17.5|17.5|17.5|17.5|0|26.98
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Phospholipase A2 Screen|204.5|108.38|153.38|163.6|173.83|184.05|173.83|165.24|147.24|138.41|0|204.5|37.49|18.08|27.26|167.38|35.63|34.67|17.63|56.65|153.38|159.71|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|204.5
HOSP OP|0302 - LAB/IMMUNOLOGY||86256|Hb Phospholipase A2 Titer|204.5|108.38|153.38|163.6|173.83|184.05|173.83|165.24|147.24|138.41|0|204.5|37.49|18.08|27.26|167.38|35.63|34.67|17.63|56.65|153.38|159.71|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|204.5
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|Hb Serotonin Release Assay|360.2|190.91|270.15|288.16|306.17|324.18|306.17|291.04|259.34|243.78|0|360.2|26.33|27.55|19.14|294.82|25.02|24.35|26.86|20.21|270.15|281.32|18.92|20.57|18.92|43.96|43.96|22.89|18.41|19.64|43.96|20.57|20.21|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|360.2
HOSP OP|0361 - OR/MINOR||27768|Hb Closed Treatment Of Posterior Malleolus Fracture; With Manipulation|3488|1848.64|2616|2790.4|2964.8|3139.2|2964.8|2818.3|2511.36|2360.68|0|3488|0|906.24|0|2854.93|0|0|883.57|1358.67|2616|2724.13|452.88|492.45|452.88|1207.91|1207.91|530.95|440.57|539.7|1207.91|1383.13|1358.67|645.08|0|0|0|0|439.69|439.69|452.88|439.69|791.44|439.69|452.88|0|3488
HOSP OP|0480 - CARDIOLOGY||93668|Hb Peripheral Art Disease Rehab|158|83.74|118.5|126.4|134.3|142.2|134.3|127.66|113.76|106.93|0|158|103.02|60.18|57.86|129.32|97.8|95.27|58.67|421.73|118.5|123.4|16.07|17.47|16.07|48.96|48.96|24.21|15.63|21.87|48.96|429.32|421.73|200.23|0|0|62.6|70.01|15.6|15.6|16.07|15.6|28.08|15.6|16.07|0|429.32
HOSP OP|0306 - LAB/BACT-MICRO||87305|Hb Aspergillus Antigen Bronch Lavage|81.05|42.96|60.79|64.84|68.89|72.95|68.89|65.49|58.36|54.85|0|81.05|17.18|17.98|12.49|66.34|16.33|15.89|17.53|13.18|60.79|63.3|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|13.42|13.18|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|81.05
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen 11 Whole Blood|169.2|89.68|126.9|135.36|143.82|152.28|143.82|136.71|121.82|114.51|0|169.2|83.4|87.28|60.64|138.49|79.26|77.13|85.1|68.35|126.9|132.15|64|69.6|64|137.88|137.88|72.64|62.26|61.6|137.88|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|169.2
HOSP OP|0306 - LAB/BACT-MICRO||87798|Hb Infectious Agent Detection By Amp Probe|20.53|10.88|15.4|16.42|17.45|18.48|17.45|16.59|14.78|13.89|0|20.53|20.53|20.53|20.53|16.8|20.53|20.53|20.53|38.6|15.4|16.03|20.53|20.53|20.53|20.53|20.53|20.53|20.53|20.53|20.53|39.29|38.6|39.29|0|0|0|20.12|20.53|20.53|20.53|20.53|20.53|20.53|20.53|0|39.29
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90682|Hb Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|56.01|0|0|0|0|0|0|0|0|0|0|0|57.02|56.01|57.02|0|0|0|0|0|0|0|0|0|0|0|0|57.02
HOSP OP|0272 - STERILE SUPPLY|||Hb Gastrostomy/jejunostomy Tube Standard|381|201.93|0|304.8|0|342.9|0|307.85|274.32|257.86|0|381|248.41|0|139.52|311.85|235.84|229.74|0|0|0|297.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|168.82|0|0|0|0|0|0|0|0|381
HOSP OP|0272 - STERILE SUPPLY|||Hb Gastrostomy/jejunostomy Tube Low-profile|590|312.7|0|472|0|531|0|476.72|424.8|399.31|0|590|384.68|0|216.06|482.92|365.21|355.77|0|0|0|460.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|261.43|0|0|0|0|0|0|0|0|590
HOSP OP|0272 - STERILE SUPPLY||C1757|Hb Fogarty Thrombectomy Cath|250|132.5|187.5|200|212.5|225|0|202|180|169.2|0|250|163|0|91.55|204.63|154.75|150.75|0|0|187.5|195.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110.78|0|0|100|0|0|0|0|0|250
HOSP OP|0361 - OR/MINOR||46500|Hb Inject Scleros Soln  Hemorrhoids|1835|972.55|1376.25|1468|1559.75|1651.5|1559.75|1482.68|1321.2|1241.93|0|1835|0|781.07|0|1501.95|0|0|761.54|585.3|1376.25|1433.14|188.26|204.71|188.26|811.27|811.27|233.33|183.15|362.48|811.27|595.84|585.3|277.9|0|0|0|0|182.78|182.78|188.26|182.78|329|182.78|188.26|0|1835
HOSP OP|0361 - OR/MINOR||53060|Hb Drainage Skenes Gland Abscess/cyst|4380|2321.4|3285|3504|3723|3942|3723|3539.04|3153.6|2964.38|0|4380|0|308.1|0|3585.03|0|0|300.39|4431.55|3285|3420.78|168.9|183.66|168.9|505.54|505.54|222.77|164.31|225.88|505.54|4511.32|4431.55|2104.05|0|0|0|0|163.98|163.98|168.9|163.98|295.16|163.98|168.9|0|4511.32
HOSP OP|0278 - SUPPLY IMPLANTS||Q4130|Strattice Tm Per Sq Cm|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5.09|0|0|0|0|0|0|0|0|0|0|0|5.18|5.09|5.18|0|0|0|0|0|0|0|0|0|0|0|0|5.18
HOSP OP|0306 - LAB/BACT-MICRO||87045|Hb Culture Stool Aerobic W/ Isolations|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.38|0|0|0|0|0|0|0|0|0|0|0|10.57|10.38|10.57|0|0|0|0|0|0|0|0|0|0|0|0|10.57
HOSP OP|0301 - LAB/CHEMISTRY||82671|Hb Estrogens E1+e2 Fractionateds|43.3|22.95|32.48|34.64|36.81|38.97|36.81|34.99|31.18|29.31|0|43.3|43.3|43.3|33.66|35.44|43.3|42.82|43.3|35.53|32.48|33.82|33.27|36.18|33.27|43.3|43.3|40.5|32.36|34.37|43.3|36.17|35.53|36.17|0|0|0|24.73|32.3|32.3|33.27|32.3|43.3|32.3|33.27|0|43.3
HOSP OP|0272 - STERILE SUPPLY||C1886|Hb Catheter Ablation Extravascular Tissue|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0301 - LAB/CHEMISTRY||84146|Hb Prolactin Pituitary Macroadenoma|75.36|39.94|56.52|60.29|64.06|67.82|64.06|60.89|54.26|51|0|75.36|27.77|29.07|20.2|61.68|26.4|25.69|28.34|21.32|56.52|58.86|19.96|21.71|19.96|45.96|45.96|24.21|19.42|20.53|45.96|21.7|21.32|21.7|0|0|0|14.84|19.38|19.38|19.96|19.38|34.88|19.38|19.96|0|75.36
HOSP OP|0450 - EMERGENCY ROOM||20999|Hb Displaced Traction Procedure|658|348.74|493.5|526.4|559.3|592.2|559.3|531.66|473.76|445.33|0|658|0|368.48|0|538.57|0|0|359.27|5894.43|493.5|513.9|263.2|0|263.2|522.45|543.9|283.4|263.2|288.01|543.9|6000.53|5894.43|2798.6|0|0|0|0|0|0|263.2|0|329|0|263.2|0|6000.53
HOSP OP|0306 - LAB/BACT-MICRO||87150|Hb Group B Strep By Pcr|108|57.24|81|86.4|91.8|97.2|91.8|87.26|77.76|73.09|0|108|50.3|52.64|36.57|88.4|47.8|46.52|51.32|38.6|81|84.35|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|108
HOSP OP|0302 - LAB/IMMUNOLOGY||86717|Hb Leishman (visceral) Ab|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.48|0|0|0|0|0|0|0|0|0|0|0|13.72|13.48|13.72|0|0|0|0|0|0|0|0|0|0|0|0|13.72
HOSP OP|0272 - STERILE SUPPLY||c1753|Catheter Intravascular Ultrasound|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0350 - CT SCAN||G0297|Hb Ldct For Lung Ca Screen|175|92.75|131.25|140|148.75|157.5|148.75|141.4|126|118.44|0|175|175|121.88|175|143.24|175|175|118.83|530.28|131.25|136.68|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|539.83|530.28|251.77|0|0|69.78|171.5|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|539.83
HOSP OP|0761 - TREATMENT ROOM||36466|Hb Njx Noncmpnd Sclerosant Multiple Incmptnt Veins|4052|2147.56|3039|3241.6|3444.2|3646.8|3444.2|3274.02|2917.44|2742.39|0|4052|2641.9|4052|1483.84|3316.56|2508.19|2443.36|4052|3252.37|3039|3164.61|153.53|166.95|153.53|4052|4052|2079.76|149.36|2051.21|4052|3310.91|3252.37|1544.19|0|0|0|1795.44|149.06|149.06|153.53|149.06|268.31|149.06|153.53|0|4052
HOSP OP|0361 - OR/MINOR||45999|Hb Foreign Body Removal Rectum|1835|972.55|1376.25|1468|1559.75|1651.5|1559.75|1482.68|1321.2|1241.93|0|1835|0|1027.6|0|1501.95|0|0|1001.91|4812.95|1376.25|1433.14|734|0|734|1456.99|1516.81|790.33|734|803.18|1516.81|4899.58|4812.95|2285.13|0|0|0|0|0|0|734|0|917.5|0|734|0|4899.58
HOSP OP|0272 - STERILE SUPPLY||C1757|MEDTRONIC EXPORT CATHETER|1386|734.58|1039.5|1108.8|1178.1|1247.4|0|1119.89|997.92|938.04|0|1386|903.67|0|507.55|1134.44|857.93|835.76|0|0|1039.5|1082.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|614.14|0|0|554.4|0|0|0|0|0|1386
HOSP OP|0483 - ECHOCARDIOLOGY||C8930|Stress Echo w/EKG & Contrast|2485|1317.05|1863.75|1988|2112.25|2236.5|2112.25|2007.88|1789.2|1681.85|0|2485|1122|1353.22|629.6|2033.97|1161|1130|1319.37|1122.41|1863.75|1940.79|752.37|818.11|752.37|1265.48|1291.3|540.32|731.91|547.82|1291.3|1142.61|1122.41|532.91|0|0|774.82|1023.03|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|2485
HOSP OP|0948 - PULMONARY REHAB||G0424|Comprehensive Pulmonary Rehab|253|134.09|189.75|202.4|215.05|227.7|215.05|204.42|182.16|171.23|0|253|164.96|99.89|92.65|207.08|156.61|152.56|97.39|191.77|189.75|197.59|14.44|15.7|14.44|82.93|82.93|37.42|14.05|37.05|82.93|195.22|191.77|91.05|0|0|62.6|112.1|14.02|14.02|14.44|14.02|25.24|14.02|14.44|0|253
HOSP OP|0361 - OR/MINOR||31627|Hb Navigational Bronchoscopy|684|362.52|513|547.2|581.4|615.6|0|552.67|492.48|462.93|0|684|0|0|0|559.85|0|0|0|0|513|534.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|99.3|0|0|96.41|0|0|684
HOSP OP|0361 - OR/MINOR||32552|REMOVE TUNNEL PLEURAL CATH|459|243.27|344.25|367.2|390.15|413.1|390.15|370.87|330.48|310.65|0|459|0|328.56|0|375.69|0|0|320.34|1070.89|344.25|358.48|161.51|175.63|161.51|459|459|222.33|157.12|225.88|459|1090.17|1070.89|508.45|0|0|0|0|156.81|156.81|161.51|156.81|282.26|156.81|161.51|0|1090.17
HOSP OP|0610 - MRI||75565|Card MRI w/Flow Map|719|381.07|539.25|575.2|611.15|647.1|0|580.95|517.68|486.62|0|719|719|0|719|588.5|719|719|0|1075.89|539.25|561.54|0|0|0|0|0|0|0|0|0|1095.26|1075.89|510.82|0|0|0|704.62|0|0|42.51|0|0|41.27|0|0|1095.26
HOSP OP|0352 - CT SCAN/BODY||75571|CT HEART WO Dye w/CALCIUM|464|245.92|348|371.2|394.4|417.6|394.4|374.91|334.08|314.04|0|464|464|121.88|464|379.78|464|464|118.83|881.4|348|362.38|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|897.27|881.4|418.48|0|0|69.78|454.72|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|897.27
HOSP OP|0352 - CT SCAN/BODY||75572|CT HEART W/Dye VENOUS STRUC|1425|755.25|1068.75|1140|1211.25|1282.5|1211.25|1151.4|1026|964.44|0|1425|1158|394.64|605.81|1166.36|1101|1072|384.77|881.4|1068.75|1112.93|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|897.27|881.4|418.48|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1425
HOSP OP|0352 - CT SCAN/BODY||75574|CTA HEART W/DYE & 3D|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|881.4|1125.75|1172.28|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|897.27|881.4|418.48|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0341 - NUC MED/DX||78452|NM HEART SPECT REST/STRESS|3053|1618.09|2289.75|2442.4|2595.05|2747.7|2595.05|2466.82|2198.16|2066.27|0|3053|1459|2404.95|747.53|2498.88|1386|1349|2344.79|1907.93|2289.75|2384.39|1405.88|1528.72|1405.88|2364.7|2412.96|1009.65|1367.66|1023.67|2412.96|1942.27|1907.93|905.86|0|0|1377|1222.55|2724.11|2424.93|1405.88|2613.89|2456.88|1364.93|1405.72|0|3053
HOSP OP|0341 - NUC MED/DX||78451|HB Heart Viability SPECT R or S|2757|1461.21|2067.75|2205.6|2343.45|2481.3|2343.45|2227.66|1985.04|1865.94|0|2757|1459|945.95|747.53|2256.6|1386|1349|922.29|936.36|2067.75|2153.22|289.57|314.88|289.57|979.12|979.12|440.69|281.7|437.47|979.12|953.21|936.36|444.57|0|0|1377|1222.55|281.14|281.14|289.57|281.14|506.05|281.14|289.57|0|2757
HOSP OP|0361 - OR/MINOR||64490|Hb Inj Paravert Facet Joint C/t 1 Level|1904|1009.12|1428|1523.2|1618.4|1713.6|1618.4|1538.43|1370.88|1288.63|0|1904|0|429.65|0|1558.42|0|0|418.9|1752.53|1428|1487.02|109.17|118.71|109.17|532.52|532.52|234.22|106.2|237.93|532.52|1784.08|1752.53|832.08|0|0|0|0|105.99|105.99|109.17|105.99|190.78|105.99|109.17|0|1904
HOSP OP|0761 - TREATMENT ROOM||64491|Hb Inj Paravert Facet Joint C/t 2 Levels|985|522.05|738.75|788|837.25|886.5|0|795.88|709.2|666.65|0|985|642.22|0|360.71|806.22|609.72|593.96|0|1752.53|738.75|769.29|0|0|0|0|0|0|0|0|0|1784.08|1752.53|832.08|0|0|0|436.45|0|0|61.88|0|0|60.08|0|0|1784.08
HOSP OP|0761 - TREATMENT ROOM||64492|Hb Inj Paravert Facet Joint C/t 3 Levels|891|472.23|668.25|712.8|757.35|801.9|0|719.93|641.52|603.03|0|891|580.93|0|326.28|729.28|551.53|537.27|0|1752.53|668.25|695.87|0|0|0|0|0|0|0|0|0|1784.08|1752.53|832.08|0|0|0|394.8|0|0|62.63|0|0|60.81|0|0|1784.08
HOSP OP|0361 - OR/MINOR||64493|INJ(S) PV FACET L/S W/IMG|1758|931.74|1318.5|1406.4|1494.3|1582.2|1494.3|1420.46|1265.76|1189.81|0|1758|1758|1496.19|598.82|1438.92|1758|1758|1458.76|1752.53|1318.5|1373|897.39|975.8|897.39|1509.41|1540.21|644.47|872.99|653.42|1540.21|1784.08|1752.53|832.08|0|0|856.68|733.53|1738.82|1547.85|897.39|1668.47|1568.25|871.25|897.29|0|1784.08
HOSP OP|0361 - OR/MINOR||64494|Hb Inj Paravert Facet Joint Lumbar 2 Levels|989|524.17|741.75|791.2|840.65|890.1|0|799.11|712.08|669.36|0|989|0|0|0|809.5|0|0|0|1752.53|741.75|772.41|0|0|0|0|0|0|0|0|0|1784.08|1752.53|832.08|0|0|0|0|0|0|53.42|0|0|51.86|0|0|1784.08
HOSP OP|0761 - TREATMENT ROOM||64495|Hb Inj Paravert Facet Joint Lumbar 3 Levels|1128|597.84|846|902.4|958.8|1015.2|0|911.42|812.16|763.43|0|1128|735.46|0|413.07|923.27|698.23|680.18|0|1752.53|846|880.97|0|0|0|0|0|0|0|0|0|1784.08|1752.53|832.08|0|0|0|499.82|0|0|54.17|0|0|52.59|0|0|1784.08
HOSP OP|0483 - ECHOCARDIOLOGY||93351|Stress Echo w/ EKG|2841|1505.73|2130.75|2272.8|2414.85|2556.9|2414.85|2295.53|2045.52|1922.79|0|2841|1122|973.2|629.6|2325.36|1161|1130|948.85|1122.41|2130.75|2218.82|532.19|578.69|532.19|895.15|913.41|382.2|517.72|387.51|913.41|1142.61|1122.41|532.91|0|0|557.22|1023.03|1031.2|917.95|532.19|989.48|930.04|516.69|532.13|0|2841
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9582|Hb Iodine I-123 Iobenguane 15 Mci|10325|5472.25|7743.75|8260|8776.25|9292.5|0|8342.6|7434|6987.96|0|10325|1459|0|747.53|8451.01|1386|1349|0|5394.74|7743.75|8063.83|0|0|0|0|0|0|0|0|0|5491.85|5394.74|5491.85|0|0|0|1222.55|0|0|4130|0|0|0|0|0|10325
HOSP OP|0450 - EMERGENCY ROOM||45915|REMOVAL FECAL IMPACTION/FORIEGN BODY|2308|1223.24|1731|1846.4|1961.8|2077.2|1961.8|1864.86|1661.76|1562.05|0|2308|0|783.48|0|1889.1|0|0|763.88|4812.95|1731|1802.55|235.59|256.18|235.59|943.15|943.15|411.64|229.19|421.4|943.15|4899.58|4812.95|2285.13|0|0|0|0|228.73|228.73|235.59|228.73|411.71|228.73|235.59|0|4899.58
HOSP OP|0271 - NONSTER SUPPLY||A4618|HFO CIRCUIT|217|115.01|162.75|173.6|184.45|195.3|0|175.34|156.24|146.87|0|217|141.48|0|79.47|177.61|134.32|130.85|0|8.04|162.75|169.48|0|0|0|0|0|0|0|0|0|8.18|8.04|8.18|0|0|0|96.15|0|0|86.8|0|0|0|0|0|217
HOSP OP|0410 - RESPIRATORY THERAPY|||CO2 MONITORING ONLY|324|171.72|0|259.2|0|291.6|0|261.79|233.28|219.28|0|324|211.25|0|118.65|265.19|200.56|195.37|0|0|0|253.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|176.81|0|0|0|0|0|0|0|0|324
HOSP OP|0761 - TREATMENT ROOM||36471|Hb Injection Therapy Vein Multi View|929|492.37|696.75|743.2|789.65|836.1|789.65|750.63|668.88|628.75|0|929|605.71|477.79|340.2|760.39|575.05|560.19|465.84|3252.37|696.75|725.55|76.02|82.67|76.02|533.52|533.52|231.57|73.96|238.38|533.52|3310.91|3252.37|1544.19|0|0|0|411.64|73.81|73.81|76.02|73.81|132.86|73.81|76.02|0|3310.91
HOSP OP|0300 - LABORATORY||86905|MBC RBC PHENOTYPE|84|44.52|63|67.2|71.4|75.6|71.4|67.87|60.48|56.85|0|84|5.48|84|3.99|68.75|5.21|5.07|84|4.21|63|65.6|84|340.56|84|84|84|84|84|84|84|4.29|4.21|4.29|0|0|4.76|2.93|84|84|313.19|84|84|304.07|84|0|340.56
HOSP OP|0305 - LAB/HEMATOLOGY||85397|ADAMTS13 ACTIVITY|184.2|97.63|138.15|147.36|156.57|165.78|156.57|148.83|132.62|124.67|0|184.2|39.81|41.66|28.95|150.77|37.83|36.82|40.62|33.95|138.15|143.86|31.79|34.56|31.79|65.94|65.94|31.26|30.92|29.46|65.94|34.56|33.95|34.56|0|0|0|21.26|30.86|30.86|31.79|30.86|55.55|30.86|31.79|0|184.2
HOSP OP|0305 - LAB/HEMATOLOGY||85335|ADAMTS13 INHIBITOR|283.5|150.25|212.63|226.8|240.98|255.15|240.98|229.07|204.12|191.87|0|283.5|18.45|19.31|13.41|232.04|17.53|17.06|18.83|14.16|212.63|221.41|13.26|14.41|13.26|30.97|30.97|15.85|12.9|13.84|30.97|14.41|14.16|14.41|0|0|0|9.85|12.87|12.87|13.26|12.87|23.17|12.87|13.26|0|283.5
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A4648|LOW DOSE RP SEED FOR LOC|236|125.08|177|188.8|200.6|212.4|0|190.69|169.92|159.72|0|236|236|0|86.42|193.17|146.08|142.31|0|135.36|177|184.32|0|0|0|0|0|0|0|0|0|137.8|135.36|137.8|0|0|0|104.57|0|0|94.4|0|0|0|0|0|236
HOSP OP|0301 - LAB/CHEMISTRY||82106|UMP AFP Amniotic Fluid|142.2|75.37|106.65|113.76|120.87|127.98|120.87|114.9|102.38|96.24|0|142.2|24.05|25.16|17.48|116.39|22.85|22.24|24.53|18.7|106.65|111.06|17.51|19.04|17.51|39.96|39.96|21.13|17.03|17.86|39.96|19.04|18.7|19.04|0|0|0|12.84|17|17|17.51|17|30.6|17|17.51|0|142.2
HOSP OP|0310 - PATHOLOGY LAB||88235|Tissue Culture Amniotic Fluid|228.32|121.01|171.24|182.66|194.07|205.49|194.07|184.48|164.39|154.53|0|228.32|211.08|220.9|153.48|186.88|200.61|195.21|215.38|165.33|171.24|178.32|154.81|168.34|154.81|228.32|228.32|183.59|150.6|156.24|228.32|168.31|165.33|168.31|0|0|0|112.77|150.3|150.3|154.81|150.3|228.32|150.3|154.81|0|228.32
HOSP OP|0310 - PATHOLOGY LAB||88269|Chromosome Analysis in situ Amnio|451.58|239.34|338.69|361.26|383.84|406.42|383.84|364.88|325.14|305.63|0|451.58|238.4|249.49|173.35|369.62|226.58|220.48|243.25|191.03|338.69|352.68|178.87|194.5|178.87|394.64|394.64|207.36|174.01|176.33|394.64|194.47|191.03|194.47|0|0|0|127.37|173.66|173.66|178.87|173.66|312.59|173.66|178.87|0|451.58
HOSP OP|0310 - PATHOLOGY LAB||88280|Chromosome Analysis add'l karyotype|86.39|45.79|64.79|69.11|73.43|77.75|73.43|69.8|62.2|58.47|0|86.39|43.18|45.18|31.39|70.71|41.03|39.93|44.05|36.82|64.79|67.47|34.47|37.49|34.47|71.94|71.94|33.9|33.54|32.14|71.94|37.48|36.82|37.48|0|0|0|23.06|33.47|33.47|34.47|33.47|60.25|33.47|34.47|0|86.39
HOSP OP|0310 - PATHOLOGY LAB||88285|Chromosome Analysis add'l cells counted|86.39|45.79|64.79|69.11|73.43|77.75|73.43|69.8|62.2|58.47|0|86.39|34.71|36.33|25.24|70.71|32.99|32.1|35.42|29.6|64.79|67.47|27.72|30.14|27.72|57.95|57.95|27.3|26.96|25.89|57.95|30.13|29.6|30.13|0|0|0|18.54|26.91|26.91|27.72|26.91|48.44|26.91|27.72|0|86.39
HOSP OP|0310 - PATHOLOGY LAB||88230|Tissue Culture|267.62|141.84|200.72|214.1|227.48|240.86|227.48|216.24|192.69|181.13|0|267.62|166.98|174.74|121.41|219.05|158.69|154.42|170.37|128.14|200.72|209.01|119.98|130.47|119.98|267.62|267.62|145.28|116.72|123.65|267.62|130.45|128.14|130.45|0|0|0|89.21|116.49|116.49|119.98|116.49|209.68|116.49|119.98|0|267.62
HOSP OP|0310 - PATHOLOGY LAB||88264|Chromosome Analysis 20-25 cells|548|290.44|411|438.4|465.8|493.2|465.8|442.78|394.56|370.89|0|548|186.55|195.22|135.64|448.54|177.29|172.52|190.34|159.07|411|427.99|148.95|161.96|148.95|308.72|308.72|155.41|144.9|137.94|308.72|161.93|159.07|161.93|0|0|0|99.66|144.61|144.61|148.95|144.61|260.3|144.61|148.95|0|548
HOSP OP|0301 - LAB/CHEMISTRY||88233|HB UMP POC TISSUE CX; SKIN OR TISSUE BX|255.08|135.19|191.31|204.06|216.82|229.57|216.82|206.1|183.66|172.64|0|255.08|201.7|211.09|146.67|208.78|191.7|186.54|205.81|154.8|191.31|199.22|144.95|157.62|144.95|255.08|255.08|175.66|141.01|149.1|255.08|157.59|154.8|157.59|0|0|0|107.76|140.73|140.73|144.95|140.73|253.31|140.73|144.95|0|255.08
HOSP OP|0301 - LAB/CHEMISTRY||88262|Hb Ump Poc Chrom Analysis; 15-20 Cells|569.33|301.74|427|455.46|483.93|512.4|483.93|460.02|409.92|385.32|0|569.33|178.65|186.96|129.9|466|169.79|165.22|182.29|138.04|427|444.65|129.25|140.55|129.25|295.73|295.73|155.41|125.74|132.13|295.73|140.52|138.04|140.52|0|0|0|95.45|125.49|125.49|129.25|125.49|225.88|125.49|129.25|0|569.33
HOSP OP|0310 - PATHOLOGY LAB||88273|Molecular Cytogenetics; analyze 10-30 cells|108.92|57.73|81.69|87.14|92.58|98.03|92.58|88.01|78.42|73.72|0|108.92|46.05|48.2|33.49|89.15|43.77|42.59|47|38.29|81.69|85.07|35.85|38.99|35.85|75.93|75.93|40.06|34.88|33.93|75.93|38.98|38.29|38.98|0|0|0|24.6|34.81|34.81|35.85|34.81|62.66|34.81|35.85|0|108.92
HOSP OP|0310 - PATHOLOGY LAB||88271|Molecular Cytogenetics; DNA probe each|198.12|105|148.59|158.5|168.4|178.31|168.4|160.08|142.65|134.09|0|198.12|30.7|32.13|22.32|162.16|29.18|28.39|31.33|23.56|148.59|154.73|22.06|23.99|22.06|50.95|50.95|26.86|21.46|22.77|50.95|23.98|23.56|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|198.12
HOSP OP|0310 - PATHOLOGY LAB||88275|Molecular Cytogenetics; analyze 100-300 cells|178.96|94.85|134.22|143.17|152.12|161.06|152.12|144.6|128.85|121.12|0|178.96|66.04|69.11|48.02|146.48|62.76|61.07|67.38|56.31|134.22|139.77|52.73|57.33|52.73|108.9|108.9|51.51|51.29|48.66|108.9|57.32|56.31|57.32|0|0|0|35.28|51.19|51.19|52.73|51.19|92.14|51.19|52.73|0|178.96
HOSP OP|0310 - PATHOLOGY LAB||88275|Molecular Cytogenetics; analyze 100-300 cells|127.72|67.69|95.79|102.18|108.56|114.95|108.56|103.2|91.96|86.44|0|127.72|66.04|69.11|48.02|104.54|62.76|61.07|67.38|56.31|95.79|99.75|52.73|57.33|52.73|108.9|108.9|51.51|51.29|48.66|108.9|57.32|56.31|57.32|0|0|0|35.28|51.19|51.19|52.73|51.19|92.14|51.19|52.73|0|127.72
HOSP OP|0310 - PATHOLOGY LAB||88271|Molecular Cytogenetics; DNA probe each|85.49|45.31|64.12|68.39|72.67|76.94|72.67|69.08|61.55|57.86|0|85.49|30.7|32.13|22.32|69.97|29.18|28.39|31.33|23.56|64.12|66.77|22.06|23.99|22.06|50.95|50.95|26.86|21.46|22.77|50.95|23.98|23.56|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|85.49
HOSP OP|0310 - PATHOLOGY LAB||86738|M. PNEUMOIAE IGM BY IFA|54.97|29.13|41.23|43.98|46.72|49.47|46.72|44.42|39.58|37.2|0|54.97|18.98|19.86|13.8|44.99|18.03|17.55|19.36|14.56|41.23|42.93|13.64|14.83|13.64|30.97|30.97|16.29|13.27|13.84|30.97|14.82|14.56|14.82|0|0|0|10.13|13.24|13.24|13.64|13.24|23.83|13.24|13.64|0|54.97
HOSP OP|0302 - LAB/IMMUNOLOGY||85549|LYSOZYME (MURAMIDASE)|62.66|33.21|47|50.13|53.26|56.39|53.26|50.63|45.12|42.41|0|62.66|26.87|28.12|19.54|51.29|25.54|24.85|27.42|20.63|47|48.94|19.31|21|19.31|44.96|44.96|23.33|18.79|20.09|44.96|21|20.63|21|0|0|0|14.35|18.75|18.75|19.31|18.75|33.75|18.75|19.31|0|62.66
HOSP OP|0272 - STERILE SUPPLY||C1887|SPECTRANETICS Q-CROSS CATH|406|215.18|304.5|324.8|345.1|365.4|0|328.05|292.32|274.78|0|406|264.71|0|148.68|332.31|251.31|244.82|0|0|304.5|317.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|179.9|0|0|162.4|0|0|0|0|0|406
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9966|VISIPAQUE 200-249MG PER ML|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|0.43|0|0.31|2.64|0.4|0.39|0|0.32|2.42|2.52|0|0|0|0|0|0|0|0|0|0.33|0.32|0.33|0|0|0|0.22|0|0|1.29|0|0|0|0|0|3.23
HOSP OP|0250 - PHARMACY||J3490|THROMBIN|322.8|171.08|242.1|258.24|274.38|290.52|0|260.82|232.42|218.47|0|322.8|213.37|0|155.59|264.21|202.72|197.23|0|0|242.1|252.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|154.07|0|0|129.12|0|0|0|0|0|322.8
HOSP OP|0302 - LAB/IMMUNOLOGY||86359|T CELLS; TOTAL COUNT|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|47|47|39.32|38.47|47|47|47|41.5|35.25|36.71|38.86|42.26|38.86|47|47|47|37.81|40.18|47|42.25|41.5|42.25|0|0|0|28.89|37.73|37.73|38.86|37.73|47|37.73|38.86|0|47
HOSP OP|0302 - LAB/IMMUNOLOGY||86360|ABSOLUTE CD4/CD8 COUNT INC. RATIO|59|31.27|44.25|47.2|50.15|53.1|50.15|47.67|42.48|39.93|0|59|59|59|48.96|48.29|59|59|59|51.68|44.25|46.08|48.39|52.62|48.39|59|59|58.55|47.07|50|59|52.61|51.68|52.61|0|0|0|35.98|46.98|46.98|48.39|46.98|59|46.98|48.39|0|59
HOSP OP|0450 - EMERGENCY ROOM||26675|Hb Dislocation Finger W/anesth|1645|871.85|1233.75|1316|1398.25|1480.5|1398.25|1329.16|1184.4|1113.34|0|1645|0|996.5|0|1346.43|0|0|971.58|2976.74|1233.75|1284.75|428.9|466.38|428.9|1254.87|1254.87|550.32|417.24|560.68|1254.87|3030.32|2976.74|1413.32|0|0|0|0|416.41|416.41|428.9|416.41|749.54|416.41|428.9|0|3030.32
HOSP OP|0320 - DX X-RAY||77074|OSSEOUS SURVEY LIMITED|524|277.72|393|419.2|445.4|471.6|445.4|423.39|377.28|354.64|0|524|524|151.64|313.38|428.89|524|524|147.85|157.34|393|409.24|43.01|46.77|43.01|188.83|188.83|79.25|41.84|84.37|188.83|160.17|157.34|74.7|0|0|126.02|513.52|41.76|41.76|43.01|41.76|75.17|41.76|43.01|0|524
HOSP OP|0301 - LAB/CHEMISTRY||82232|HEPARIN ASSAY/Xa|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|23.18|24.26|16.86|40.68|22.03|21.44|23.65|17.8|37.28|38.82|16.67|18.12|16.67|37.97|37.97|20.25|16.21|16.96|37.97|18.12|17.8|18.12|0|0|0|12.38|16.18|16.18|16.67|16.18|29.12|16.18|16.67|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||86376|BETA-2 MICROGLOBULIN CSF|83|43.99|62.25|66.4|70.55|74.7|70.55|67.06|59.76|56.17|0|83|20.86|21.83|15.17|67.94|19.82|19.29|21.28|16.01|62.25|64.82|14.99|16.3|14.99|34.97|34.97|18.05|14.58|15.62|34.97|16.3|16.01|16.3|0|0|0|11.14|14.55|14.55|14.99|14.55|26.19|14.55|14.99|0|83
HOSP OP|0301 - LAB/CHEMISTRY||82306|VITAMIN D TOTAL (25-HYDROXY)|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|42.43|44.4|30.85|86.76|40.32|39.24|43.29|32.56|79.5|82.79|30.49|33.15|30.49|46.96|46.96|36.98|29.66|20.98|46.96|33.15|32.56|33.15|0|0|0|22.66|29.6|29.6|30.49|29.6|53.28|29.6|30.49|0|106
HOSP OP|0302 - LAB/IMMUNOLOGY||86800|THYROGLOBULIN ANTIBODY SCREEN|37.7|19.98|28.28|30.16|32.05|33.93|32.05|30.46|27.14|25.52|0|37.7|22.79|23.85|16.57|30.86|21.66|21.08|23.25|17.5|28.28|29.44|16.39|17.82|16.39|37.7|37.7|19.81|15.94|16.96|37.7|17.82|17.5|17.82|0|0|0|12.17|15.91|15.91|16.39|15.91|28.64|15.91|16.39|0|37.7
HOSP OP|0305 - LAB/HEMATOLOGY||85520|Hb Enoxaparin Assay (lmwh)|102|54.06|76.5|81.6|86.7|91.8|86.7|82.42|73.44|69.03|0|102|18.77|19.64|13.65|83.49|17.84|17.36|19.15|14.4|76.5|79.66|13.48|14.66|13.48|30.97|30.97|16.29|13.12|13.84|30.97|14.66|14.4|14.66|0|0|0|10.02|13.09|13.09|13.48|13.09|23.56|13.09|13.48|0|102
HOSP OP|0278 - SUPPLY IMPLANTS||A4648|IMPLANTABLE TISSUE MARKER|249|131.97|186.75|199.2|211.65|224.1|0|201.19|179.28|168.52|0|249|162.35|0|91.18|203.81|154.13|150.15|0|135.36|186.75|194.47|0|0|0|0|0|0|0|0|0|137.8|135.36|137.8|0|0|0|110.33|0|0|99.6|0|0|0|0|0|249
HOSP OP|0335 - CHEMOTHERAPY/IV||96409|Hb Chemo Iv Push Single Or Initial Drug|567|300.51|425.25|453.6|481.95|510.3|481.95|458.14|408.24|383.75|0|567|369.68|367.07|207.64|464.09|350.97|341.9|357.89|0|425.25|442.83|112.68|122.53|112.68|113.07|113.07|136.04|109.62|135.71|113.07|0|0|0|0|0|209.65|251.24|109.4|109.4|112.68|109.4|196.92|109.4|112.68|0|567
HOSP OP|0335 - CHEMOTHERAPY/IV||96411|Hb Chemo Iv Push Each Addtl Drug|307|162.71|230.25|245.6|260.95|276.3|260.95|248.06|221.04|207.78|0|307|200.16|198.58|112.42|251.28|190.03|185.12|193.61|0|230.25|239.77|61.14|66.48|61.14|83.14|83.14|73.08|59.48|73.66|83.14|0|0|0|0|0|66.92|136.03|59.36|59.36|61.14|59.36|106.85|59.36|61.14|0|307
HOSP OP|0331 - CHEMOTHERAPY/INJ||96401|Hb Chemothernon-hormone Anti-ne*|295|156.35|221.25|236|250.75|265.5|250.75|238.36|212.4|199.66|0|295|192.34|116.89|108.03|241.46|182.61|177.89|113.97|0|221.25|230.4|66.82|72.66|66.82|83.14|83.14|47.99|65.01|48.65|83.14|0|0|0|0|0|66.92|130.71|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|295
HOSP OP|0335 - CHEMOTHERAPY/IV||96417|CHEMO INFUSION SEQUENTIAL|441|233.73|330.75|352.8|374.85|396.9|374.85|356.33|317.52|298.47|0|441|287.53|231.07|161.49|360.96|272.98|265.92|225.29|438.62|330.75|344.42|70.92|77.11|70.92|83.14|83.14|84.53|68.99|85.26|83.14|446.52|438.62|208.25|0|0|66.92|195.41|68.85|68.85|70.92|68.85|123.93|68.85|70.92|0|446.52
HOSP OP|0450 - EMERGENCY ROOM||11056|HB TRIM HYPERKERATOTIC SKIN LES 2-4|189|100.17|141.75|151.2|160.65|170.1|160.65|152.71|136.08|127.92|0|189|0|168.49|0|154.7|0|0|164.28|585.3|141.75|147.61|23.76|25.84|23.76|189|189|73.08|23.12|84.82|189|595.84|585.3|277.9|0|0|0|0|23.07|23.07|23.76|23.07|41.53|23.07|23.76|0|595.84
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90670|PNEUMOCOCCAL-13 VALENT|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|214.62|0|0|0|0|0|0|0|0|0|0|0|218.48|214.62|218.48|0|0|0|0|0|0|0|0|0|0|0|0|218.48
HOSP OP|0761 - TREATMENT ROOM||20553|Hb Inj Trigger Points Greater Than 3|880|466.4|660|704|748|792|748|711.04|633.6|595.58|0|880|573.76|127.57|322.26|720.28|544.72|530.64|124.38|813.32|660|687.28|44.5|48.38|44.5|176.84|176.84|77.92|43.29|79.01|176.84|827.96|813.32|386.15|0|0|0|389.93|43.2|43.2|44.5|43.2|77.76|43.2|44.5|0|880
HOSP OP|0306 - LAB/BACT-MICRO||87798|PLASMODIUM SPP CONFIRM & ID|24.2|12.83|18.15|19.36|20.57|21.78|20.57|19.55|17.42|16.38|0|24.2|24.2|24.2|24.2|19.81|24.2|24.2|24.2|38.6|18.15|18.9|24.2|24.2|24.2|24.2|24.2|24.2|24.2|24.2|24.2|39.29|38.6|39.29|0|0|0|23.72|24.2|24.2|24.2|24.2|24.2|24.2|24.2|0|39.29
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9537|TC99 MEBROFEN DX PDUT 15MCI|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|116|0|116|94.95|116|116|0|53.1|87|90.6|0|0|0|0|0|0|0|0|0|54.06|53.1|54.06|0|0|0|113.68|0|0|46.4|0|0|0|0|0|116
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9562|MERTIATIDE DX PSD UT 15MCI|766|405.98|574.5|612.8|651.1|689.4|0|618.93|551.52|518.43|0|766|766|0|747.53|626.97|766|766|0|575.56|574.5|598.25|0|0|0|0|0|0|0|0|0|585.92|575.56|585.92|0|0|0|750.68|0|0|306.4|0|0|0|0|0|766
HOSP OP|0300 - LABORATORY||89051|CSF CELL COUNT W/ DIFFERENTIAL|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|7.89|8.26|5.74|35.2|7.5|7.3|8.05|6.16|32.25|33.58|5.77|6.27|5.77|12.99|12.99|7.04|5.61|5.8|12.99|6.27|6.16|6.27|0|0|0|4.21|5.6|5.6|5.77|5.6|10.08|5.6|5.77|0|43
HOSP OP|0916 - FAMILY THERAPY||90847|Hb Family Psychotherapy 50 Min|432|228.96|324|345.6|367.2|388.8|367.2|349.06|311.04|292.38|0|432|0|71.01|0|353.59|0|0|69.23|358.59|324|337.39|108.05|117.49|108.05|312.72|312.72|133.84|105.11|139.72|312.72|365.04|358.59|170.25|0|0|142.87|0|104.9|104.9|108.05|104.9|188.82|104.9|108.05|0|432
HOSP OP|0320 - DX X-RAY||77080|BONE DENSITY AXIAL SKELETON|301|159.53|225.75|240.8|255.85|270.9|255.85|243.21|216.72|203.72|0|301|301|102.3|301|246.37|301|301|99.74|250.56|225.75|235.08|30.98|33.69|30.98|111.9|111.9|51.95|30.14|50|111.9|255.07|250.56|118.96|0|0|126.02|294.98|30.08|30.08|30.98|30.08|54.14|30.08|30.98|0|301
HOSP OP|0761 - TREATMENT ROOM||10005|Hb Fine Needle Aspiration Bx W/us Gdn 1st Lesion|1545|818.85|1158.75|1236|1313.25|1390.5|1313.25|1248.36|1112.4|1045.66|0|1545|1007.34|1133.32|565.78|1264.58|956.36|931.64|1104.96|1360.36|1158.75|1206.65|674.11|733.02|674.11|1133.86|1157|484.13|655.79|490.85|1157|1384.85|1360.36|645.88|0|0|648.9|684.59|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1545
HOSP OP|0761 - TREATMENT ROOM||10006|Hb Fine Needle Aspiration Bx W/us Gdn Ea Addl|154|81.62|115.5|123.2|130.9|138.6|0|124.43|110.88|104.23|0|154|100.41|0|56.39|126.05|95.33|92.86|0|1360.36|115.5|120.27|0|0|0|0|0|0|0|0|0|1384.85|1360.36|645.88|0|0|0|68.24|0|0|50.78|0|0|49.3|0|0|1384.85
HOSP OP|0320 - DX X-RAY||10009|Hb Fine Needle Aspiration Bx W/ct Gdn 1st Lesion|1636|867.08|1227|1308.8|1390.6|1472.4|1390.6|1321.89|1177.92|1107.24|0|1636|694|1321.44|313.38|1339.07|660|642|1288.39|1360.36|1227|1277.72|117.03|127.25|117.03|1320.81|1320.81|582.02|113.85|590.14|1320.81|1384.85|1360.36|645.88|0|0|0|583.1|113.62|113.62|117.03|113.62|204.52|113.62|117.03|0|1636
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33274|Hb Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img|39012|20676.36|29259|31209.6|33160.2|35110.8|33160.2|31521.7|28088.64|26403.32|0|39012|0|771.44|0|31931.32|0|0|752.15|20079.27|29259|30468.37|485.81|528.26|485.81|1309.82|1309.82|577.17|472.6|585.23|1309.82|20440.7|20079.27|9533.39|0|0|0|0|471.66|471.66|485.81|471.66|848.99|471.66|485.81|0|39012
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33285|Hb Insertion Subq Cardiac Rhythm Monitor W/prgrmg|8285|4391.05|6213.75|6628|7042.25|7456.5|7042.25|6694.28|5965.2|5607.29|0|8285|0|8285|0|6781.27|0|0|8285|12736.97|6213.75|6470.59|87.71|95.38|87.71|8285|8285|6490.66|85.33|6581.28|8285|12966.24|12736.97|6047.36|0|0|0|0|85.16|85.16|87.71|85.16|153.29|85.16|87.71|0|12966.24
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33286|Hb Removal Subcutaneous Cardiac Rhythm Monitor|1669|884.57|1251.75|1335.2|1418.65|1502.1|1418.65|1348.55|1201.68|1129.58|0|1669|0|276.81|0|1366.08|0|0|269.88|2737.42|1251.75|1303.49|86.23|93.77|86.23|359.68|359.68|158.49|83.89|160.7|359.68|2786.69|2737.42|1299.69|0|0|0|0|83.72|83.72|86.23|83.72|150.7|83.72|86.23|0|2786.69
HOSP OP|0361 - OR/MINOR||36573|Hb Insertion Picc W/rs&i 5 Yr/>|2904|1539.12|2178|2323.2|2468.4|2613.6|2468.4|2346.43|2090.88|1965.43|0|2904|2594|2139.38|0|2376.92|2464|2399|2085.87|1571.75|2178|2268.02|1802.54|1960.04|1802.54|2904|2904|1294.52|1753.54|1312.49|2904|1600.04|1571.75|746.25|0|0|1224.95|0|2904|2904|1802.54|2904|2904|1750.04|1802.34|0|2904
HOSP OP|0361 - OR/MINOR||43762|Hb Perq Replacement Gtube Not Req Revj Gstrst Trc|615|325.95|461.25|492|522.75|553.5|522.75|496.92|442.8|416.23|0|615|0|615|0|503.38|0|0|615|940.26|461.25|480.32|38.12|41.45|38.12|615|615|277.36|37.08|281.23|615|957.18|940.26|446.42|0|0|0|0|37.01|37.01|38.12|37.01|66.62|37.01|38.12|0|957.18
HOSP OP|0361 - OR/MINOR||50436|Hb Perq Dilation Xst Trc Endourologic Px W/img|4596|2435.88|3447|3676.8|3906.6|4136.4|3906.6|3713.57|3309.12|3110.57|0|4596|0|191.36|0|3761.83|0|0|186.57|3177.99|3447|3589.48|155.83|169.44|155.83|420.62|420.62|185.35|151.59|187.93|420.62|3235.19|3177.99|1508.87|0|0|0|0|151.29|151.29|155.83|151.29|272.32|151.29|155.83|0|4596
HOSP OP|0361 - OR/MINOR||50437|Hb Perq Dilation Xst Trc New Access Renal Coltj Sys|7314|3876.42|5485.5|5851.2|6216.9|6582.6|6216.9|5909.71|5266.08|4950.12|0|7314|0|293.65|0|5986.51|0|0|286.31|6486.62|5485.5|5712.23|260.63|283.4|260.63|701.37|701.37|309.06|253.55|313.37|701.37|6603.38|6486.62|3079.77|0|0|0|0|253.04|253.04|260.63|253.04|455.47|253.04|260.63|0|7314
HOSP OP|0918 - PSYCH - TESTING||96130|Hb Psychological Tst Eval Svs Phys/qhp First Hour|246|130.38|184.5|196.8|209.1|221.4|209.1|198.77|177.12|166.49|0|246|160.39|246|90.09|201.35|152.27|148.34|246|830.4|184.5|192.13|112.53|122.36|112.53|246|246|143.08|109.47|145.08|246|845.35|830.4|394.27|0|0|152.27|109|109.25|109.25|112.53|109.25|196.65|109.25|112.53|0|845.35
HOSP OP|0610 - MRI||77047|Hb Mri Breast W/out Contrast Bilateral|1445|765.85|1083.75|1156|1228.25|1300.5|1228.25|1167.56|1040.4|977.98|0|1445|1445|593.33|979.08|1182.73|1445|1445|578.49|1075.89|1083.75|1128.55|180.7|196.49|180.7|719.35|719.35|317.42|175.79|321.41|719.35|1095.26|1075.89|510.82|0|0|258.25|1178.54|175.44|175.44|180.7|175.44|315.79|175.44|180.7|0|1445
HOSP OP|0335 - CHEMOTHERAPY/IV||96416|CHEMO INF PROLONGED W/PUMP|785|416.05|588.75|628|667.25|706.5|667.25|634.28|565.2|531.29|0|785|511.82|478.99|287.47|642.52|485.92|473.36|467.01|525.61|588.75|613.09|146.31|159.1|146.31|320.54|320.54|179.62|142.33|177.67|320.54|535.07|525.61|249.55|0|0|323|347.83|142.05|142.05|146.31|142.05|255.69|142.05|146.31|0|785
HOSP OP|0306 - LAB/BACT-MICRO||87149|Hb Nanosphere Cult Id By Na Probe; 1st|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|28.74|30.08|20.9|26.19|27.32|26.58|29.33|22.06|24|24.99|20.65|22.46|20.65|32|32|25.09|20.09|21.43|32|22.46|22.06|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|32|20.05|20.65|0|32
HOSP OP|0306 - LAB/BACT-MICRO||87149|Hb Nanosphere Cult Id By Na Probe; Gp|33|17.49|24.75|26.4|28.05|29.7|28.05|26.66|23.76|22.33|0|33|28.74|30.08|20.9|27.01|27.32|26.58|29.33|22.06|24.75|25.77|20.65|22.46|20.65|33|33|25.09|20.09|21.43|33|22.46|22.06|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|33|20.05|20.65|0|33
HOSP OP|0306 - LAB/BACT-MICRO||87149|Hb Nanosphere Cult Id By Na Probe; Gn|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|28.74|30.08|20.9|26.19|27.32|26.58|29.33|22.06|24|24.99|20.65|22.46|20.65|32|32|25.09|20.09|21.43|32|22.46|22.06|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|32|20.05|20.65|0|32
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88104|Hb Cytology Fluids Washings / Brushings|58.84|31.19|44.13|47.07|50.01|52.96|50.01|47.54|42.36|39.82|0|58.84|58.84|58.84|45.67|48.16|58.84|58.09|58.84|99.19|44.13|45.95|41.89|45.55|41.89|58.84|58.84|58.84|40.75|58.84|58.84|100.98|99.19|47.1|0|0|47.08|33.55|40.67|40.67|41.89|40.67|58.84|40.67|41.89|0|100.98
HOSP OP|0420 - PHYSICAL THERAPY||99366|Hb Pt Med Conf W/ Patient|304|161.12|228|243.2|258.4|273.6|0|245.63|218.88|205.75|0|304|207|0|106.79|248.82|196|191|0|290.25|228|237.42|0|0|0|0|0|0|0|0|0|295.47|290.25|137.81|0|0|36.86|173.11|0|0|121.6|0|0|0|0|0|304
HOSP OP|0420 - PHYSICAL THERAPY||99368|Hb Pt Med Conf W/o Patient|273|144.69|204.75|218.4|232.05|245.7|0|220.58|196.56|184.77|0|273|207|0|106.79|223.45|196|191|0|290.25|204.75|213.21|0|0|0|0|0|0|0|0|0|295.47|290.25|137.81|0|0|0|173.11|0|0|109.2|0|0|0|0|0|295.47
HOSP OP|0430 - OCCUPATIONAL THERAPY||99366|Hb Ot Med Conf W/ Patient|304|161.12|228|243.2|258.4|273.6|0|245.63|218.88|205.75|0|304|207|0|106.79|248.82|196|191|0|290.25|228|237.42|0|0|0|0|0|0|0|0|0|295.47|290.25|137.81|0|0|36.86|173.11|0|0|121.6|0|0|0|0|0|304
HOSP OP|0430 - OCCUPATIONAL THERAPY||99368|Hb Ot Med Conf W/o Patient|273|144.69|204.75|218.4|232.05|245.7|0|220.58|196.56|184.77|0|273|207|0|106.79|223.45|196|191|0|290.25|204.75|213.21|0|0|0|0|0|0|0|0|0|295.47|290.25|137.81|0|0|0|173.11|0|0|109.2|0|0|0|0|0|295.47
HOSP OP|0306 - LAB/BACT-MICRO||87385|Hb Histoplasma Antigen Urine (mvista)|119|63.07|89.25|95.2|101.15|107.1|101.15|96.15|85.68|80.54|0|119|17.18|17.98|12.49|97.4|16.33|15.89|17.53|14.58|89.25|92.94|13.65|14.84|13.65|27.97|27.97|14.97|13.28|12.5|27.97|14.84|14.58|14.84|0|0|0|9.17|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|119
HOSP OP|0306 - LAB/BACT-MICRO||87661|Hb Trichomonas Vaginalis Amp Rna|85.5|45.31|64.13|68.4|72.68|76.95|72.68|69.08|61.56|57.87|0|85.5|50.3|52.64|36.57|69.98|47.8|46.52|51.32|38.6|64.13|66.78|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|85.5
HOSP OP|0301 - LAB/CHEMISTRY||83789|Hb Bile Acids Fractionated And Total|229.2|121.48|171.9|183.36|194.82|206.28|194.82|185.19|165.02|155.12|0|229.2|31.1|32.55|22.62|187.6|29.56|28.76|31.74|26.52|171.9|179.01|24.83|27|24.83|51.95|51.95|24.21|24.16|23.21|51.95|27|26.52|27|0|0|0|16.61|24.11|24.11|24.83|24.11|43.4|24.11|24.83|0|229.2
HOSP OP|0306 - LAB/BACT-MICRO||87480|Hb Candida Species; Direct Probe|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|28.74|30.08|20.9|30.28|27.32|26.58|29.33|22.06|27.75|28.9|20.65|22.46|20.65|37|37|25.09|20.09|21.43|37|22.46|22.06|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|36.09|20.05|20.65|0|37
HOSP OP|0306 - LAB/BACT-MICRO||87660|Hb Trichomonas Vaginalis; Direct Probe|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|28.74|30.08|20.9|30.28|27.32|26.58|29.33|22.06|27.75|28.9|20.65|22.46|20.65|37|37|25.09|20.09|21.43|37|22.46|22.06|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|36.09|20.05|20.65|0|37
HOSP OP|0306 - LAB/BACT-MICRO||87510|Hb Garnerella Vaginalis; Direct Probe|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|28.74|30.08|20.9|30.28|27.32|26.58|29.33|22.06|27.75|28.9|20.65|22.46|20.65|37|37|25.09|20.09|21.43|37|22.46|22.06|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|36.09|20.05|20.65|0|37
HOSP OP|0761 - TREATMENT ROOM||64418|Hb Nerve Block Suprascapular|1339|709.67|1004.25|1071.2|1138.15|1205.1|1138.15|1081.91|964.08|906.24|0|1339|873.03|193.76|490.34|1095.97|828.84|807.42|188.92|1454.29|1004.25|1045.76|58.28|63.37|58.28|264.76|264.76|144.4|56.69|118.3|264.76|1480.47|1454.29|690.48|0|0|0|593.31|56.58|56.58|58.28|56.58|101.84|56.58|58.28|0|1480.47
HOSP OP|0761 - TREATMENT ROOM||64505|Hb Nerve Block Spenopalatine Gang|702|372.06|526.5|561.6|596.7|631.8|596.7|567.22|505.44|475.11|0|702|457.7|240.7|257.07|574.59|434.54|423.31|234.68|1454.29|526.5|548.26|97.53|106.05|97.53|321.71|321.71|132.08|94.88|143.74|321.71|1480.47|1454.29|690.48|0|0|0|311.06|94.69|94.69|97.53|94.69|170.44|94.69|97.53|0|1480.47
HOSP OP|0300 - LABORATORY||81229|Hb Chromosomal Microarray|1790.43|948.93|1342.82|1432.34|1521.87|1611.39|1521.87|1446.67|1289.11|1211.76|0|1790.43|1496.4|1566|1088.08|1465.47|1422.16|1383.88|1526.85|1276|1342.82|1398.33|1194.8|1299.2|1194.8|1790.43|1790.43|380.82|1162.32|1188.32|1790.43|1298.97|1276|1298.97|0|0|1299.29|799.49|1160|1160|1194.8|1160|1790.43|1160|1194.8|0|1790.43
HOSP OP|0300 - LABORATORY||81376|Hb Celiac Associated Hla-dq Typing|120.04|63.62|90.03|96.03|102.03|108.04|102.03|96.99|86.43|81.24|0|120.04|120.04|120.04|120.04|98.25|120.04|120.04|120.04|134.44|90.03|93.75|120.04|120.04|120.04|120.04|120.04|120.04|120.04|120.04|120.04|136.86|134.44|136.86|0|0|120.04|93.59|120.04|120.04|120.04|120.04|120.04|120.04|120.04|0|136.86
HOSP OP|0301 - LAB/CHEMISTRY||84080|Hb Bone Alkaline Phosphatase|59.07|31.31|44.3|47.26|50.21|53.16|50.21|47.73|42.53|39.98|0|59.07|21.19|22.18|15.41|48.35|20.14|19.6|21.63|16.26|44.3|46.13|15.22|16.55|15.22|34.97|34.97|18.49|14.81|15.62|34.97|16.55|16.26|16.55|0|0|0|11.32|14.78|14.78|15.22|14.78|26.6|14.78|15.22|0|59.07
HOSP OP|0271 - NONSTER SUPPLY|||Nim Trivantage Et Tube 8.0|983|520.99|0|786.4|0|884.7|0|794.26|707.76|665.29|0|983|640.92|0|359.97|804.59|608.48|592.75|0|0|0|767.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|435.57|0|0|0|0|0|0|0|0|983
HOSP OP|0450 - EMERGENCY ROOM||28665|Hb Treatment Dislocation Of Toe Closed W Anesth|354|187.62|265.5|283.2|300.9|318.6|300.9|286.03|254.88|239.59|0|354|0|298.47|0|289.75|0|0|291|2976.74|265.5|276.47|133.95|145.66|133.95|354|354|192.83|130.31|194.18|354|3030.32|2976.74|1413.32|0|0|0|0|130.05|130.05|133.95|130.05|234.09|130.05|133.95|0|3030.32
HOSP OP|0450 - EMERGENCY ROOM||26705|Hb Treatment Dislocation Of Knuckle Closed W Anesth|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|0|732|0|599.14|0|0|732|2976.74|549|571.69|393.37|427.74|393.37|732|732|502.33|382.67|516.48|732|3030.32|2976.74|1413.32|0|0|0|0|381.91|381.91|393.37|381.91|687.44|381.91|393.37|0|3030.32
HOSP OP|0300 - LABORATORY||81403|Hb Mbc Rbc Genotype Common Panel|556|294.68|417|444.8|472.6|500.4|472.6|449.25|400.32|376.3|0|556|238.91|250.02|173.72|455.09|227.06|220.94|243.77|203.72|417|434.24|190.76|207.42|190.76|424.62|424.62|139.12|185.57|189.72|424.62|207.39|203.72|207.39|0|0|207.44|127.64|185.2|185.2|190.76|185.2|333.36|185.2|190.76|0|556
HOSP OP|0300 - LABORATORY||81403|Hb Mbc Genotyping For Rhd|556|294.68|417|444.8|472.6|500.4|472.6|449.25|400.32|376.3|0|556|238.91|250.02|173.72|455.09|227.06|220.94|243.77|203.72|417|434.24|190.76|207.42|190.76|424.62|424.62|139.12|185.57|189.72|424.62|207.39|203.72|207.39|0|0|207.44|127.64|185.2|185.2|190.76|185.2|333.36|185.2|190.76|0|556
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33270|Hb Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd|81414|43149.42|61060.5|65131.2|69201.9|73272.6|69201.9|65782.51|58618.08|55101|0|81414|0|886.98|0|66637.36|0|0|864.8|51742.44|61060.5|63584.33|565.56|614.98|565.56|1517.63|1517.63|670.95|550.19|678.08|1517.63|52673.8|51742.44|24566.67|0|0|0|0|549.09|549.09|565.56|549.09|988.36|549.09|565.56|0|81414
HOSP OP|0278 - SUPPLY IMPLANTS||C1722|Hb Bsci Mri S-icd|92400|48972|69300|73920|78540|83160|0|74659.2|66528|62536.32|0|92400|60244.8|0|33836.88|75629.4|57195.6|55717.2|0|0|69300|72164.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|40942.44|0|0|36960|0|0|0|0|0|92400
HOSP OP|0278 - SUPPLY IMPLANTS||C1896|Hb Bsci S-icd Electrode|16800|8904|12600|13440|14280|15120|0|13574.4|12096|11370.24|0|16800|10953.6|0|6152.16|13750.8|10399.2|10130.4|0|0|12600|13120.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7444.08|0|0|6720|0|0|0|0|0|16800
HOSP OP|0918 - PSYCH - TESTING||96136|Hb Psyl/nrpsycl Tst Phys/qhp 2+ Tst 1st 30 Min|246|130.38|184.5|196.8|209.1|221.4|209.1|198.77|177.12|166.49|0|246|160.39|160.07|90.09|201.35|152.27|148.34|156.06|830.4|184.5|192.13|25.36|27.57|25.36|131.88|131.88|58.11|24.67|58.92|131.88|845.35|830.4|394.27|0|0|19.22|109|24.62|24.62|25.36|24.62|44.32|24.62|25.36|0|845.35
HOSP OP|0301 - LAB/CHEMISTRY||80348|Hb Buprenorphine Ms Wb/sp|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|23.14|0|16.87|28.65|21.98|21.39|0|23.35|26.25|27.34|35|0|35|35|35|35|14|18.3|35|23.77|23.35|23.77|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0300 - LABORATORY||81161|Hb Dmd/bmd Deletion/duplication|979.7|519.24|734.78|783.76|832.75|881.73|832.75|791.6|705.38|663.06|0|979.7|359.91|376.65|261.7|801.88|342.05|332.85|367.23|306.9|734.78|765.15|287.37|312.48|287.37|639.42|639.42|281.76|279.56|285.7|639.42|312.42|306.9|312.42|0|0|312.49|192.29|279|279|287.37|279|502.2|279|287.37|0|979.7
HOSP OP|0306 - LAB/BACT-MICRO||87798|Hb Jc Virus Pcr Csf|104.96|55.63|78.72|83.97|89.22|94.46|89.22|84.81|75.57|71.04|0|104.96|50.3|52.64|36.57|85.91|47.8|46.52|51.32|38.6|78.72|81.97|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|104.96
HOSP OP|0301 - LAB/CHEMISTRY||84585|Hb Vanillylmandelic Acid (vma) Random Urine|38.62|20.47|28.97|30.9|32.83|34.76|32.83|31.2|27.81|26.14|0|38.62|22.21|23.25|16.15|31.61|21.11|20.54|22.67|17.05|28.97|30.16|15.97|17.36|15.97|36.97|36.97|19.37|15.53|16.52|36.97|17.36|17.05|17.36|0|0|0|11.87|15.5|15.5|15.97|15.5|27.9|15.5|15.97|0|38.62
HOSP OP|0301 - LAB/CHEMISTRY||83150|Hb Homovanillic Acid (hva) Random Urine|46.61|24.7|34.96|37.29|39.62|41.95|39.62|37.66|33.56|31.55|0|46.61|28.91|30.25|21.02|38.15|27.47|26.74|29.49|24.65|34.96|36.4|23.08|25.1|23.08|46.61|46.61|24.21|22.45|21.43|46.61|25.09|24.65|25.09|0|0|0|15.44|22.41|22.41|23.08|22.41|40.34|22.41|23.08|0|46.61
HOSP OP|0305 - LAB/HEMATOLOGY||85046|Hb Reticulocyte Panel (retic Irf Retic-he)|39|20.67|29.25|31.2|33.15|35.1|33.15|31.51|28.08|26.4|0|39|7.99|8.36|5.81|31.92|7.59|7.38|8.15|6.13|29.25|30.46|5.74|6.24|5.74|12.99|12.99|7.04|5.58|5.8|12.99|6.24|6.13|6.24|0|0|0|4.26|5.57|5.57|5.74|5.57|10.03|5.57|5.74|0|39
HOSP OP|0301 - LAB/CHEMISTRY||80320|Hb Alcohols|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.21|0|0|0|0|0|0|0|0|0|0|0|16.5|16.21|16.5|0|0|0|0|0|0|0|0|0|0|0|0|16.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|Catheter Hemodialysis/peritoneal Short-term|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1773|Retrieval Device Insertable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1817|Septal Defect Implant System Intracardiac|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C2623|Catheter Transluminal Angioplasty Drug-coated Non-laser|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1714|Hb Catheter Transluminal Atherectomy Directional|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1884|Embolization Protective System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1885|Hb Catheter Transluminal Angioplasty Laser|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|VENA CAVA FILTER|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0361 - OR/MINOR||49999|Hb Perc Tpa Inj Abd Drainage Tube|2022|1071.66|1516.5|1617.6|1718.7|1819.8|1718.7|1633.78|1455.84|1368.49|0|2022|0|1132.32|0|1655.01|0|0|1104.01|6606.99|1516.5|1579.18|808.8|0|808.8|1605.47|1671.39|870.88|808.8|885.03|1671.39|6725.92|6606.99|3136.92|0|0|0|0|0|0|808.8|0|1011|0|808.8|0|6725.92
HOSP OP|0361 - OR/MINOR||21550|Hb Biopsy Soft Tissue Neck/chest|3653|1936.09|2739.75|2922.4|3105.05|3287.7|3105.05|2951.62|2630.16|2472.35|0|3653|0|643.87|0|2989.98|0|0|627.77|2737.42|2739.75|2852.99|160.39|174.41|160.39|731.34|731.34|322.71|156.03|326.76|731.34|2786.69|2737.42|1299.69|0|0|0|0|155.72|155.72|160.39|155.72|280.3|155.72|160.39|0|3653
HOSP OP|0306 - LAB/BACT-MICRO||87483|Hb Central Nervous System Pathogen|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|458.46|0|0|0|0|0|0|0|0|0|0|0|466.71|458.46|466.71|0|0|0|0|0|0|0|0|0|0|0|0|466.71
HOSP OP|0272 - STERILE SUPPLY||c1887|Hb Guiding Catheter|112|59.36|84|89.6|95.2|100.8|0|90.5|80.64|75.8|0|112|73.02|0|41.01|91.67|69.33|67.54|0|0|84|87.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|44.8|49.63|0|0|44.8|0|0|0|0|0|112
HOSP OP|0761 - TREATMENT ROOM||11104|Hb Punch Biopsy Skin Single Lesion|468.6|248.36|351.45|374.88|398.31|421.74|398.31|378.63|337.39|317.15|0|468.6|305.53|323.74|171.6|383.55|290.06|282.57|315.64|2737.42|351.45|365.98|50.1|54.48|50.1|347.69|347.69|153.21|48.74|155.35|347.69|2786.69|2737.42|1299.69|0|0|0|207.64|48.64|48.64|50.1|48.64|87.55|48.64|50.1|0|2786.69
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||J7298|Mirena 52 Mg|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|972.58|0|0|0|0|0|0|0|0|0|0|0|990.09|972.58|990.09|0|0|0|0|0|0|0|0|0|0|0|0|990.09
HOSP OP|0361 - OR/MINOR||64999|Hb Sphenopalatine Ganglion Block Given Via Nose|657|348.21|492.75|525.6|558.45|591.3|558.45|530.86|473.04|444.66|0|657|0|367.92|0|537.75|0|0|358.72|1454.29|492.75|513.12|262.8|0|262.8|521.66|543.08|282.97|262.8|287.57|543.08|1480.47|1454.29|690.48|0|0|0|0|0|0|262.8|0|328.5|0|262.8|0|1480.47
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Cocaine Screen/quant Serum|81.2|43.04|60.9|64.96|69.02|73.08|69.02|65.61|58.46|54.96|0|81.2|81.2|81.2|60.64|66.46|79.26|77.13|81.2|68.35|60.9|63.42|64|69.6|64|81.2|81.2|72.64|62.26|61.6|81.2|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|81.2|62.14|64|0|81.2
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Diazepam (valium)|68.06|36.07|51.05|54.45|57.85|61.25|57.85|54.99|49|46.06|0|68.06|31.49|0|22.9|55.71|29.93|29.12|0|33.75|51.05|53.15|68.06|0|68.06|54.04|56.26|68.06|27.22|29.79|56.26|34.36|33.75|34.36|0|0|0|66.7|68.06|68.06|68.06|68.06|68.06|68.06|68.06|0|68.06
HOSP OP|0302 - LAB/IMMUNOLOGY||86481|Hb Tb Test Enumeration Of Gamma Interferon|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110|0|0|0|0|0|0|0|0|0|0|0|111.98|110|111.98|0|0|0|0|0|0|0|0|0|0|0|0|111.98
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Mog Facs|549.2|291.08|411.9|439.36|466.82|494.28|466.82|443.75|395.42|371.7|0|549.2|37.49|18.08|27.26|449.52|35.63|34.67|17.63|56.65|411.9|428.93|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|549.2
HOSP OP|0301 - LAB/CHEMISTRY||80299|Hb Quantitation Of Therapeutic Drug Nes|162.04|85.88|121.53|129.63|137.73|145.84|137.73|130.93|116.67|109.67|0|162.04|24.05|25.16|17.48|132.63|22.85|22.24|24.53|20.5|121.53|126.55|19.2|20.88|19.2|39.96|39.96|18.93|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|162.04
HOSP OP|0761 - TREATMENT ROOM||10004|Hb Fine Needle Aspiration Bx W/o Img Gdn Ea Addl|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|39.12|0|21.97|49.11|37.14|36.18|0|1360.36|45|46.86|0|0|0|0|0|0|0|0|0|1384.85|1360.36|645.88|0|0|0|26.59|0|0|43.99|0|0|42.71|0|0|1384.85
HOSP OP|0300 - LABORATORY||84182|Hb Western Blot Interp And Report|46.74|24.77|35.06|37.39|39.73|42.07|39.73|37.77|33.65|31.63|0|46.74|37.49|39.43|27.26|38.26|35.63|34.67|38.44|56.65|35.06|36.5|30.09|32.72|30.09|46.74|46.74|29.5|29.27|27.68|46.74|57.67|56.65|26.9|0|0|0|20.02|29.21|29.21|30.09|29.21|46.74|29.21|30.09|0|57.67
HOSP OP|0300 - LABORATORY||0035U|Hb Creutzfeldt Jakob Neurology|549.06|291|411.8|439.25|466.7|494.15|466.7|443.64|395.32|371.6|0|549.06|362.93|307.47|264.65|449.41|344.81|335.48|299.79|595.09|411.8|428.82|549.06|549.06|549.06|549.06|549.06|236.48|542.07|516.48|549.06|605.8|595.09|605.8|0|0|0|262.07|540.99|540.99|549.06|540.99|549.06|540.99|549.06|0|605.8
HOSP OP|0300 - LABORATORY||81305|Hb Myd88 Gene Analysis|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|192.94|0|0|0|0|0|0|0|0|0|0|0|196.41|192.94|196.41|0|0|0|0|0|0|0|0|0|0|0|0|196.41
HOSP OP|0761 - TREATMENT ROOM||64488|Tap Block Bilateral By Injection(s)|247|130.91|185.25|197.6|209.95|222.3|0|199.58|177.84|167.17|0|247|161.04|0|90.45|202.17|152.89|148.94|0|1454.29|185.25|192.91|0|0|0|0|0|0|0|0|0|1480.47|1454.29|690.48|0|0|0|109.45|0|0|71.61|0|0|69.52|0|0|1480.47
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS|||Rev Code 343 (diag Radio Pharmaceuticals)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0024 - REHAB PPS||27086|Remove Pelv/hip F.b.subcutan*|3653|1936.09|2739.75|2922.4|3105.05|3287.7|3105.05|2951.62|2630.16|2472.35|0|3653|0|805.14|0|2989.98|0|0|785|4505.75|2739.75|2852.99|170.97|185.91|170.97|843.24|843.24|366.73|166.32|376.76|843.24|4586.85|4505.75|2139.27|0|0|0|0|165.99|165.99|170.97|165.99|298.78|165.99|170.97|0|4586.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|Hb Vascular Imaging Coil|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1892|Hb Introducer_sheath Guiding Fixed Curve Peel-away|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0310 - PATHOLOGY LAB||81268|Hb Chimerism Analysis W/ Cell Selection|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|286.87|0|0|0|0|0|0|0|0|0|0|0|292.03|286.87|292.03|0|0|0|0|0|0|0|0|0|0|0|0|292.03
HOSP OP|0450 - EMERGENCY ROOM||27087|Hb Remove Pelv/hip F.b.deep|6967|3692.51|5225.25|5573.6|5921.95|6270.3|5921.95|5629.34|5016.24|4715.27|0|6967|0|1066.3|0|5702.49|0|0|1039.63|5894.43|5225.25|5441.23|621.22|675.51|621.22|1666.5|1666.5|731.26|604.34|744.6|1666.5|6000.53|5894.43|2798.6|0|0|0|0|603.13|603.13|621.22|603.13|1085.63|603.13|621.22|0|6967
HOSP OP|0306 - LAB/BACT-MICRO||87324|Hb C. Difficile Toxin(s)|33.33|17.66|25|26.66|28.33|30|28.33|26.93|24|22.56|0|33.33|17.18|17.98|12.49|27.28|16.33|15.89|17.53|13.18|25|26.03|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|13.42|13.18|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|33.33
HOSP OP|0341 - NUC MED/DX||78800|Tumor Imaging Limited Areas|939|497.67|704.25|751.2|798.15|845.1|798.15|758.71|676.08|635.52|0|939|939|559.63|747.53|768.57|939|939|545.63|936.36|704.25|733.36|243.41|264.68|243.41|559.5|559.5|248.3|236.79|249.98|559.5|953.21|936.36|444.57|0|0|395.93|920.22|236.32|236.32|243.41|236.32|425.38|236.32|243.41|0|953.21
HOSP OP|0306 - LAB/BACT-MICRO||87483|Hb Meningitis Encephalitis Panel Pcr|499|264.47|374.25|399.2|424.15|449.1|424.15|403.19|359.28|337.72|0|499|499|499|434.38|408.43|499|499|499|458.46|374.25|389.72|429.28|466.79|429.28|499|499|499|417.61|442.38|499|466.71|458.46|466.71|0|0|0|319.16|416.78|416.78|429.28|416.78|499|416.78|429.28|0|499
HOSP OP|0306 - LAB/BACT-MICRO||87207|Hb Special Stain For Inclusion Bodies|22.16|11.74|16.62|17.73|18.84|19.94|18.84|17.91|15.96|15|0|22.16|22.16|8.99|22.16|18.14|22.16|22.16|8.77|30.33|16.62|17.31|6.17|6.71|6.17|22.16|22.16|22.16|6|22.16|22.16|30.88|30.33|14.4|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|30.88
HOSP OP|0302 - LAB/IMMUNOLOGY||86666|Hb Anaplasma Antibody|33.22|17.61|24.92|26.58|28.24|29.9|28.24|26.84|23.92|22.48|0|33.22|14.59|15.27|10.61|27.19|13.87|13.49|14.89|11.2|24.92|25.94|10.49|11.4|10.49|23.98|23.98|12.77|10.2|10.71|23.98|11.4|11.2|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|33.22
HOSP OP|0301 - LAB/CHEMISTRY||86317|Hb Immunoassay For Infectious Agent Ab|40.27|21.34|30.2|32.22|34.23|36.24|34.23|32.54|28.99|27.25|0|40.27|21.48|22.48|15.62|32.96|20.41|19.86|21.92|16.49|30.2|31.45|15.44|16.79|15.44|35.97|35.97|18.49|15.02|16.07|35.97|16.79|16.49|16.79|0|0|0|11.47|14.99|14.99|15.44|14.99|26.98|14.99|15.44|0|40.27
HOSP OP|0306 - LAB/BACT-MICRO||0099U|Hb Respiratory Pathogen Panel|524.2|277.83|393.15|419.36|445.57|471.78|445.57|423.55|377.42|354.78|0|524.2|346.5|293.55|252.66|429.06|329.2|320.29|286.21|46.77|393.15|409.4|0|0|0|416.21|433.3|225.77|0|229.44|433.3|47.61|46.77|22.21|0|0|209.68|250.2|0|0|0|0|0|0|0|0|524.2
HOSP OP|0306 - LAB/BACT-MICRO||87015|Hb Concentration For Infectious Agents Cyclospora|24.69|13.09|18.52|19.75|20.99|22.22|20.99|19.95|17.78|16.71|0|24.69|9.57|10.02|6.96|20.21|9.1|8.85|9.77|7.35|18.52|19.28|6.88|7.48|6.88|15.99|15.99|8.36|6.69|7.14|15.99|7.48|7.35|7.48|0|0|0|5.11|6.68|6.68|6.88|6.68|12.02|6.68|6.88|0|24.69
HOSP OP|0302 - LAB/IMMUNOLOGY||86666|Hb Ehrlichia Antibody Igg|33.21|17.6|24.91|26.57|28.23|29.89|28.23|26.83|23.91|22.48|0|33.21|14.59|15.27|10.61|27.18|13.87|13.49|14.89|11.2|24.91|25.94|10.49|11.4|10.49|23.98|23.98|12.77|10.2|10.71|23.98|11.4|11.2|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|33.21
HOSP OP|0401 - OTHER IMAG - MAMMAGRAM DIAG||G0279|Hb Diagnostic Digital Breast Tomosynthesis Unilateral Or Bilateral|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|41.73|64|23.44|52.38|39.62|38.59|64|215.02|48|49.98|26.34|28.64|26.34|64|64|64|25.62|64|64|218.89|215.02|102.09|0|0|20.08|28.36|25.57|25.57|26.34|25.57|46.03|25.57|26.34|0|218.89
HOSP OP|0403 - SCRN MAMMOGRAPHY||77063|Hb Chg Screening Digital Breast Tomosynthesis Bi|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|41.73|64|23.44|52.38|39.62|38.59|64|215.02|48|49.98|26.34|28.64|26.34|64|64|64|25.62|64|64|218.89|215.02|102.09|0|0|20.08|28.36|25.57|25.57|26.34|25.57|46.03|25.57|26.34|0|218.89
HOSP OP|0430 - OCCUPATIONAL THERAPY||97763|Hb Orthotics/prosth Mgmt &/trainj Sbsq Enctr 15 Mins|30|15.9|22.5|24|25.5|27|25.5|24.24|21.6|20.3|0|30|30|0|30|24.56|30|30|0|199.75|22.5|23.43|0|0|0|30|127.5|30|0|30|127.5|203.35|199.75|94.84|0|0|12|29.4|30|30|0|30|0|0|0|0|203.35
HOSP OP|0272 - STERILE SUPPLY||c1757|Hb Separator Penumbra|8344|4422.32|6258|6675.2|7092.4|7509.6|0|6741.95|6007.68|5647.22|0|8344|5440.29|0|3055.57|6829.56|5164.94|5031.43|0|0|6258|6516.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3337.6|3697.23|0|0|3337.6|0|0|0|0|0|8344
HOSP OP|0272 - STERILE SUPPLY||c1757|Hb Catheter Reperfusion Penumbra|6276|3326.28|4707|5020.8|5334.6|5648.4|0|5071.01|4518.72|4247.6|0|6276|4091.95|0|2298.27|5136.91|3884.84|3784.43|0|0|4707|4901.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2510.4|2780.9|0|0|2510.4|0|0|0|0|0|6276
HOSP OP|0272 - STERILE SUPPLY|||Hb Coil Ruby Penumbra|4079|2161.87|0|3263.2|0|3671.1|0|3295.83|2936.88|2760.67|0|4079|2659.51|0|1493.73|3338.66|2524.9|2459.64|0|0|0|3185.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1807.4|0|0|0|0|0|0|0|0|4079
HOSP OP|0272 - STERILE SUPPLY||c1757|Hb Catheter Reperfusion Indigo|6412|3398.36|4809|5129.6|5450.2|5770.8|0|5180.9|4616.64|4339.64|0|6412|4180.62|0|2348.07|5248.22|3969.03|3866.44|0|0|4809|5007.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2564.8|2841.16|0|0|2564.8|0|0|0|0|0|6412
HOSP OP|0272 - STERILE SUPPLY||c1757|Hb Separator Indigo|2226|1179.78|1669.5|1780.8|1892.1|2003.4|0|1798.61|1602.72|1506.56|0|2226|1451.35|0|815.16|1821.98|1377.89|1342.28|0|0|1669.5|1738.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|890.4|986.34|0|0|890.4|0|0|0|0|0|2226
HOSP OP|0306 - LAB/BACT-MICRO||87476|Hb Lyme Dna Pcr Blood|26.58|14.09|19.94|21.26|22.59|23.92|22.59|21.48|19.14|17.99|0|26.58|26.58|26.58|26.58|21.76|26.58|26.58|26.58|38.6|19.94|20.76|26.58|26.58|26.58|26.58|26.58|26.58|26.58|26.58|26.58|39.29|38.6|39.29|0|0|0|26.05|26.58|26.58|26.58|26.58|26.58|26.58|26.58|0|39.29
HOSP OP|0272 - STERILE SUPPLY||c1781|Hb Mesh Antibacterial Pouch Tyrx|2456|1301.68|1842|1964.8|2087.6|2210.4|0|1984.45|1768.32|1662.22|0|2456|1601.31|0|899.39|2010.24|1520.26|1480.97|0|0|1842|1918.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|982.4|1088.25|0|0|982.4|0|0|0|0|0|2456
HOSP OP|0460 - PULMONARY FUNCTION||294060.1|Hb Biogen Study Bronchospasm Evaluation|90|47.7|0|72|0|81|76.5|72.72|64.8|60.91|0|90|58.68|0|32.96|73.67|55.71|54.27|0|0|0|70.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.88|0|0|0|0|0|0|0|0|90
HOSP OP|0460 - PULMONARY FUNCTION||294729.1|Hb Biogen Study Diffusing Capacity|75|39.75|0|60|0|67.5|63.75|60.6|54|50.76|0|75|48.9|0|27.47|61.39|46.43|45.23|0|0|0|58.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33.23|0|0|0|0|0|0|0|0|75
HOSP OP|0761 - TREATMENT ROOM||20604|Hb Joint Injection Small With Ultrasound|594|314.82|445.5|475.2|504.9|534.6|504.9|479.95|427.68|402.02|0|594|387.29|484.12|217.52|486.19|367.69|358.18|472.01|813.32|445.5|463.91|289.28|314.56|289.28|486.57|496.5|207.75|281.41|210.63|496.5|827.96|813.32|386.15|0|0|277.19|263.2|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|827.96
HOSP OP|0761 - TREATMENT ROOM||20606|Hb Joint Injection Intermediate With Ultrasound|759|402.27|569.25|607.2|645.15|683.1|645.15|613.27|546.48|513.69|0|759|494.87|158.86|277.95|621.24|469.82|457.68|154.89|813.32|569.25|592.78|54.05|58.78|54.05|224.8|224.8|97.3|52.58|100.44|224.8|827.96|813.32|386.15|0|0|0|336.31|52.48|52.48|54.05|52.48|94.46|52.48|54.05|0|827.96
HOSP OP|0761 - TREATMENT ROOM||20611|Hb Joint Injection Major With Ultrasound|739|391.67|554.25|591.2|628.15|665.1|628.15|597.11|532.08|500.16|0|739|481.83|181.73|270.62|604.87|457.44|445.62|177.18|813.32|554.25|577.16|61.42|66.79|61.42|251.77|251.77|109.62|59.75|112.49|251.77|827.96|813.32|386.15|0|0|0|327.45|59.63|59.63|61.42|59.63|107.33|59.63|61.42|0|827.96
HOSP OP|0333 - RADIATION RX||77307|Hb Telethx Isodose Pln Cplx W/basic Dosimetry|530|280.9|397.5|424|450.5|477|450.5|428.24|381.6|358.7|0|530|345.56|469.37|194.09|433.81|328.07|319.59|457.63|2024.15|397.5|413.93|143.24|155.76|143.24|530|530|363.65|139.35|364.71|530|2060.58|2024.15|961.04|0|0|360.46|234.84|139.07|139.07|143.24|139.07|250.33|139.07|143.24|0|2060.58
HOSP OP|0333 - RADIATION RX||77386|Hb Intensity Modulated Radiation Tx Dlvr Complex|1593|844.29|1194.75|1274.4|1354.05|1433.7|1354.05|1287.14|1146.96|1078.14|0|1593|1038.64|892.08|583.36|1303.87|986.07|960.58|869.78|734.6|1194.75|1244.13|637.2|0|637.2|1593|1593|893.28|637.2|905.75|1593|747.82|734.6|747.82|0|0|582.28|705.86|0|0|637.2|0|796.5|0|637.2|0|1593
HOSP OP|0333 - RADIATION RX||77387|Hb Guidance For Loc Of Target Vol Rad Tx Dlvr|282|149.46|211.5|225.6|239.7|253.8|0|227.86|203.04|190.86|0|282|183.86|0|103.27|230.82|174.56|170.05|0|70.05|211.5|220.24|0|0|0|0|0|0|0|0|0|71.31|70.05|71.31|0|0|0|124.95|0|0|112.8|0|0|0|0|0|282
HOSP OP|0306 - LAB/BACT-MICRO||87040|Hb Culture Blood (mgh)|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|14.8|15.48|10.76|65.48|14.06|13.68|15.09|11.35|60|62.48|10.63|11.56|10.63|24.98|24.98|12.77|10.34|11.16|24.98|11.55|11.35|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|80
HOSP OP|0306 - LAB/BACT-MICRO||87040|Hb Culture Blood One Bottle (mgh)|81|42.93|60.75|64.8|68.85|72.9|68.85|65.45|58.32|54.82|0|81|14.8|15.48|10.76|66.3|14.06|13.68|15.09|11.35|60.75|63.26|10.63|11.56|10.63|24.98|24.98|12.77|10.34|11.16|24.98|11.55|11.35|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|81
HOSP OP|0306 - LAB/BACT-MICRO||87632|Hb Respiratory Virus Panel By Pcr|856.7|454.05|642.53|685.36|728.2|771.03|728.2|692.21|616.82|579.81|0|856.7|305.91|320.14|222.44|701.21|290.73|282.91|312.14|239.87|642.53|669.08|224.6|244.23|224.6|506.54|506.54|266.35|218.5|226.32|506.54|244.19|239.87|244.19|0|0|0|163.44|218.06|218.06|224.6|218.06|392.51|218.06|224.6|0|856.7
HOSP OP|0300 - LABORATORY||81273|HB KIT ASP816VAL MUTATION ANALYSIS BM|550.49|291.76|412.87|440.39|467.92|495.44|467.92|444.8|396.35|372.57|0|550.49|161.08|168.57|117.13|450.58|153.09|148.97|164.36|137.36|412.87|429.93|128.62|139.85|128.62|286.74|286.74|126.35|125.12|128.12|286.74|139.83|137.36|139.83|0|0|139.86|86.05|124.87|124.87|128.62|124.87|224.77|124.87|128.62|0|550.49
HOSP OP|0302 - LAB/IMMUNOLOGY||86780|Hb Syphilis Antibody Screen Serum|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|18.98|19.86|13.8|41.74|18.03|17.55|19.36|13.24|38.25|39.83|13.64|14.83|13.64|30.97|30.97|16.29|13.27|13.84|30.97|13.48|13.24|13.48|0|0|16.48|10.13|13.24|13.24|13.64|13.24|23.83|13.24|13.64|0|51
HOSP OP|0306 - LAB/BACT-MICRO||87798|BABESIA MICROTI BY RAPID PCR|115.66|61.3|86.75|92.53|98.31|104.09|98.31|93.45|83.28|78.28|0|115.66|50.3|52.64|36.57|94.67|47.8|46.52|51.32|38.6|86.75|90.33|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|115.66
HOSP OP|0306 - LAB/BACT-MICRO||87207|BLOOD PARASITES (TICK BORNE)|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|37.49|8.99|27.26|38.47|35.63|34.67|8.77|30.33|35.25|36.71|6.17|6.71|6.17|47|47|22.45|6|22.77|47|30.88|30.33|14.4|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|47
HOSP OP|0306 - LAB/BACT-MICRO||87207|MALARIA LOAD TEST|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|37.49|8.99|27.26|38.47|35.63|34.67|8.77|30.33|35.25|36.71|6.17|6.71|6.17|47|47|22.45|6|22.77|47|30.88|30.33|14.4|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|47
HOSP OP|0310 - PATHOLOGY LAB||88360|QUANT IMMUNOHISTOCHEMICAL STAIN|244|129.32|183|195.2|207.4|219.6|207.4|197.15|175.68|165.14|0|244|114.2|244|83.04|199.71|108.54|105.61|244|143.82|183|190.56|158.58|172.44|158.58|244|244|113.88|154.27|115.46|244|146.41|143.82|68.29|0|0|96.46|61.01|244|244|158.58|244|244|153.96|158.56|0|244
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|RESPIRATORY ALLERGEN PANEL|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|7.48|7.83|5.44|25.37|7.11|6.92|7.63|5.74|23.25|24.21|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|31
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|FOOD ALLERGEN PANEL|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|7.48|7.83|5.44|13.1|7.11|6.92|7.63|5.74|12|12.5|5.38|5.85|5.38|11.99|11.99|6.6|5.23|5.36|11.99|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|16
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C1876|Hb Bms Stent; Peripheral|2380|1261.4|1785|1904|2023|2142|0|1923.04|1713.6|1610.78|0|2380|0|0|0|1948.03|0|0|0|0|1785|1858.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|952|0|0|0|0|0|2380
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C1725|Hb Crostella Balloon; Non-coated|728|385.84|546|582.4|618.8|655.2|0|588.22|524.16|492.71|0|728|0|0|0|595.87|0|0|0|0|546|568.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|291.2|0|0|0|0|0|728
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C1894|Hb Sheath; Lender Destination|895|474.35|671.25|716|760.75|805.5|0|723.16|644.4|605.74|0|895|0|0|0|732.56|0|0|0|0|671.25|699|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|358|0|0|0|0|0|895
HOSP OP|0761 - TREATMENT ROOM||42999|Hb Unlisted Procedure Pharynx Adenoids Or Tonsils|3672.78|1946.57|2754.59|2938.22|3121.86|3305.5|3121.86|2967.61|2644.4|2485.74|0|3672.78|2394.65|2056.76|1344.97|3006.17|2273.45|2214.69|2005.34|3349.88|2754.59|2868.44|1469.11|0|1469.11|2916.19|3035.92|1581.87|1469.11|1607.58|3035.92|3410.18|3349.88|1590.48|0|0|0|1627.41|0|0|1469.11|0|1836.39|0|1469.11|0|3672.78
HOSP OP|0761 - TREATMENT ROOM||59001|Hb Amniocentesistherap Amniotic F*|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|258.75|265.88|594.27|449.42|437.81|252.28|992.81|544.54|567.05|173.56|188.72|173.56|467.58|467.58|207.36|168.84|208.92|467.58|1010.68|992.81|471.37|0|0|0|321.71|168.5|168.5|173.56|168.5|303.3|168.5|173.56|0|1010.68
HOSP OP|0761 - TREATMENT ROOM||59070|Hb Transabdom Amnioinfus W/ Us|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|726.05|265.88|594.27|449.42|437.81|726.05|992.81|544.54|567.05|300.79|327.07|300.79|726.05|726.05|477.68|292.61|478.99|726.05|1010.68|992.81|471.37|0|0|0|321.71|292.03|292.03|300.79|292.03|525.65|292.03|300.79|0|1010.68
HOSP OP|0761 - TREATMENT ROOM||59076|Hb Fetal Shunt Placement W/ Us|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|726.05|265.88|594.27|449.42|437.81|712.25|992.81|544.54|567.05|507.41|551.75|507.41|726.05|726.05|602.71|493.62|608.44|726.05|1010.68|992.81|471.37|0|0|0|321.71|492.63|492.63|507.41|492.63|726.05|492.63|507.41|0|1010.68
HOSP OP|0761 - TREATMENT ROOM||59072|Hb Umbilical Cord Occlud W/ Us|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|726.05|265.88|594.27|449.42|437.81|712.25|992.81|544.54|567.05|507.41|551.75|507.41|726.05|726.05|602.71|493.62|608.44|726.05|1010.68|992.81|471.37|0|0|0|321.71|492.63|492.63|507.41|492.63|726.05|492.63|507.41|0|1010.68
HOSP OP|0761 - TREATMENT ROOM||11443|Hb Exc Skin Benig 2.1-3cm Facef*|3681.25|1951.06|2760.94|2945|3129.06|3313.13|3129.06|2974.45|2650.5|2491.47|0|3681.25|2400.18|491.03|1348.07|3013.1|2278.69|2219.79|478.75|4505.75|2760.94|2875.06|182.27|198.2|182.27|621.44|621.44|272.52|177.31|277.66|621.44|4586.85|4505.75|2139.27|0|0|0|1631.16|176.96|176.96|182.27|176.96|318.53|176.96|182.27|0|4586.85
HOSP OP|0310 - PATHOLOGY LAB||81105|Hb Human Platelet Antigen 1 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.44|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.44|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81106|Hb Human Platelet Antigen 2 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.44|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.44|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81107|Hb Human Platelet Antigen 3 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.44|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.44|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81108|Hb Human Platelet Antigen 4 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.44|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.44|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81109|Hb Human Platelet Antigen 5 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.44|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.44|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81110|Hb Human Platelet Antigen 6 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.44|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.44|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81111|Hb Human Platelet Antigen 9 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.44|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.44|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81112|Hb Human Platelet Antigen 15 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.44|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.44|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0302 - LAB/IMMUNOLOGY||86668|Hb Francisella Tularensis|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.58|0|0|0|0|0|0|0|0|0|0|0|15.86|15.58|15.86|0|0|0|0|0|0|0|0|0|0|0|0|15.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1900|Hb Lead Lt Ventricular Coronary Venous Sys|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1777|Hb Lead Cardioverter-defib Endocardial Sngl Coil; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1895|Hb Lead Cardioverter-defib Endocardial Dual Coil; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1731|Hb Cath Electrophys Diag Other Than 3d Map; >20 Electrodes|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1721|Hb Cardioverter-defib; Dual Chamber; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1785|Hb Pacemaker Dual Chamber Rate-responsive; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1722|Hb Cardioverter-defibrillator Single Chamber; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1764|Hb Event Recorder Cardiac; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C2621|Hb Pacemaker Other Than Sgl Or Dual Chamber; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0430 - OCCUPATIONAL THERAPY||97112|Hb Ot Neuromuscular Reeducation|129|68.37|96.75|103.2|109.65|116.1|109.65|104.23|92.88|87.31|0|129|129|107.11|106.79|105.59|129|129|97.61|199.75|96.75|100.75|36.9|40.13|36.9|98.91|127.5|43.59|36.55|44.19|127.5|203.35|199.75|94.84|0|0|28.09|126.42|39.41|39.41|36.9|39.41|64.49|35.83|36.9|0|203.35
HOSP OP|0360 - OR SERVICES||20650|Hb Insert And Remove Bone Pin With Traction|7343|3891.79|5507.25|5874.4|6241.55|6608.7|6241.55|5933.14|5286.96|4969.74|0|7343|0|456.13|0|6010.25|0|0|444.72|5894.43|5507.25|5734.88|161.98|176.13|161.98|589.47|589.47|259.31|157.57|263.38|589.47|6000.53|5894.43|2798.6|0|0|0|0|157.26|157.26|161.98|157.26|283.07|157.26|161.98|0|7343
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33017|Hb Percut Pericardial Drainage 6yr+ Wo Congenital Anomaly|4760|2522.8|3570|3808|4046|4284|4046|3846.08|3427.2|3221.57|0|4760|0|0|0|3896.06|0|0|2598.96|7698.94|3570|3717.56|243.12|264.36|243.12|653.41|653.41|2050.13|236.51|291.95|653.41|7837.52|7698.94|3655.36|0|0|1904|0|236.04|236.04|243.12|236.04|424.87|236.04|243.12|0|7837.52
HOSP OP|0274 - PROSTH/ORTH DEV||L2755|Hb Carbon Graphite Lamination Per Segment Custom Fabricated Orthosis|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.81|0|0|134.83|146.61|134.83|0|0|0|0|0|0|119.93|117.81|119.93|0|0|0|0|0|0|134.83|0|0|0|134.83|0|146.61
HOSP OP|0300 - LABORATORY||81460|Hb Whole Mitochondrial Gen Seq|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1415.7|0|0|0|0|0|0|0|0|0|0|0|1441.18|1415.7|1441.18|0|0|0|0|0|0|0|0|0|0|0|0|1441.18
HOSP OP|0300 - LABORATORY||81465|Hb Whole Mitochondrial Gen Large Del|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1029.6|0|0|0|0|0|0|0|0|0|0|0|1048.13|1029.6|1048.13|0|0|0|0|0|0|0|0|0|0|0|0|1048.13
HOSP OP|0301 - LAB/CHEMISTRY||82136|Hb Amino Acids 2-5 Amino Acids Quant Ea|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.57|0|0|0|0|0|0|0|0|0|0|0|21.96|21.57|21.96|0|0|0|0|0|0|0|0|0|0|0|0|21.96
HOSP OP|0771 - VACCINE ADMIN||G0010|Hb Hepatitis B Vaccine Admin|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|37.16|25.52|20.87|46.65|35.28|34.37|24.88|10.86|42.75|44.52|22.8|0|22.8|37.23|37.23|33.46|22.8|33.93|37.23|11.06|10.86|11.06|0|0|14.36|25.26|0|0|22.8|0|28.5|0|22.8|0|57
HOSP OP|0361 - OR/MINOR||27599|Hb Patellar Button Implant Removal|578|306.34|433.5|462.4|491.3|520.2|491.3|467.02|416.16|391.19|0|578|0|323.68|0|473.09|0|0|315.59|5894.43|433.5|451.42|231.2|0|231.2|458.93|477.77|248.94|231.2|252.99|477.77|6000.53|5894.43|2798.6|0|0|0|0|0|0|231.2|0|289|0|231.2|0|6000.53
HOSP OP|0306 - LAB/BACT-MICRO||U0003|Hb Sars-cov-2 Rna Detection|206|109.18|154.5|164.8|175.1|185.4|175.1|166.45|148.32|139.42|0|206|100|115.36|100|168.61|100|100|112.48|100|154.5|160.89|103|112|103|101.81|101.81|88.72|100.2|101.81|101.81|101.8|100|101.8|0|0|82.4|100|100|100|103|100|180|100|103|0|206
HOSP OP|0361 - OR/MINOR||31652|Hb Bronchoscopy W Ebus 1 Or 2 Nodes|5247|2780.91|3935.25|4197.6|4459.95|4722.3|4459.95|4239.58|3777.84|3551.17|0|5247|0|2763.24|0|4294.67|0|0|2694.13|5603.85|3935.25|4097.91|228.52|248.48|228.52|2738.53|2738.53|1038.12|222.3|1223.58|2738.53|5704.72|5603.85|2660.64|0|0|0|0|221.86|221.86|228.52|221.86|399.35|221.86|228.52|0|5704.72
HOSP OP|0361 - OR/MINOR||31653|Hb Bronchoscopy W Ebus>2 Nodes|5247|2780.91|3935.25|4197.6|4459.95|4722.3|4459.95|4239.58|3777.84|3551.17|0|5247|0|2860.72|0|4294.67|0|0|2789.17|5603.85|3935.25|4097.91|253.41|275.55|253.41|2867.42|2867.42|1096.67|246.52|1281.17|2867.42|5704.72|5603.85|2660.64|0|0|0|0|246.03|246.03|253.41|246.03|442.85|246.03|253.41|0|5704.72
HOSP OP|0302 - LAB/IMMUNOLOGY||86480|Hb Quantiferon Tb-gold|87.2|46.22|65.4|69.76|74.12|78.48|74.12|70.46|62.78|59.02|0|87.2|87.2|87.2|64.6|71.37|84.43|82.16|87.2|68.18|65.4|68.1|63.84|69.42|63.84|87.2|87.2|77.48|62.1|65.62|87.2|69.41|68.18|69.41|0|0|0|47.47|61.98|61.98|63.84|61.98|87.2|61.98|63.84|0|87.2
HOSP OP|0320 - DX X-RAY||72081|Xr Spine Entire Thoracic & Lumbar 1 View|203|107.59|152.25|162.4|172.55|182.7|172.55|164.02|146.16|137.39|0|203|203|121.88|203|166.16|203|203|118.83|157.34|152.25|158.54|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|198.94|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|203
HOSP OP|0320 - DX X-RAY||72082|Xr Spine Entire Thoracic & Lumbar 2-3 View|301|159.53|225.75|240.8|255.85|270.9|255.85|243.21|216.72|203.72|0|301|301|220.09|301|246.37|301|301|214.59|157.34|225.75|235.08|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|294.98|240|213.64|123.86|230.29|216.45|120.25|123.85|0|301
HOSP OP|0320 - DX X-RAY||73501|Xr Hip Uni  W/pelv If Performed 1 View|178|94.34|133.5|142.4|151.3|160.2|151.3|143.82|128.16|120.47|0|178|178|121.88|178|145.69|178|178|118.83|157.34|133.5|139.02|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|174.44|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|178
HOSP OP|0320 - DX X-RAY||73502|Xr Hip Uni W/pelv If Performed 2-3 View|188|99.64|141|150.4|159.8|169.2|159.8|151.9|135.36|127.24|0|188|188|121.88|188|153.88|188|188|118.83|157.34|141|146.83|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|184.24|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|188
HOSP OP|0320 - DX X-RAY||73503|Xr Hip Uni W/pelv If Performed 4 View|273|144.69|204.75|218.4|232.05|245.7|232.05|220.58|196.56|184.77|0|273|273|133.59|273|223.45|273|273|130.25|157.34|204.75|213.21|44.15|48|44.15|149.87|149.87|63.84|42.95|66.96|149.87|160.17|157.34|74.7|0|0|126.02|267.54|42.86|42.86|44.15|42.86|77.15|42.86|44.15|0|273
HOSP OP|0320 - DX X-RAY||73521|Xr Hip Bilat W/pelv If Performed 2 View|282|149.46|211.5|225.6|239.7|253.8|239.7|227.86|203.04|190.86|0|282|282|91.47|282|230.82|282|282|89.18|157.34|211.5|220.24|29.85|32.46|29.85|106.9|106.9|46.23|29.04|47.76|106.9|160.17|157.34|74.7|0|0|126.02|276.36|28.98|28.98|29.85|28.98|52.16|28.98|29.85|0|282
HOSP OP|0320 - DX X-RAY||73522|Xr Hip Bilat W/pelv If Performed 3-4 View|305|161.65|228.75|244|259.25|274.5|259.25|246.44|219.6|206.42|0|305|305|220.09|305|249.64|305|305|214.59|157.34|228.75|238.21|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|298.9|240|213.64|123.86|230.29|216.45|120.25|123.85|0|305
HOSP OP|0320 - DX X-RAY||73551|Xr Femur; 1 View|203|107.59|152.25|162.4|172.55|182.7|172.55|164.02|146.16|137.39|0|203|203|67.4|203|166.16|203|203|65.71|157.34|152.25|158.54|21.58|23.46|21.58|78.93|78.93|34.34|20.99|35.27|78.93|160.17|157.34|74.7|0|0|69.78|198.94|20.95|20.95|21.58|20.95|37.71|20.95|21.58|0|203
HOSP OP|0320 - DX X-RAY||73552|Xr Femur; Min 2 Views|197|104.41|147.75|157.6|167.45|177.3|167.45|159.18|141.84|133.33|0|197|197|121.88|197|161.24|197|197|118.83|157.34|147.75|153.86|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|193.06|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|197
HOSP OP|0361 - OR/MINOR||47531|Ir Cholangiogram T Tube W/imaging & Rs&i|1113|589.89|834.75|890.4|946.05|1001.7|946.05|899.3|801.36|753.28|0|1113|0|1033.81|0|910.99|0|0|1007.95|477.99|834.75|869.25|73.48|79.9|73.48|989.11|989.11|396.23|71.48|441.94|989.11|486.59|477.99|226.94|0|0|0|0|71.34|71.34|73.48|71.34|128.41|71.34|73.48|0|1113
HOSP OP|0361 - OR/MINOR||47533|Ir Biliary Drain Ext W/imaging|6595|3495.35|4946.25|5276|5605.75|5935.5|5605.75|5328.76|4748.4|4463.5|0|6595|0|3593.65|0|5398.01|0|0|3503.77|6606.99|4946.25|5150.7|276.33|300.47|276.33|3521.83|3521.83|1541.77|268.82|1573.56|3521.83|6725.92|6606.99|3136.92|0|0|0|0|268.28|268.28|276.33|268.28|482.9|268.28|276.33|0|6725.92
HOSP OP|0361 - OR/MINOR||47534|Ir Biliary Drain Int/ext W/imaging|5615|2975.95|4211.25|4492|4772.75|5053.5|4772.75|4536.92|4042.8|3800.23|0|5615|0|4026.91|0|4595.88|0|0|3926.2|6606.99|4211.25|4385.32|386.18|419.92|386.18|4096.31|4096.31|1838.94|375.68|1830.24|4096.31|6725.92|6606.99|3136.92|0|0|0|0|374.93|374.93|386.18|374.93|674.87|374.93|386.18|0|6725.92
HOSP OP|0361 - OR/MINOR||47535|Ir Conv Ext Biliary Drain To Int/ext W/imaging|6446|3416.38|4834.5|5156.8|5479.1|5801.4|5479.1|5208.37|4641.12|4362.65|0|6446|0|2948.58|0|5276.05|0|0|2874.83|6606.99|4834.5|5034.33|203.63|221.42|203.63|2847.44|2847.44|1273.65|198.1|1272.24|2847.44|6725.92|6606.99|3136.92|0|0|0|0|197.7|197.7|203.63|197.7|355.86|197.7|203.63|0|6725.92
HOSP OP|0361 - OR/MINOR||47536|Ir Exchange Biliary Drain W/imaging|6266|3320.98|4699.5|5012.8|5326.1|5639.4|5326.1|5062.93|4511.52|4240.83|0|6266|0|2043.54|0|5128.72|0|0|1992.43|6606.99|4699.5|4893.75|137.44|149.45|137.44|1960.23|1960.23|863.78|133.71|875.84|1960.23|6725.92|6606.99|3136.92|0|0|0|0|133.44|133.44|137.44|133.44|240.19|133.44|137.44|0|6725.92
HOSP OP|0361 - OR/MINOR||47537|Ir Removal Of Biliary Drain W/imaging|1273|674.69|954.75|1018.4|1082.05|1145.7|1082.05|1028.58|916.56|861.57|0|1273|0|1163.78|0|1041.95|0|0|1134.68|940.26|954.75|994.21|100.24|109|100.24|1149.96|1149.96|458.3|97.51|513.81|1149.96|957.18|940.26|446.42|0|0|0|0|97.32|97.32|100.24|97.32|175.18|97.32|100.24|0|1273
HOSP OP|0361 - OR/MINOR||47538|Ir Biliary Stent Thru Existing Access|10296|5456.88|7722|8236.8|8751.6|9266.4|8751.6|8319.17|7413.12|6968.33|0|10296|0|10296|0|8427.28|0|0|10296|8241.49|7722|8041.18|246.1|267.6|246.1|10296|10296|5452.99|239.41|5482.24|10296|8389.84|8241.49|3912.96|0|0|0|0|238.93|238.93|246.1|238.93|430.07|238.93|246.1|0|10296
HOSP OP|0320 - DX X-RAY||47540|Ir Biliary Stent W/catheter; New Access|10296|5456.88|7722|8236.8|8751.6|9266.4|8751.6|8319.17|7413.12|6968.33|0|10296|694|10296|313.38|8427.28|660|642|10296|8241.49|7722|8041.18|458.26|498.3|458.26|10296|10296|6162.68|445.8|6173.27|10296|8389.84|8241.49|3912.96|0|0|0|583.1|444.91|444.91|458.26|444.91|800.84|444.91|458.26|0|10296
HOSP OP|0361 - OR/MINOR||50430|Ir Nephrostogram W/rs&i; New Access|1553|823.09|1164.75|1242.4|1320.05|1397.7|1320.05|1254.82|1118.16|1051.07|0|1553|0|1399.67|0|1271.13|0|0|1364.66|881.4|1164.75|1212.89|159.91|173.88|159.91|1446.7|1446.7|571.89|155.56|646.39|1446.7|897.27|881.4|418.48|0|0|0|0|155.25|155.25|159.91|155.25|279.45|155.25|159.91|0|1553
HOSP OP|0361 - OR/MINOR||50431|Ir Nephrostogram W/rs&i; Existing Access|1382|732.46|1036.5|1105.6|1174.7|1243.8|1174.7|1116.66|995.04|935.34|0|1382|0|593.33|0|1131.17|0|0|578.49|881.4|1036.5|1079.34|68.04|73.99|68.04|601.46|601.46|203.4|66.19|268.73|601.46|897.27|881.4|418.48|0|0|0|0|66.06|66.06|68.04|66.06|118.91|66.06|68.04|0|1382
HOSP OP|0361 - OR/MINOR||50432|Ir Perc Nephrostomy W/imaging|3968|2103.04|2976|3174.4|3372.8|3571.2|3372.8|3206.14|2856.96|2685.54|0|3968|0|2349.23|0|3247.81|0|0|2290.48|3177.99|2976|3099.01|213.9|232.59|213.9|2348.88|2348.88|965.48|208.09|1049.49|2348.88|3235.19|3177.99|1508.87|0|0|0|0|207.67|207.67|213.9|207.67|373.81|207.67|213.9|0|3968
HOSP OP|0320 - DX X-RAY||50433|Ir Perc Nephroureteral Cath W/img|3852|2041.56|2889|3081.6|3274.2|3466.8|3274.2|3112.42|2773.44|2607.03|0|3852|694|3153.17|313.38|3152.86|660|642|3074.31|3177.99|2889|3008.41|265.41|288.6|265.41|3122.19|3122.19|1321.2|258.2|1395|3122.19|3235.19|3177.99|1508.87|0|0|0|583.1|257.68|257.68|265.41|257.68|463.82|257.68|265.41|0|3852
HOSP OP|0361 - OR/MINOR||50434|Ir Convrt Nephro Cath To Nephroureteral|1864|987.92|1398|1491.2|1584.4|1677.6|1584.4|1506.11|1342.08|1261.56|0|1864|0|1864|0|1525.68|0|0|1864|3177.99|1398|1455.78|199.7|217.15|199.7|1864|1864|1035.92|194.27|1101.72|1864|3235.19|3177.99|1508.87|0|0|0|0|193.88|193.88|199.7|193.88|348.98|193.88|199.7|0|3235.19
HOSP OP|0361 - OR/MINOR||50435|Ir Exchange Nephrostomy Cath W/img|1966|1041.98|1474.5|1572.8|1671.1|1769.4|1671.1|1588.53|1415.52|1330.59|0|1966|0|1541.68|0|1609.17|0|0|1503.13|3177.99|1474.5|1535.45|103.88|112.95|103.88|1465.68|1465.68|592.14|101.05|654.87|1465.68|3235.19|3177.99|1508.87|0|0|0|0|100.85|100.85|103.88|100.85|181.53|100.85|103.88|0|3235.19
HOSP OP|0361 - OR/MINOR||50693|Ir Perc Ureteral Stent W/img Existing Access|5909|3131.77|4431.75|4727.2|5022.65|5318.1|5022.65|4774.47|4254.48|3999.21|0|5909|0|2982.27|0|4836.52|0|0|2907.69|6486.62|4431.75|4614.93|212.65|231.24|212.65|2876.41|2876.41|1238.43|206.87|1285.19|2876.41|6603.38|6486.62|3079.77|0|0|0|0|206.46|206.46|212.65|206.46|371.63|206.46|212.65|0|6603.38
HOSP OP|0361 - OR/MINOR||50694|Ir Perc Ureteral Stent W/o Cath New Access|6349|3364.97|4761.75|5079.2|5396.65|5714.1|5396.65|5129.99|4571.28|4297|0|6349|0|3183.26|0|5196.66|0|0|3103.64|6486.62|4761.75|4958.57|279.13|303.52|279.13|3167.15|3167.15|1356.86|271.54|1415.09|3167.15|6603.38|6486.62|3079.77|0|0|0|0|271|271|279.13|271|487.8|271|279.13|0|6603.38
HOSP OP|0361 - OR/MINOR||50695|Ir Perc Ureteral Stent W/ Cath New Access|6795|3601.35|5096.25|5436|5775.75|6115.5|5775.75|5490.36|4892.4|4598.86|0|6795|0|3840.37|0|5561.71|0|0|3744.32|6486.62|5096.25|5306.9|357.9|389.18|357.9|3863.52|3863.52|1665.04|348.17|1726.23|3863.52|6603.38|6486.62|3079.77|0|0|0|0|347.48|347.48|357.9|347.48|625.46|347.48|357.9|0|6795
HOSP OP|0361 - OR/MINOR||49185|Sclerotherapy Of Fluid Collection|2557|1355.21|1917.75|2045.6|2173.45|2301.3|2173.45|2066.06|1841.04|1730.58|0|2557|0|2557|0|2092.9|0|0|2557|1070.89|1917.75|1997.02|124.14|134.98|124.14|2557|2557|1191.33|120.76|1358.84|2557|1090.17|1070.89|508.45|0|0|0|0|120.52|120.52|124.14|120.52|216.94|120.52|124.14|0|2557
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||37252|Hb Ivus Primary Vessel W/ Rs&i|590|312.7|442.5|472|501.5|531|0|476.72|424.8|399.31|0|590|0|0|0|482.92|0|0|0|289.27|442.5|460.79|0|0|0|0|0|0|0|0|0|294.48|289.27|137.34|0|0|0|0|0|0|89.13|0|0|86.53|0|0|590
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||37253|Hb Ivus Each Add'l W/rs&i|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|0|0|0|49.11|0|0|0|289.27|45|46.86|0|0|0|0|0|0|0|0|0|294.48|289.27|137.34|0|0|0|0|0|0|71.43|0|0|60|0|0|294.48
HOSP OP|0361 - OR/MINOR||47542|Ir Biliary Dilation/ Sphincteroplasty|1374|728.22|1030.5|1099.2|1167.9|1236.6|0|1110.19|989.28|929.92|0|1374|0|0|0|1124.62|0|0|0|0|1030.5|1073.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|141.37|0|0|137.25|0|0|1374
HOSP OP|0361 - OR/MINOR||47543|Ir Perc Endoluminal Biliary Biopsy|608|322.24|456|486.4|516.8|547.2|0|491.26|437.76|411.49|0|608|0|0|0|497.65|0|0|0|0|456|474.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|150.46|0|0|146.08|0|0|608
HOSP OP|0361 - OR/MINOR||50706|Ir Perc Ureteral Dilation W/ Img|1699|900.47|1274.25|1359.2|1444.15|1529.1|0|1372.79|1223.28|1149.88|0|1699|0|0|0|1390.63|0|0|0|0|1274.25|1326.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|189.41|0|0|183.89|0|0|1699
HOSP OP|0361 - OR/MINOR||61645|Ir Intracranial Mech Thrombectomy|7355|3898.15|5516.25|5884|6251.75|6619.5|6251.75|5942.84|5295.6|4977.86|0|7355|0|0|0|6020.07|0|0|4015.83|12736.97|5516.25|5744.26|821.25|893.01|821.25|2205.01|2205.01|963.72|798.92|985.2|2205.01|12966.24|12736.97|6047.36|0|0|0|0|797.33|797.33|821.25|797.33|1435.19|797.33|821.25|0|12966.24
HOSP OP|0360 - OR SERVICES||61650|Ir Cerebral Prolonged Admin Nonthrombolytic|5367|2844.51|4025.25|4293.6|4561.95|4830.3|4561.95|4336.54|3864.24|3632.39|0|5367|0|0|0|4392.89|0|0|2930.38|0|4025.25|4191.63|553.55|601.92|553.55|1453.69|1453.69|625.6|538.5|649.51|1453.69|0|0|0|0|0|0|0|537.43|537.43|553.55|537.43|967.37|537.43|553.55|0|5367
HOSP OP|0361 - OR/MINOR||61651|Ir Cerebral Prolonged Admin Nonthrombolytic Add'l|537|284.61|402.75|429.6|456.45|483.3|456.45|433.9|386.64|363.44|0|537|0|0|0|439.53|0|0|293.2|0|402.75|419.4|237.04|257.76|237.04|537|537|265.03|230.6|280.79|537|0|0|0|0|0|0|0|230.14|230.14|237.04|230.14|414.25|230.14|237.04|0|537
HOSP OP|0342 - NUC MED/RX||79445|Nuclear Therapy Intra-arterial|1063|563.39|797.25|850.4|903.55|956.7|903.55|858.9|765.36|719.44|0|1063|1063|595.28|747.53|870.07|1063|1063|580.4|409.13|797.25|830.2|425.2|0|425.2|465.58|465.58|205.16|425.2|208.02|465.58|416.49|409.13|194.25|0|0|258.61|1041.74|0|0|425.2|0|531.5|0|425.2|0|1063
HOSP OP|0410 - RESPIRATORY THERAPY|||Hb Negative Pressure Ventilation Cnp|1246|660.38|934.5|996.8|1059.1|1121.4|0|1006.77|897.12|843.29|0|1246|812.39|0|456.29|1019.85|771.27|751.34|0|0|934.5|973.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|571.21|679.94|0|0|36.95|0|0|35.87|0|0|1246
HOSP OP|0410 - RESPIRATORY THERAPY||94669|Hb Mechanical Chest Wall Oscillation To Facilitate Lung Function|493|261.29|369.75|394.4|419.05|443.7|419.05|398.34|354.96|333.66|0|493|321.44|108.32|180.54|403.52|305.17|297.28|105.61|93.35|369.75|385.03|30.74|33.42|30.74|88.92|88.92|40.5|29.9|39.73|88.92|95.03|93.35|44.32|0|0|214.61|269.03|29.84|29.84|30.74|29.84|53.71|29.84|30.74|0|493
HOSP OP|0460 - PULMONARY FUNCTION||94680|Hb Exhaled Air Analysis: O2|371|196.63|278.25|296.8|315.35|333.9|315.35|299.77|267.12|251.09|0|371|241.89|145.62|135.86|303.66|229.65|223.71|141.98|269.98|278.25|289.75|43.01|46.77|43.01|155.86|155.86|72.64|41.84|69.64|155.86|274.84|269.98|128.18|0|0|152.27|164.39|41.76|41.76|43.01|41.76|75.17|41.76|43.01|0|371
HOSP OP|0460 - PULMONARY FUNCTION||94681|Hb Exhaled Air Analysis: O2 Co2|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|151.64|248.65|555.76|420.3|409.44|147.85|269.98|509.25|530.3|44.9|48.82|44.9|153.86|153.86|70.88|43.68|68.75|153.86|274.84|269.98|128.18|0|0|282.6|300.86|43.59|43.59|44.9|43.59|78.46|43.59|44.9|0|679
HOSP OP|0201 - ICU SURGICAL|||ICU SURGICAL|8705|4613.65|0|6964|0|7834.5|0|7033.64|6267.6|5891.54|0|8705|0|0|0|7125.04|0|0|0|0|0|6798.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8705
HOSP OP|0208 - ICU TRAUMA|||ICU TRAUMA|9952|5274.56|0|7961.6|0|8956.8|0|8041.22|7165.44|6735.51|0|9952|0|0|0|8145.71|0|0|0|0|0|7772.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9952
HOSP OP|0460 - PULMONARY FUNCTION||94727|Hb Determination Of Lung Volumes Using Gas Dilution Or Washout|371|196.63|278.25|296.8|315.35|333.9|315.35|299.77|267.12|251.09|0|371|241.89|105.91|135.86|303.66|229.65|223.71|103.26|269.98|278.25|289.75|32.86|35.73|32.86|121.89|121.89|54.59|31.96|54.46|121.89|274.84|269.98|128.18|0|0|152.27|164.39|31.9|31.9|32.86|31.9|57.42|31.9|32.86|0|371
HOSP OP|0460 - PULMONARY FUNCTION||94728|Hb Airway Reistance By Oscillometry|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|95.08|248.65|555.76|420.3|409.44|92.7|269.98|509.25|530.3|29.48|32.05|29.48|113.9|113.9|51.07|28.68|50.89|113.9|274.84|269.98|128.18|0|0|282.6|300.86|28.62|28.62|29.48|28.62|51.52|28.62|29.48|0|679
HOSP OP|0460 - PULMONARY FUNCTION||94750|Hb Pulmonary Compliance Study|371|196.63|278.25|296.8|315.35|333.9|315.35|299.77|267.12|251.09|0|371|241.89|251.53|135.86|303.66|229.65|223.71|245.24|269.98|278.25|289.75|81.39|88.5|81.39|239.78|239.78|103.02|79.18|107.14|239.78|274.84|269.98|128.18|0|0|152.27|164.39|79.02|79.02|81.39|79.02|142.24|79.02|81.39|0|371
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Valv Balloon For Tavr|2156|1142.68|1617|1724.8|1832.6|1940.4|0|1742.05|1552.32|1459.18|0|2156|1405.71|0|789.53|1764.69|1334.56|1300.07|0|0|1617|1683.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|955.32|0|0|862.4|0|0|0|0|0|2156
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33361|Hb Tavr; Perq Femoral Artry Approach|11435|6060.55|8576.25|9148|9719.75|10291.5|9719.75|9239.48|8233.2|7739.21|0|11435|0|0|0|9359.55|0|0|6243.51|0|8576.25|8930.74|1190.66|1294.7|1190.66|3580.77|3580.77|1578.75|1158.29|1599.9|3580.77|0|0|0|0|0|0|0|1155.98|1155.98|1190.66|1155.98|2080.76|1155.98|1190.66|0|11435
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33362|Hb Tavr; Open Femoral Artery Approach|9653|5116.09|7239.75|7722.4|8205.05|8687.7|8205.05|7799.62|6950.16|6533.15|0|9653|0|0|0|7900.98|0|0|5270.54|0|7239.75|7538.99|1295.81|1409.04|1295.81|3907.48|3907.48|1722.71|1260.59|1745.87|3907.48|0|0|0|0|0|0|0|1258.07|1258.07|1295.81|1258.07|2264.53|1258.07|1295.81|0|9653
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33363|Hb Tavr; Open Axillry Artry Approach|9653|5116.09|7239.75|7722.4|8205.05|8687.7|8205.05|7799.62|6950.16|6533.15|0|9653|0|0|0|7900.98|0|0|5270.54|0|7239.75|7538.99|1344.06|1461.5|1344.06|4044.36|4044.36|1784.79|1307.52|1807.03|4044.36|0|0|0|0|0|0|0|1304.91|1304.91|1344.06|1304.91|2348.84|1304.91|1344.06|0|9653
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33365|Hb Tavr; Open Transaortic Approach|14524|7697.72|10893|11619.2|12345.4|13071.6|12345.4|11735.39|10457.28|9829.84|0|14524|0|0|0|11887.89|0|0|7930.1|0|10893|11343.24|1422.73|1547.04|1422.73|4695.77|4695.77|2069.63|1384.05|2098.08|4695.77|0|0|0|0|0|0|0|1381.29|1381.29|1422.73|1381.29|2486.32|1381.29|1422.73|0|14524
HOSP OP|0681 - TRAUMA LEVEL I||G0390|Hb Trauma Adult Evaluation W Prenotification|2424|1284.72|1818|1939.2|2060.4|2181.6|2060.4|1958.59|1745.28|1640.56|0|2424|1580.45|1357.44|887.67|1984.04|1500.46|1461.67|1323.5|366.12|1818|1893.14|969.6|0|969.6|1924.66|2003.68|1044.02|969.6|1060.98|2003.68|372.71|366.12|372.71|0|0|1058.86|1074.07|0|0|969.6|0|1212|0|969.6|0|2424
HOSP OP|0682 - TRAUMA LEVEL II||G0390|Hb Trauma Peds Evaluation W Prenotification|2469|1308.57|1851.75|1975.2|2098.65|2222.1|2098.65|1994.95|1777.68|1671.02|0|2469|1609.79|1382.64|904.15|2020.88|1528.31|1488.81|1348.07|366.12|1851.75|1928.29|987.6|0|987.6|1960.39|2040.88|1063.4|987.6|1080.68|2040.88|372.71|366.12|372.71|0|0|1058.86|1094.01|0|0|987.6|0|1234.5|0|987.6|0|2469
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93355|Hb Echo Tee Guid Tcat Icar/vessel Structural Intvn|1715|908.95|1286.25|1372|1457.75|1543.5|0|1385.72|1234.8|1160.71|0|1715|0|0|0|1403.73|0|0|0|1122.41|1286.25|1339.42|0|0|0|0|0|0|0|0|0|1142.61|1122.41|532.91|0|0|0|0|0|0|237.66|0|0|230.74|0|0|1715
HOSP OP|0301 - LAB/CHEMISTRY||80353|Hb Cocaine Ms Wb/sp Reflex|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|31.49|0|22.9|28.65|29.93|29.12|0|25.85|26.25|27.34|35|0|35|27.79|28.93|35|14|15.32|28.93|26.32|25.85|26.32|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|Hb Mdt Transcath Ao Valve|84000|44520|63000|67200|71400|75600|0|67872|60480|56851.2|0|84000|54768|0|30760.8|68754|51996|50652|0|0|63000|65604|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|37220.4|0|0|33600|0|0|0|0|0|84000
HOSP OP|0272 - STERILE SUPPLY|||Hb Mdt Tavr Del Syst|7308|3873.24|0|5846.4|0|6577.2|0|5904.86|5261.76|4946.05|0|7308|4764.82|0|2676.19|5981.6|4523.65|4406.72|0|0|0|5707.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3238.17|0|0|0|0|0|0|0|0|7308
HOSP OP|0272 - STERILE SUPPLY|||Hb Mdt Tavr Loading Syst|1106|586.18|0|884.8|0|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|0|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|0|0|0|0|0|0|1106
HOSP OP|0306 - LAB/BACT-MICRO||87635|Hb Sars-cov-2 By Rapid Pcr|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|70.07|102|51.09|86.76|66.57|64.77|102|51.31|79.5|82.79|52.85|57.47|52.85|51.31|51.31|45.65|51.41|51.31|51.31|52.23|51.31|52.23|0|0|42.4|50.59|51.31|51.31|52.85|51.31|92.36|51.31|52.85|0|106
HOSP OP|0761 - TREATMENT ROOM||11045|Hb Debridement Subcutaneous Tissue Ea Add'l 20 Sq Cm|80|42.4|60|64|68|72|0|64.64|57.6|54.14|0|80|52.16|0|29.3|65.48|49.52|48.24|0|3419.45|60|62.48|0|0|0|0|0|0|0|0|0|3481|3419.45|1623.51|0|0|0|35.45|0|0|26.55|0|0|25.78|0|0|3481
HOSP OP|0361 - OR/MINOR||37220|ILIAC REVAS UNI INTL W PTA|12004|6362.12|9003|9603.2|10203.4|10803.6|10203.4|9699.23|8642.88|8124.31|0|12004|0|9129.75|0|9825.27|0|0|8901.41|10912.4|9003|9375.12|393.72|428.12|393.72|8342.49|8342.49|3807.32|383.01|3727.44|8342.49|11108.82|10912.4|5181.07|0|0|0|0|382.25|382.25|393.72|382.25|688.05|382.25|393.72|0|12004
HOSP OP|0361 - OR/MINOR||37221|ILIAC REVAS UNI INTL STENT|29404|15584.12|22053|23523.2|24993.4|26463.6|24993.4|23758.43|21170.88|19900.63|0|29404|0|13132.59|0|24067.17|0|0|12804.14|19530.8|22053|22964.52|486.34|528.83|486.34|11861.32|11861.32|5662.55|473.11|5299.66|11861.32|19882.35|19530.8|9272.98|0|0|0|0|472.17|472.17|486.34|472.17|849.91|472.17|486.34|0|29404
HOSP OP|0361 - OR/MINOR||37222|ILIAC REVAS EA ADDL W PTA|9919|5257.07|7439.25|7935.2|8431.15|8927.1|0|8014.55|7141.68|6713.18|0|9919|0|0|0|8118.7|0|0|0|19530.8|7439.25|7746.74|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|0|0|0|182.51|0|0|177.19|0|0|19882.35
HOSP OP|0361 - OR/MINOR||37223|ILIAC REVAS EA ADDL W STENT|9919|5257.07|7439.25|7935.2|8431.15|8927.1|0|8014.55|7141.68|6713.18|0|9919|0|0|0|8118.7|0|0|0|10912.4|7439.25|7746.74|0|0|0|0|0|0|0|0|0|11108.82|10912.4|5181.07|0|0|0|0|0|0|208.8|0|0|202.72|0|0|11108.82
HOSP OP|0361 - OR/MINOR||37224|FEM/POP REVAS W PTA|19266|10210.98|14449.5|15412.8|16376.1|17339.4|16376.1|15566.93|13871.52|13039.23|0|19266|0|11063.78|0|15769.22|0|0|10787.07|10912.4|14449.5|15046.75|437.97|476.24|437.97|10040.96|10040.96|4630.59|426.06|4486.32|10040.96|11108.82|10912.4|5181.07|0|0|0|0|425.21|425.21|437.97|425.21|765.38|425.21|437.97|0|19266
HOSP OP|0361 - OR/MINOR||37225|FEM/POPL REVAS W/ATHER|33950|17993.5|25462.5|27160|28857.5|30555|28857.5|27431.6|24444|22977.36|0|33950|0|33950|0|27788.08|0|0|33950|10912.4|25462.5|26514.95|593.71|645.59|593.71|33950|33950|13683.53|577.57|15504.36|33950|11108.82|10912.4|5181.07|0|0|0|0|576.42|576.42|593.71|576.42|1037.56|576.42|593.71|0|33950
HOSP OP|0361 - OR/MINOR||37226|FEM/POP REVAS W STENT|29142|15445.26|21856.5|23313.6|24770.7|26227.8|24770.7|23546.74|20982.24|19723.31|0|29142|0|29142|0|23852.73|0|0|29142|19530.8|21856.5|22759.9|511.41|556.09|511.41|29142|29142|11183.33|497.5|13447.8|29142|19882.35|19530.8|9272.98|0|0|0|0|496.51|496.51|511.41|496.51|893.72|496.51|511.41|0|29142
HOSP OP|0361 - OR/MINOR||37227|FEM/POPL REVASC STNT & ATH*|38148|20218.44|28611|30518.4|32425.8|34333.2|32425.8|30823.58|27466.56|25818.57|0|38148|0|38148|0|31224.14|0|0|38148|19530.8|28611|29793.59|713.38|775.71|713.38|38148|38148|18528.53|693.99|19983.54|38148|19882.35|19530.8|9272.98|0|0|0|0|692.6|692.6|713.38|692.6|1246.68|692.6|713.38|0|38148
HOSP OP|0361 - OR/MINOR||37228|TIB/PERONEAL INTL W PTA|18322|9710.66|13741.5|14657.6|15573.7|16489.8|15573.7|14804.18|13191.84|12400.33|0|18322|0|16270.12|0|14996.56|0|0|15863.19|10912.4|13741.5|14309.48|533.93|580.59|533.93|14582.86|14582.86|6637.27|519.42|6515.65|14582.86|11108.82|10912.4|5181.07|0|0|0|0|518.38|518.38|533.93|518.38|933.08|518.38|533.93|0|18322
HOSP OP|0361 - OR/MINOR||37229|TIB/PER REVASC W/ATHER|29295|15526.35|21971.25|23436|24900.75|26365.5|24900.75|23670.36|21092.4|19826.86|0|29295|0|29295|0|23977.96|0|0|29295|10912.4|21971.25|22879.4|693.99|754.63|693.99|29295|29295|13481.46|675.13|15501.24|29295|11108.82|10912.4|5181.07|0|0|0|0|673.78|673.78|693.99|673.78|1212.8|673.78|693.99|0|29295
HOSP OP|0361 - OR/MINOR||37230|TIB/PERONEAL INTL W STENT|29433|15599.49|22074.75|23546.4|25018.05|26489.7|25018.05|23781.86|21191.76|19920.25|0|29433|0|29433|0|24090.91|0|0|29433|19530.8|22074.75|22987.17|688.37|748.52|688.37|29433|29433|10283.01|669.66|13182.64|29433|19882.35|19530.8|9272.98|0|0|0|0|668.32|668.32|688.37|668.32|1202.98|668.32|688.37|0|29433
HOSP OP|0272 - STERILE SUPPLY|||Hb Disposable Bronchoscope - Ascope 3.0/2.2|896|474.88|0|716.8|0|806.4|0|723.97|645.12|606.41|0|896|584.19|0|328.12|733.38|554.62|540.29|0|0|0|699.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|397.02|0|0|0|0|0|0|0|0|896
HOSP OP|0361 - OR/MINOR||37231|Hb Tib/per Revasc Stent & Ath*|37400|19822|28050|29920|31790|33660|31790|30219.2|26928|25312.32|0|37400|0|37400|0|30611.9|0|0|37400|19530.8|28050|29209.4|748.51|813.92|748.51|37400|37400|16726.13|728.16|18975.12|37400|19882.35|19530.8|9272.98|0|0|0|0|726.71|726.71|748.51|726.71|1308.08|726.71|748.51|0|37400
HOSP OP|0361 - OR/MINOR||37232|TIB/PERONEAL EA ADDL PTA|9919|5257.07|7439.25|7935.2|8431.15|8927.1|0|8014.55|7141.68|6713.18|0|9919|0|0|0|8118.7|0|0|0|19530.8|7439.25|7746.74|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|0|0|0|198.3|0|0|192.52|0|0|19882.35
HOSP OP|0361 - OR/MINOR||37233|TIB/PER REVASC W/ATHER ADD*|21700|11501|16275|17360|18445|19530|0|17533.6|15624|14686.56|0|21700|0|0|0|17761.45|0|0|0|19530.8|16275|16947.7|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|0|0|0|321.82|0|0|312.45|0|0|21700
HOSP OP|0361 - OR/MINOR||37234|REVSC OPN/PRQ TIB/PERO STE*|7669|4064.57|5751.75|6135.2|6518.65|6902.1|0|6196.55|5521.68|5190.38|0|7669|0|0|0|6277.08|0|0|0|19530.8|5751.75|5989.49|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|0|0|0|281.05|0|0|272.86|0|0|19882.35
HOSP OP|0361 - OR/MINOR||37235|Hb Tib/per Revasc Stnt & Ather|4078|2161.34|3058.5|3262.4|3466.3|3670.2|0|3295.02|2936.16|2759.99|0|4078|0|0|0|3337.84|0|0|0|19530.8|3058.5|3184.92|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|0|0|0|397.46|0|0|385.88|0|0|19882.35
HOSP OP|0361 - OR/MINOR||49418|INSRT TUN INTRAPERITON CATH|5723|3033.19|4292.25|4578.4|4864.55|5150.7|4864.55|4624.18|4120.56|3873.33|0|5723|0|3870.46|0|4684.28|0|0|3773.65|1602.08|4292.25|4469.66|209.93|228.28|209.93|3618.74|3618.74|1709.95|204.23|1616.86|3618.74|1630.92|1602.08|760.65|0|0|0|0|203.82|203.82|209.93|203.82|366.88|203.82|209.93|0|5723
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93451|Right heart cath|6341|3360.73|4755.75|5072.8|5389.85|5706.9|5389.85|5123.53|4565.52|4291.59|0|6341|0|2208.42|0|5190.11|0|0|2153.19|5515.37|4755.75|4952.32|756.91|823.04|756.91|2202.02|2202.02|905.16|736.33|983.87|2202.02|5614.65|5515.37|2618.63|0|0|3147.86|0|734.86|734.86|756.91|734.86|1322.75|734.86|756.91|0|6341
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93452|Left hrt cath w/ventrclgrphy|7492|3970.76|5619|5993.6|6368.2|6742.8|6368.2|6053.54|5394.24|5070.59|0|7492|0|2128.99|0|6132.2|0|0|2075.74|5515.37|5619|5851.25|715.79|778.33|715.79|2422.82|2422.82|1020.07|696.33|1082.52|2422.82|5614.65|5515.37|2618.63|0|0|3147.86|0|694.94|694.94|715.79|694.94|1250.89|694.94|715.79|0|7492
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93454|Coronary artery angio s&i|6990|3704.7|5242.5|5592|5941.5|6291|5941.5|5647.92|5032.8|4730.83|0|6990|0|2147.04|0|5721.32|0|0|2093.35|5515.37|5242.5|5459.19|715.04|777.52|715.04|2444.8|2444.8|1033.72|695.6|1092.34|2444.8|5614.65|5515.37|2618.63|0|0|3147.86|0|694.21|694.21|715.04|694.21|1249.58|694.21|715.04|0|6990
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93455|Coronary art/grft angio s&i|7004|3712.12|5253|5603.2|5953.4|6303.6|5953.4|5659.23|5042.88|4740.31|0|7004|0|2463.56|0|5732.77|0|0|2401.95|5515.37|5253|5470.12|805.32|875.68|805.32|2815.46|2815.46|1210.26|783.42|1257.96|2815.46|5614.65|5515.37|2618.63|0|0|3147.86|0|781.86|781.86|805.32|781.86|1407.35|781.86|805.32|0|7004
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93456|R hrt coronary artery angio|9175|4862.75|6881.25|7340|7798.75|8257.5|7798.75|7413.4|6606|6209.64|0|9175|0|2691.03|0|7509.74|0|0|2623.72|5515.37|6881.25|7165.68|895.98|974.27|895.98|3094.21|3094.21|1307.99|871.62|1382.5|3094.21|5614.65|5515.37|2618.63|0|0|3147.86|0|869.88|869.88|895.98|869.88|1565.78|869.88|895.98|0|9175
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93457|R hrt art/grft angio|9689|5135.17|7266.75|7751.2|8235.65|8720.1|8235.65|7828.71|6976.08|6557.52|0|9689|0|3001.53|0|7930.45|0|0|2926.46|5515.37|7266.75|7567.11|985.13|1071.21|985.13|3457.89|3457.89|1481.01|958.35|1544.99|3457.89|5614.65|5515.37|2618.63|0|0|3147.86|0|956.44|956.44|985.13|956.44|1721.59|956.44|985.13|0|9689
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93458|L hrt artery/ventricle angio|8916|4725.48|6687|7132.8|7578.6|8024.4|7578.6|7204.13|6419.52|6034.35|0|8916|0|2509.3|0|7297.75|0|0|2446.54|5515.37|6687|6963.4|820.75|892.46|820.75|2898.39|2898.39|1245.04|798.43|1295.01|2898.39|5614.65|5515.37|2618.63|0|0|3147.86|0|796.84|796.84|820.75|796.84|1434.31|796.84|820.75|0|8916
HOSP OP|0360 - OR SERVICES||49999|Hb Abdomen Surgery Procedure Unlisted|2108|1117.24|1581|1686.4|1791.8|1897.2|1791.8|1703.26|1517.76|1426.69|0|2108|0|1180.48|0|1725.4|0|0|1150.97|6606.99|1581|1646.35|843.2|0|843.2|1673.75|1742.47|907.92|843.2|922.67|1742.47|6725.92|6606.99|3136.92|0|0|0|0|0|0|843.2|0|1054|0|843.2|0|6725.92
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93459|L hrt art/grft angio|9752|5168.56|7314|7801.6|8289.2|8776.8|8289.2|7879.62|7021.44|6600.15|0|9752|0|2721.11|0|7982.01|0|0|2653.06|5515.37|7314|7616.31|879.05|955.86|879.05|3180.14|3180.14|1378.44|855.16|1420.89|3180.14|5614.65|5515.37|2618.63|0|0|3147.86|0|853.45|853.45|879.05|853.45|1536.21|853.45|879.05|0|9752
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93460|R&l hrt art/ventricle angio|9529|5050.37|7146.75|7623.2|8099.65|8576.1|8099.65|7699.43|6860.88|6449.23|0|9529|0|2942.56|0|7799.49|0|0|2868.96|5515.37|7146.75|7442.15|968.58|1053.21|968.58|3473.87|3473.87|1484.1|942.25|1552.13|3473.87|5614.65|5515.37|2618.63|0|0|3147.86|0|940.37|940.37|968.58|940.37|1692.67|940.37|968.58|0|9529
HOSP OP|0320 - DX X-RAY||76496|Rs & I|895|474.35|671.25|716|760.75|805.5|760.75|723.16|644.4|605.74|0|895|694|501.2|313.38|732.56|660|642|488.67|157.34|671.25|699|358|0|358|434.61|434.61|385.48|358|194.18|434.61|160.17|157.34|74.7|0|0|69.78|583.1|0|0|358|0|447.5|0|358|0|895
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93461|R&l hrt art/ventricle angio|9333|4946.49|6999.75|7466.4|7933.05|8399.7|7933.05|7541.06|6719.76|6316.57|0|9333|0|3363.78|0|7639.06|0|0|3279.65|5515.37|6999.75|7289.07|1089.72|1184.94|1089.72|3934.46|3934.46|1701.14|1060.1|1757.92|3934.46|5614.65|5515.37|2618.63|0|0|3147.86|0|1057.98|1057.98|1089.72|1057.98|1904.36|1057.98|1089.72|0|9333
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93462|L hrt cath trnsptl puncture|5792|3069.76|4344|4633.6|4923.2|5212.8|0|4679.94|4170.24|3920.03|0|5792|0|0|0|4740.75|0|0|0|5515.37|4344|4523.55|0|0|0|0|0|0|0|0|0|5614.65|5515.37|2618.63|0|0|0|0|0|0|208.09|0|0|202.03|0|0|5792
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93464|Exercise w/hemodynamic meas|300|159|225|240|255|270|0|242.4|216|203.04|0|300|0|0|0|245.55|0|0|0|0|225|234.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|163.4|0|0|158.64|0|0|300
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93654|ABLATION VT CRYO|40960|21708.8|30720|32768|34816|36864|34816|33095.68|29491.2|27721.73|0|40960|0|3923.41|0|33525.76|0|0|3825.28|13161.24|30720|31989.76|1108.27|1205.11|1108.27|2974.32|2974.32|1311.96|1078.14|1328.93|2974.32|13398.14|13161.24|6248.79|0|0|21520.84|0|1075.99|1075.99|1108.27|1075.99|1936.78|1075.99|1108.27|0|40960
HOSP OP|0272 - STERILE SUPPLY||C1876|Hb Pv Stent Woven|4340|2300.2|3255|3472|3689|3906|0|3506.72|3124.8|2937.31|0|4340|2829.68|0|1589.31|3552.29|2686.46|2617.02|0|0|3255|3389.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1923.05|0|0|1736|0|0|0|0|0|4340
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93567|Inject suprvlv aortography|418|221.54|313.5|334.4|355.3|376.2|0|337.74|300.96|282.9|0|418|0|0|0|342.13|0|0|0|0|313.5|326.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.77|0|0|50.26|0|0|418
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||97810|Hb Acupunct W/o Elec Stimul|127|67.31|95.25|101.6|107.95|114.3|107.95|102.62|91.44|85.95|0|127|82.8|111.93|46.51|103.95|78.61|76.58|109.13|107.77|95.25|99.19|50.8|0|50.8|99.91|99.91|44.03|50.8|44.64|99.91|109.71|107.77|51.17|0|0|0|56.27|0|0|50.8|0|63.5|0|50.8|0|127
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||97813|Hb Acupunct With Elec Stimul|133|70.49|99.75|106.4|113.05|119.7|113.05|107.46|95.76|90.01|0|133|86.72|122.76|48.7|108.86|82.33|80.2|119.69|107.77|99.75|103.87|53.2|0|53.2|109.9|109.9|47.11|53.2|49.1|109.9|109.71|107.77|51.17|0|0|0|58.93|0|0|53.2|0|66.5|0|53.2|0|133
HOSP OP|0352 - CT SCAN/BODY||74176|CT ABD/PELVIS W/O CONTRAST|1028|544.84|771|822.4|873.8|925.2|873.8|830.62|740.16|695.75|0|1028|1028|451.03|605.81|841.42|1028|1028|439.74|955.91|771|802.87|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|973.12|955.91|453.85|0|0|258.25|730.1|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1028
HOSP OP|0352 - CT SCAN/BODY||74177|CT ABD/PELVIS W CONTRAST|1358|719.74|1018.5|1086.4|1154.3|1222.2|1154.3|1097.26|977.76|919.09|0|1358|1158|754.87|605.81|1111.52|1101|1072|735.99|955.91|1018.5|1060.6|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|973.12|955.91|453.85|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1358
HOSP OP|0352 - CT SCAN/BODY||74178|CT ABD/PELVIS W&W/O|1305|691.65|978.75|1044|1109.25|1174.5|1109.25|1054.44|939.6|883.22|0|1305|1158|754.87|605.81|1068.14|1101|1072|735.99|955.91|978.75|1019.21|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|973.12|955.91|453.85|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1305
HOSP OP|0402 - ULTRASOUND||76882|Us extr non-vasc lmtd|487|258.11|365.25|389.6|413.95|438.3|413.95|393.5|350.64|329.6|0|487|317.52|220.09|178.34|398.61|301.45|293.66|214.59|289.27|365.25|380.35|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|215.79|240|213.64|123.86|230.29|216.45|120.25|123.85|0|487
HOSP OP|0310 - PATHOLOGY LAB||87635|Hb Covid-19 (hcmc)|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|70.07|102|51.09|86.76|66.57|64.77|102|51.31|79.5|82.79|52.85|57.47|52.85|51.31|51.31|45.65|51.41|51.31|51.31|52.23|51.31|52.23|0|0|42.4|50.59|51.31|51.31|52.85|51.31|92.36|51.31|52.85|0|106
HOSP OP|0761 - TREATMENT ROOM||27299|Hb Gluteal Muscle Cryoablation|578|306.34|433.5|462.4|491.3|520.2|491.3|467.02|416.16|391.19|0|578|376.86|323.68|211.66|473.09|357.78|348.53|315.59|5894.43|433.5|451.42|231.2|0|231.2|458.93|477.77|248.94|231.2|252.99|477.77|6000.53|5894.43|2798.6|0|0|0|256.11|0|0|231.2|0|289|0|231.2|0|6000.53
HOSP OP|0331 - CHEMOTHERAPY/INJ||96420|Hb Chemotherapy Intra Arterial Push Technique|830|439.9|622.5|664|705.5|747|705.5|670.64|597.6|561.74|0|830|541.16|355.03|303.95|679.36|513.77|500.49|346.15|0|622.5|648.23|107.95|117.39|107.95|320.54|320.54|131.2|105.02|130.8|320.54|0|0|0|0|0|323|367.77|104.81|104.81|107.95|104.81|188.66|104.81|107.95|0|830
HOSP OP|0300 - LABORATORY||C9803|Hb Outpatient Specimen Collection For Coronavirus 2 (sars-cov-2) Coronavirus Disease Covid-19|58|30.74|43.5|46.4|49.3|52.2|49.3|46.86|41.76|39.25|0|58|23|32.48|23|47.47|23|23|31.67|22.98|43.5|45.3|23.67|25.74|23.67|23.4|23.4|24.98|23.03|23.4|23.4|23.39|22.98|23.39|0|0|23.2|23|22.98|22.98|23.67|22.98|41.36|22.98|23.67|0|58
HOSP OP|0306 - LAB/BACT-MICRO||U0003|Hb Sars-cov-2 By Rapid Pcr (high Throughput)|206|109.18|154.5|164.8|175.1|185.4|175.1|166.45|148.32|139.42|0|206|100|115.36|100|168.61|100|100|112.48|100|154.5|160.89|103|112|103|101.81|101.81|88.72|100.2|101.81|101.81|101.8|100|101.8|0|0|82.4|100|100|100|103|100|180|100|103|0|206
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen 11 Meconium|157.9|83.69|118.43|126.32|134.22|142.11|134.22|127.58|113.69|106.87|0|157.9|83.4|87.28|60.64|129.24|79.26|77.13|85.1|68.35|118.43|123.32|64|69.6|64|137.88|137.88|72.64|62.26|61.6|137.88|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|157.9
HOSP OP|0301 - LAB/CHEMISTRY||84182|Hb Agna-1 Immunoblot|105|55.65|78.75|84|89.25|94.5|89.25|84.84|75.6|71.06|0|105|37.49|39.43|27.26|85.94|35.63|34.67|38.44|56.65|78.75|82.01|30.09|32.72|30.09|61.94|61.94|29.5|29.27|27.68|61.94|57.67|56.65|26.9|0|0|0|20.02|29.21|29.21|30.09|29.21|52.58|29.21|30.09|0|105
HOSP OP|0302 - LAB/IMMUNOLOGY||86769|Hb Sars-cov-2 Total Antibody|87|46.11|65.25|69.6|73.95|78.3|73.95|70.3|62.64|58.88|0|87|57.51|48.72|41.93|71.21|54.64|53.16|47.5|41.32|65.25|67.95|43.39|47.19|43.39|69.08|71.91|37.47|42.21|38.08|71.91|42.06|41.32|19.62|0|0|34.8|41.53|42.13|42.13|43.39|42.13|75.83|42.13|43.39|0|87
HOSP OP|0360 - OR SERVICES||24999|Elbow Fracture Dislocation Reduction|3636|1927.08|2727|2908.8|3090.6|3272.4|3090.6|2937.89|2617.92|2460.84|0|3636|0|2036.16|0|2976.07|0|0|1985.26|1358.67|2727|2839.72|1454.4|0|1454.4|2886.98|3005.52|1566.03|1454.4|1591.48|3005.52|1383.13|1358.67|645.08|0|0|0|0|0|0|1454.4|0|1818|0|1454.4|0|3636
HOSP OP|0761 - TREATMENT ROOM||20560|Hb Needle Insertion W/o Injection 1 Or 2 Muscles|62|32.86|46.5|49.6|52.7|55.8|52.7|50.1|44.64|41.96|0|62|40.42|50.55|22.7|50.75|38.38|37.39|49.28|107.77|46.5|48.42|24.8|0|24.8|62|62|26.7|24.8|32.14|62|109.71|107.77|51.17|0|0|24.8|27.47|0|0|24.8|0|31|0|24.8|0|109.71
HOSP OP|0761 - TREATMENT ROOM||20561|Hb Needle Insertion W/o Injection 3 Or More Muscles|62|32.86|46.5|49.6|52.7|55.8|52.7|50.1|44.64|41.96|0|62|40.42|62|22.7|50.75|38.38|37.39|62|107.77|46.5|48.42|24.8|0|24.8|62|62|26.7|24.8|48.21|62|109.71|107.77|51.17|0|0|24.8|27.47|0|0|24.8|0|31|0|24.8|0|109.71
HOSP OP|0278 - SUPPLY IMPLANTS||C1734|Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0361 - OR/MINOR||31600|Hb Tracheostomy Planned|7026|3723.78|5269.5|5620.8|5972.1|6323.4|5972.1|5677.01|5058.72|4755.2|0|7026|0|403.17|0|5750.78|0|0|393.09|4512.5|5269.5|5487.31|307.35|334.21|307.35|827.25|827.25|380.82|299|369.62|827.25|4593.72|4512.5|2142.48|0|0|0|0|298.4|298.4|307.35|298.4|537.12|298.4|307.35|0|7026
HOSP OP|0320 - DX X-RAY||33016|Hb Pericardiocentesis W/img Guidance When Performed|4375|2318.75|3281.25|3500|3718.75|3937.5|3718.75|3535|3150|2961|0|4375|694|294.86|313.38|3580.94|660|642|287.48|7698.94|3281.25|3416.88|233.33|253.71|233.33|627.43|627.43|1884.31|226.98|280.34|627.43|7837.52|7698.94|3655.36|0|0|1750|583.1|226.53|226.53|233.33|226.53|407.75|226.53|233.33|0|7837.52
HOSP OP|0301 - LAB/CHEMISTRY||83883|Hb Multiple Sclerosis Profile|92.13|48.83|69.1|73.7|78.31|82.92|78.31|74.44|66.33|62.35|0|92.13|19.49|20.4|14.17|75.41|18.52|18.03|19.89|14.96|69.1|71.95|14.01|15.23|14.01|31.97|31.97|17.17|13.63|14.28|31.97|15.23|14.96|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|24.48|13.6|14.01|0|92.13
HOSP OP|0275 - PACEMAKER||C1722|Mmt Leadless Ppm-av|31500|16695|23625|25200|26775|28350|0|25452|22680|21319.2|0|31500|20538|0|11535.3|25782.75|19498.5|18994.5|0|0|23625|24601.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13957.65|0|0|12600|0|0|0|0|0|31500
HOSP OP|0762 - OBSERVATION ROOM||G0378|Hb Pcc Endo|147|77.91|110.25|117.6|124.95|132.3|0|118.78|105.84|99.49|0|132.3|94.23|0|49.57|120.32|89.52|87.17|0|57.9|110.25|114.81|0|0|0|0|0|0|0|0|0|58.94|57.9|58.94|0|0|0|59.81|0|0|58.8|0|0|0|0|0|132.3
HOSP OP|0301 - LAB/CHEMISTRY||80352|Hb Synthetic Cannabinoids 7 Or More|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.35|0|0|0|0|0|0|0|0|0|0|0|23.77|23.35|23.77|0|0|0|0|0|0|0|0|0|0|0|0|23.77
HOSP OP|0310 - PATHOLOGY LAB||81301|Hb Microsatellite Instability Tumor|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|383.42|0|0|0|0|0|0|0|0|0|0|0|390.32|383.42|390.32|0|0|0|0|0|0|0|0|0|0|0|0|390.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86711|HB STRATIFY JCV ANTIBODY|59.21|31.38|44.41|47.37|50.33|53.29|50.33|47.84|42.63|40.07|0|59.21|21.79|22.8|15.84|48.46|20.71|20.15|22.23|18.58|44.41|46.24|17.4|18.92|17.4|35.97|35.97|18.05|16.92|16.07|35.97|18.91|18.58|18.91|0|0|0|11.63|16.89|16.89|17.4|16.89|30.4|16.89|17.4|0|59.21
HOSP OP|0450 - EMERGENCY ROOM||32100|Hb Thoracotomy With Exploration|4760|2522.8|3570|3808|4046|4284|4046|3846.08|3427.2|3221.57|0|4760|0|0|0|3896.06|0|0|2598.96|0|3570|3717.56|798.28|868.03|798.28|2141.07|2141.07|943.9|776.58|956.64|2141.07|0|0|0|0|0|0|0|775.03|775.03|798.28|775.03|1395.05|775.03|798.28|0|4760
HOSP OP|0361 - OR/MINOR||11422|Hb Exc Skin Benign 1.1-2cm Remainder Body|3682|1951.46|2761.5|2945.6|3129.7|3313.8|3129.7|2975.06|2651.04|2491.98|0|3682|0|406.78|0|3013.72|0|0|396.61|2737.42|2761.5|2875.64|139.61|151.8|139.61|492.56|492.56|215.72|135.81|220.08|492.56|2786.69|2737.42|1299.69|0|0|0|0|135.54|135.54|139.61|135.54|243.97|135.54|139.61|0|3682
HOSP OP|0361 - OR/MINOR||41599|TONGUE CAUTERIZATION FOR BLEEDING CONTROL|546|289.38|409.5|436.8|464.1|491.4|464.1|441.17|393.12|369.53|0|546|0|305.76|0|446.9|0|0|298.12|770.69|409.5|426.43|218.4|0|218.4|433.52|451.32|235.16|218.4|238.98|451.32|784.56|770.69|784.56|0|0|0|0|0|0|218.4|0|273|0|218.4|0|784.56
HOSP OP|0306 - LAB/BACT-MICRO||87539|HIV-2 RNA QUANTITATION|348.7|184.81|261.53|278.96|296.4|313.83|296.4|281.75|251.06|236|0|348.7|75.62|79.14|54.99|285.41|71.87|69.93|77.16|64.48|261.53|272.33|60.38|65.65|60.38|124.89|124.89|59.43|58.74|55.8|124.89|65.64|64.48|65.64|0|0|0|40.4|58.62|58.62|60.38|58.62|105.52|58.62|60.38|0|348.7
HOSP OP|0302 - LAB/IMMUNOLOGY||86355|B CELLS; TOTAL COUNT|83.65|44.33|62.74|66.92|71.1|75.29|71.1|67.59|60.23|56.61|0|83.65|54.08|56.59|39.32|68.47|51.39|50.01|55.18|41.5|62.74|65.33|38.86|42.26|38.86|83.65|83.65|47.11|37.81|40.18|83.65|42.25|41.5|42.25|0|0|0|28.89|37.73|37.73|38.86|37.73|67.91|37.73|38.86|0|83.65
HOSP OP|0302 - LAB/IMMUNOLOGY||86357|Hb Natural Killer (nk) Cells Total Count|83.65|44.33|62.74|66.92|71.1|75.29|71.1|67.59|60.23|56.61|0|83.65|54.08|56.59|39.32|68.47|51.39|50.01|55.18|41.5|62.74|65.33|38.86|42.26|38.86|83.65|83.65|47.11|37.81|40.18|83.65|42.25|41.5|42.25|0|0|0|28.89|37.73|37.73|38.86|37.73|67.91|37.73|38.86|0|83.65
HOSP OP|0302 - LAB/IMMUNOLOGY||86359|T CELLS; TOTAL COUNT|83.65|44.33|62.74|66.92|71.1|75.29|71.1|67.59|60.23|56.61|0|83.65|54.08|56.59|39.32|68.47|51.39|50.01|55.18|41.5|62.74|65.33|38.86|42.26|38.86|83.65|83.65|47.11|37.81|40.18|83.65|42.25|41.5|42.25|0|0|0|28.89|37.73|37.73|38.86|37.73|67.91|37.73|38.86|0|83.65
HOSP OP|0302 - LAB/IMMUNOLOGY||86360|T CELLS; ABSOLUTE CD4 AND CD8 COUNT|102.75|54.46|77.06|82.2|87.34|92.48|87.34|83.02|73.98|69.54|0|102.75|67.34|70.47|48.96|84.1|64|62.27|68.71|51.68|77.06|80.25|48.39|52.62|48.39|102.75|102.75|58.55|47.07|50|102.75|52.61|51.68|52.61|0|0|0|35.98|46.98|46.98|48.39|46.98|84.56|46.98|48.39|0|102.75
HOSP OP|0275 - PACEMAKER||C1722|Hb Cardio-defibrillator Generator Only; Single Chamber (implantable)|55440|29383.2|41580|44352|47124|49896|0|44795.52|39916.8|37521.79|0|55440|36146.88|0|20302.13|45377.64|34317.36|33430.32|0|0|41580|43298.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24565.46|0|0|22176|0|0|0|0|0|55440
HOSP OP|0761 - TREATMENT ROOM||32998|RF ABLATE PULM TUMOR(S) UNI|9125|4836.25|6843.75|7300|7756.25|8212.5|7756.25|7373|6570|6175.8|0|9125|5949.5|9125|3341.58|7468.81|5648.38|5502.38|9125|12736.97|6843.75|7126.63|457.12|497.07|457.12|9125|9125|4552.23|444.7|4513.55|9125|12966.24|12736.97|6047.36|0|0|0|4043.29|443.81|443.81|457.12|443.81|798.86|443.81|457.12|0|12966.24
HOSP OP|0301 - LAB/CHEMISTRY||84112|Hb Amnisure; Eval Of Cervicovaginal Fluid Nmr Only|214|113.42|160.5|171.2|181.9|192.6|181.9|172.91|154.08|144.84|0|214|126.56|132.45|92.03|175.16|120.28|117.05|129.14|107.92|160.5|167.13|101.05|109.88|101.05|209.81|209.81|99.06|98.31|93.74|209.81|109.86|107.92|109.86|0|0|0|67.61|98.11|98.11|101.05|98.11|176.6|98.11|101.05|0|214
HOSP OP|0306 - LAB/BACT-MICRO||87900|HIV GENOTYPE / PHENOTYPE|180|95.4|135|144|153|162|153|145.44|129.6|121.82|0|180|180|180|135.85|147.33|177.56|172.78|180|143.39|135|140.58|134.26|145.99|134.26|180|180|162.45|130.61|138.38|180|145.97|143.39|145.97|0|0|0|99.82|130.35|130.35|134.26|130.35|180|130.35|134.26|0|180
HOSP OP|0305 - LAB/HEMATOLOGY||85397|VON WILLEBRAND FACTOR ACTIVITY|102.16|54.14|76.62|81.73|86.84|91.94|86.84|82.55|73.56|69.14|0|102.16|39.81|41.66|28.95|83.62|37.83|36.82|40.62|33.95|76.62|79.79|31.79|34.56|31.79|65.94|65.94|31.26|30.92|29.46|65.94|34.56|33.95|34.56|0|0|0|21.26|30.86|30.86|31.79|30.86|55.55|30.86|31.79|0|102.16
HOSP OP|0361 - OR/MINOR||36410|Hb Venipunc Need Phys Skill 3 Yo Or >|22|11.66|16.5|17.6|18.7|19.8|0|17.78|15.84|14.89|0|22|0|0|0|18.01|0|0|0|23.84|16.5|17.18|0|0|0|0|0|0|0|0|0|24.27|23.84|11.32|0|0|0|0|0|0|9.59|0|0|9.31|0|0|24.27
HOSP OP|0352 - CT SCAN/BODY||75573|Hb Ct Heart W/3d Image Congenital|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|489|489|489|400.25|489|489|489|881.4|366.75|381.91|218.96|238.09|218.96|489|489|485.16|213.01|453.54|489|897.27|881.4|418.48|0|0|225.96|479.22|212.58|212.58|218.96|212.58|382.64|212.58|218.96|0|897.27
HOSP OP|0302 - LAB/IMMUNOLOGY||86593|Hb Syphilis Titer Csf|16.6|8.8|12.45|13.28|14.11|14.94|14.11|13.41|11.95|11.23|0|16.6|6.31|6.6|4.59|13.59|6|5.83|6.44|4.84|12.45|12.96|4.53|4.93|4.53|9.99|9.99|5.28|4.41|4.46|9.99|4.93|4.84|4.93|0|0|5.47|3.37|4.4|4.4|4.53|4.4|7.92|4.4|4.53|0|16.6
HOSP OP|0720 - LABOR ROOM/DELIVERY|||Hb Vaginal Delivery Multiple|6685|3543.05|0|5348|0|6016.5|0|5401.48|4813.2|4524.41|0|6685|4358.62|0|2448.05|5471.67|4138.02|4031.06|0|0|0|5220.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2962.12|0|0|0|0|0|0|0|0|6685
HOSP OP|0360 - OR SERVICES|||Hb C-section Delivery Multiple|14968|7933.04|0|11974.4|0|13471.2|0|12094.14|10776.96|10130.34|0|14968|0|0|0|12251.31|0|0|0|0|0|11690.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14968
HOSP OP|0310 - PATHOLOGY LAB||88313|Hb Masson's Trichrome Stain|104.41|55.34|78.31|83.53|88.75|93.97|88.75|84.36|75.18|70.66|0|104.41|104.41|62.84|82.75|85.46|104.41|104.41|61.27|99.19|78.31|81.54|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|100.98|99.19|47.1|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|104.41
HOSP OP|0310 - PATHOLOGY LAB||88313|Hb Jones' Methenamine Silver Stain|104.41|55.34|78.31|83.53|88.75|93.97|88.75|84.36|75.18|70.66|0|104.41|104.41|62.84|82.75|85.46|104.41|104.41|61.27|99.19|78.31|81.54|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|100.98|99.19|47.1|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|104.41
HOSP OP|0310 - PATHOLOGY LAB||88346|Hb If Initial Single Antibody|115|60.95|86.25|92|97.75|103.5|97.75|92.92|82.8|77.83|0|115|112.11|115|81.52|94.13|106.55|103.68|115|99.19|86.25|89.82|94.55|102.82|94.55|115|115|115|91.98|115|115|100.98|99.19|47.1|0|0|83.8|59.9|91.8|91.8|94.55|91.8|115|91.8|94.55|0|115
HOSP OP|0310 - PATHOLOGY LAB||88350|Hb If Study Each Add'l Antibody Stain|115|60.95|86.25|92|97.75|103.5|0|92.92|82.8|77.83|0|115|95.88|0|69.71|94.13|91.12|88.67|0|99.19|86.25|89.82|0|0|0|0|0|0|0|0|0|100.98|99.19|47.1|0|0|0|51.22|0|0|66.34|0|0|64.41|0|0|115
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33218|Hb Pr Rpr 1 Transvns Eltrd Prm Pm/pacing Inplntble Dfb|6755|3580.15|5066.25|5404|5741.75|6079.5|5741.75|5458.04|4863.6|4571.78|0|6755|0|653.5|0|5528.97|0|0|637.16|7156.83|5066.25|5275.66|387.81|421.69|387.81|1043.06|1043.06|460.51|377.26|466.04|1043.06|7285.65|7156.83|3397.97|0|0|0|0|376.51|376.51|387.81|376.51|677.72|376.51|387.81|0|7285.65
HOSP OP|0450 - EMERGENCY ROOM||37195|Hb Thrombolytic Therapy Stroke|785|416.05|588.75|628|667.25|706.5|667.25|634.28|565.2|531.29|0|785|0|439.6|0|642.52|0|0|428.61|665.83|588.75|613.09|314|0|314|320.54|320.54|479|314|486.58|320.54|677.81|665.83|677.81|0|0|0|0|0|0|314|0|392.5|0|314|0|785
HOSP OP|0450 - EMERGENCY ROOM||51798|Hb Meas Post-void Res Usnon-ima*|180|95.4|135|144|153|162|153|145.44|129.6|121.82|0|180|0|43.33|0|147.33|0|0|42.24|343.97|135|140.58|10.67|11.6|10.67|34.97|34.97|19.37|10.38|15.62|34.97|350.16|343.97|163.31|0|0|0|0|10.36|10.36|10.67|10.36|18.65|10.36|10.67|0|350.16
HOSP OP|0360 - OR SERVICES|||Hb Vaginal & C-section Delivery Multiple|11377|6029.81|0|9101.6|0|10239.3|0|9192.62|8191.44|7699.95|0|11377|0|0|0|9312.07|0|0|0|0|0|8885.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11377
HOSP OP|0278 - SUPPLY IMPLANTS|||Hb Left Atr App Closure Device|47600|25228|35700|38080|40460|42840|0|38460.8|34272|32215.68|0|47600|31035.2|0|17431.12|38960.6|29464.4|28702.8|0|0|35700|37175.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21091.56|0|0|19040|0|0|0|0|0|47600
HOSP OP|0278 - SUPPLY IMPLANTS|||Hb Left Atr App Closure Device Delivery System|2800|1484|2100|2240|2380|2520|0|2262.4|2016|1895.04|0|2800|1825.6|0|1025.36|2291.8|1733.2|1688.4|0|0|2100|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240.68|0|0|1120|0|0|0|0|0|2800
HOSP OP|0278 - SUPPLY IMPLANTS||C1817|Hb Pfo Closure Device|27986|14832.58|20989.5|22388.8|23788.1|25187.4|0|22612.69|20149.92|18940.92|0|27986|18246.87|0|10248.47|22906.54|17323.33|16875.56|0|0|20989.5|21857.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12400.6|0|0|11194.4|0|0|0|0|0|27986
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33992|Hb Remove Perc Vad Sep From Insertion|1806|957.18|1354.5|1444.8|1535.1|1625.4|1535.1|1459.25|1300.32|1222.3|0|1806|0|0|0|1478.21|0|0|986.08|0|1354.5|1410.49|195.79|212.9|195.79|526.53|526.53|232.89|190.47|235.25|526.53|0|0|0|0|0|0|0|190.09|190.09|195.79|190.09|342.16|190.09|195.79|0|1806
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33993|Hb Repos Perc Vad W/imag Guidance|1806|957.18|1354.5|1444.8|1535.1|1625.4|1535.1|1459.25|1300.32|1222.3|0|1806|0|0|0|1478.21|0|0|986.08|0|1354.5|1410.49|172.07|187.11|172.07|464.58|464.58|203.84|167.39|207.58|464.58|0|0|0|0|0|0|0|167.06|167.06|172.07|167.06|300.71|167.06|172.07|0|1806
HOSP OP|0761 - TREATMENT ROOM||64417|Hb Injection Nerve Block Axillary|2178|1154.34|1633.5|1742.4|1851.3|1960.2|1851.3|1759.82|1568.16|1474.07|0|2178|1420.06|279.21|797.58|1782.69|1348.18|1313.33|272.23|1454.29|1633.5|1701.02|62.58|68.05|62.58|369.67|369.67|159.81|60.88|165.17|369.67|1480.47|1454.29|690.48|0|0|0|965.07|60.76|60.76|62.58|60.76|109.37|60.76|62.58|0|2178
HOSP OP|0761 - TREATMENT ROOM||64445|Hb Inject Nerv Blck Sciatic Nerv|1299|688.47|974.25|1039.2|1104.15|1169.1|1104.15|1049.59|935.28|879.16|0|1299|846.95|290.04|475.69|1063.23|804.08|783.3|282.79|1454.29|974.25|1014.52|55.67|60.54|55.67|380.66|380.66|169.06|54.16|170.08|380.66|1480.47|1454.29|690.48|0|0|0|575.59|54.05|54.05|55.67|54.05|97.29|54.05|55.67|0|1480.47
HOSP OP|0361 - OR/MINOR||37249|Hb Ir Pta Non Dial Venous Addl|495|262.35|371.25|396|420.75|445.5|0|399.96|356.4|335.02|0|495|0|0|0|405.16|0|0|0|19530.8|371.25|386.6|0|0|0|0|0|0|0|0|0|19882.35|19530.8|9272.98|0|0|0|0|0|0|147.47|0|0|143.17|0|0|19882.35
HOSP OP|0361 - OR/MINOR||32999|Hb Pleural Catheter Check|659|349.27|494.25|527.2|560.15|593.1|560.15|532.47|474.48|446.01|0|659|0|369.04|0|539.39|0|0|359.81|1070.89|494.25|514.68|263.6|0|263.6|523.25|544.73|283.83|263.6|288.44|544.73|1090.17|1070.89|508.45|0|0|0|0|0|0|263.6|0|329.5|0|263.6|0|1090.17
HOSP OP|0761 - TREATMENT ROOM||62267|Hb Asp Intervertebral Disc Pe*|1371|726.63|1028.25|1096.8|1165.35|1233.9|1165.35|1107.77|987.12|927.89|0|1371|893.89|522.32|502.06|1122.16|848.65|826.71|509.26|1752.53|1028.25|1070.75|162.87|177.11|162.87|720.35|720.35|305.54|158.45|321.85|720.35|1784.08|1752.53|832.08|0|0|0|607.49|158.13|158.13|162.87|158.13|284.63|158.13|162.87|0|1784.08
HOSP OP|0361 - OR/MINOR||48102|Hb Needle Biopsy Pancreas|3362|1781.86|2521.5|2689.6|2857.7|3025.8|2857.7|2716.5|2420.64|2275.4|0|3362|0|1266.08|0|2751.8|0|0|1234.42|1070.89|2521.5|2625.72|248.24|269.93|248.24|1504.64|1504.64|660.38|241.49|672.28|1504.64|1090.17|1070.89|508.45|0|0|0|0|241.01|241.01|248.24|241.01|433.82|241.01|248.24|0|3362
HOSP OP|0361 - OR/MINOR||10035|Hb Perc Sft Tiss Loc Device Plmt W/gdnce|1423|754.19|1067.25|1138.4|1209.55|1280.7|1209.55|1149.78|1024.56|963.09|0|1423|0|1423|0|1164.73|0|0|1404.56|888.87|1067.25|1111.36|88.62|96.36|88.62|1368.77|1368.77|648.93|86.21|611.57|1368.77|904.87|888.87|422.02|0|0|0|0|86.04|86.04|88.62|86.04|154.87|86.04|88.62|0|1423
HOSP OP|0361 - OR/MINOR||42400|Hb Needle Biopsy Salivary Gland|1584|839.52|1188|1267.2|1346.4|1425.6|1346.4|1279.87|1140.48|1072.05|0|1584|0|261.16|0|1296.5|0|0|254.63|1360.36|1188|1237.1|55.39|60.23|55.39|291.74|291.74|129.87|53.89|130.35|291.74|1384.85|1360.36|645.88|0|0|0|0|53.78|53.78|55.39|53.78|96.8|53.78|55.39|0|1584
HOSP OP|0361 - OR/MINOR||60300|Hb Asp/inj Thyroid Cyst|1466|776.98|1099.5|1172.8|1246.1|1319.4|1246.1|1184.53|1055.52|992.19|0|1466|0|276.81|0|1199.92|0|0|269.88|1360.36|1099.5|1144.95|50.79|55.23|50.79|321.71|321.71|146.16|49.41|143.74|321.71|1384.85|1360.36|645.88|0|0|0|0|49.31|49.31|50.79|49.31|88.76|49.31|50.79|0|1466
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33340|Hb Clsr Tcat L Atr Apndge W/endocardial Implnt|8148|4318.44|6111|6518.4|6925.8|7333.2|6925.8|6583.58|5866.56|5514.57|0|8148|0|0|0|6669.14|0|0|4448.81|0|6111|6363.59|781.35|849.62|781.35|2100.11|2100.11|932.46|760.11|938.33|2100.11|0|0|0|0|0|0|0|758.59|758.59|781.35|758.59|1365.46|758.59|781.35|0|8148
HOSP OP|0450 - EMERGENCY ROOM||11976|REMOVAL IMPLNTABLE CONTRACEPTIVE CAPSULES|492|260.76|369|393.6|418.2|442.8|418.2|397.54|354.24|332.99|0|492|0|280.42|0|402.7|0|0|273.4|2737.42|369|384.25|95.09|103.4|95.09|399.64|399.64|175.66|92.5|178.56|399.64|2786.69|2737.42|1299.69|0|0|0|0|92.32|92.32|95.09|92.32|166.18|92.32|95.09|0|2786.69
HOSP OP|0301 - LAB/CHEMISTRY||82610|CYSTATIN-C|65.66|34.8|49.25|52.53|55.81|59.09|55.81|53.05|47.28|44.44|0|65.66|23.89|25|17.37|53.74|22.71|22.09|24.38|20.37|49.25|51.28|19.08|20.74|19.08|39.96|39.96|18.49|18.56|17.86|39.96|20.74|20.37|20.74|0|0|0|12.76|18.52|18.52|19.08|18.52|33.34|18.52|19.08|0|65.66
HOSP OP|0340 - NUCLEAR MEDICINE||78601|NM BRAIN <4 VIEWS W VF|1175|622.75|881.25|940|998.75|1057.5|998.75|949.4|846|795.24|0|1175|1175|665.54|747.53|961.74|1175|1175|648.89|835.74|881.25|917.68|205.31|223.25|205.31|626.44|626.44|277.8|199.73|279.89|626.44|850.78|835.74|396.8|0|0|395.93|1151.5|199.33|199.33|205.31|199.33|358.79|199.33|205.31|0|1175
HOSP OP|0340 - NUCLEAR MEDICINE||78700|NM KIDNEY IMAG MORPHOLOGY|987|523.11|740.25|789.6|838.95|888.3|838.95|797.5|710.64|668|0|987|987|517.51|747.53|807.86|987|987|504.56|835.74|740.25|770.85|159.9|173.87|159.9|493.56|493.56|223.21|155.55|220.52|493.56|850.78|835.74|396.8|0|0|395.93|967.26|155.24|155.24|159.9|155.24|279.43|155.24|159.9|0|987
HOSP OP|0340 - NUCLEAR MEDICINE||78701|NM KIDNEY W/ VASC FLOW|832|440.96|624|665.6|707.2|748.8|707.2|672.26|599.04|563.1|0|832|832|670.35|747.53|680.99|832|832|653.58|835.74|624|649.79|208.32|226.52|208.32|627.43|627.43|278.24|202.65|280.34|627.43|850.78|835.74|396.8|0|0|395.93|815.36|202.25|202.25|208.32|202.25|364.05|202.25|208.32|0|850.78
HOSP OP|0340 - NUCLEAR MEDICINE||78709|NM KIDNEY W VF MULT STUDIES|1142|605.26|856.5|913.6|970.7|1027.8|970.7|922.74|822.24|772.91|0|1142|1142|891.09|747.53|934.73|1142|1142|868.8|835.74|856.5|891.9|521.58|567.15|521.58|877.31|895.21|374.58|507.4|379.78|895.21|850.78|835.74|396.8|0|0|510.22|1119.16|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1142
HOSP OP|0740 - EEG||95812|EEG 41-60 MINS|636|337.08|477|508.8|540.6|572.4|540.6|513.89|457.92|430.44|0|636|414.67|636|232.9|520.57|393.68|383.51|636|1119.87|477|496.72|287.05|312.13|287.05|636|636|405.03|279.25|412.03|636|1140.03|1119.87|531.7|0|0|282.6|281.81|278.69|278.69|287.05|278.69|501.64|278.69|287.05|0|1140.03
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9503|MEDRONATE DX PSD UT 30 MCI|135|71.55|101.25|108|114.75|121.5|0|109.08|97.2|91.37|0|135|135|0|135|110.5|135|135|0|0.47|101.25|105.44|0|0|0|0|0|0|0|0|0|0.48|0.47|0.48|0|0|0|132.3|0|0|54|0|0|0|0|0|135
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9567|PENTETAT DX AER PSDUT 75MCI|518|274.54|388.5|414.4|440.3|466.2|0|418.54|372.96|350.58|0|518|518|0|518|423.98|518|518|0|38.95|388.5|404.56|0|0|0|0|0|0|0|0|0|39.65|38.95|39.65|0|0|0|507.64|0|0|207.2|0|0|0|0|0|518
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9569|EXAMETAZIME LABEL WB DX PSD|5325|2822.25|3993.75|4260|4526.25|4792.5|0|4302.6|3834|3603.96|0|5325|1459|0|747.53|4358.51|1386|1349|0|1138|3993.75|4158.83|0|0|0|0|0|0|0|0|0|1158.48|1138|1158.48|0|0|0|1222.55|0|0|2130|0|0|0|0|0|5325
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9570|IN-111 WB DX PERS|8632|4574.96|6474|6905.6|7337.2|7768.8|0|6974.66|6215.04|5842.14|0|8632|1459|0|747.53|7065.29|1386|1349|0|1612.16|6474|6741.59|0|0|0|0|0|0|0|0|0|1641.18|1612.16|1641.18|0|0|0|1222.55|0|0|3452.8|0|0|0|0|0|8632
HOSP OP|0320 - DX X-RAY||74230|XR VIDEO SWALLOW & ESOPHAG|425|225.25|318.75|340|361.25|382.5|361.25|343.4|306|287.64|0|425|425|220.09|313.38|347.86|425|425|214.59|477.99|318.75|331.93|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|486.59|477.99|226.94|0|0|126.02|416.5|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|486.59
HOSP OP|0618 - MRA/OTHER||73225|MRA UPPER EXT W&WO|1939|1027.67|1454.25|1551.2|1648.15|1745.1|1648.15|1566.71|1396.08|1312.32|0|1939|1868|0|979.08|1587.07|1775|1728|0|1091.88|1454.25|1514.36|325.05|353.45|325.05|1096.01|1096.01|510.25|316.21|489.7|1096.01|1111.53|1091.88|518.41|0|0|0|1178.54|315.58|315.58|325.05|315.58|568.04|315.58|325.05|0|1939
HOSP OP|0309 - LAB/OTHER||36416|Hb Capillary Collection|28|14.84|21|22.4|23.8|25.2|0|22.62|20.16|18.95|0|28|3.75|0|2.73|22.92|3.57|3.47|0|3|21|21.87|0|0|0|0|0|0|0|0|0|3.05|3|3.05|0|0|0|2|0|0|11.2|0|0|0|0|0|28
HOSP OP|0360 - OR SERVICES||26080|Hb Arthrotomy With Exploration Drainage Or Removal Of Foreign Body Of Hand Joint|3636|1927.08|2727|2908.8|3090.6|3272.4|3090.6|2937.89|2617.92|2460.84|0|3636|0|815.97|0|2976.07|0|0|795.57|4036.92|2727|2839.72|404.23|439.56|404.23|1079.03|1079.03|473.71|393.24|482.11|1079.03|4109.58|4036.92|1916.68|0|0|0|0|392.46|392.46|404.23|392.46|706.43|392.46|404.23|0|4109.58
HOSP OP|0450 - EMERGENCY ROOM||45900|Hb Anorectal Exam Surgical Requiring Anesthesia|1108|587.24|831|886.4|941.8|997.2|941.8|895.26|797.76|749.89|0|1108|0|341.79|0|906.9|0|0|333.25|4812.95|831|865.35|211.87|230.38|211.87|549.51|549.51|249.62|206.11|245.52|549.51|4899.58|4812.95|2285.13|0|0|0|0|205.7|205.7|211.87|205.7|370.26|205.7|211.87|0|4899.58
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH THROMBECTOMY|14056|7449.68|10542|11244.8|11947.6|12650.4|0|11357.25|10120.32|9513.1|0|14056|9164.51|0|5147.31|11504.84|8700.66|8475.77|0|0|10542|10977.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6228.21|0|0|5622.4|0|0|0|0|0|14056
HOSP OP|0305 - LAB/HEMATOLOGY||85520|HEPARIN ASSAY/Xa (UNFRACTIONATED)|96|50.88|72|76.8|81.6|86.4|81.6|77.57|69.12|64.97|0|96|18.77|19.64|13.65|78.58|17.84|17.36|19.15|14.4|72|74.98|13.48|14.66|13.48|30.97|30.97|16.29|13.12|13.84|30.97|14.66|14.4|14.66|0|0|0|10.02|13.09|13.09|13.48|13.09|23.56|13.09|13.48|0|96
HOSP OP|0302 - LAB/IMMUNOLOGY||86152|Hb Cell Enumeration & Id|634.2|336.13|475.65|507.36|539.07|570.78|539.07|512.43|456.62|429.23|0|634.2|352.17|368.55|256.07|519.09|334.7|325.69|359.34|275.86|475.65|495.31|258.3|280.87|258.3|583.47|583.47|306.42|251.28|260.7|583.47|280.83|275.86|280.83|0|0|0|188.15|250.78|250.78|258.3|250.78|451.4|250.78|258.3|0|634.2
HOSP OP|0301 - LAB/CHEMISTRY||83605|POCT Lactic Acid|82|43.46|61.5|65.6|69.7|73.8|69.7|66.26|59.04|55.5|0|82|15.31|16.02|11.13|67.12|14.55|14.16|15.62|11.57|61.5|64.04|11.92|12.96|11.92|24.98|24.98|13.21|11.59|11.16|24.98|11.78|11.57|11.78|0|0|0|8.17|11.57|11.57|11.92|11.57|20.83|11.57|11.92|0|82
HOSP OP|0305 - LAB/HEMATOLOGY||85014|POCT Hematocrit|19|10.07|14.25|15.2|16.15|17.1|16.15|15.35|13.68|12.86|0|19|3.39|3.55|2.47|15.55|3.22|3.14|3.46|2.37|14.25|14.84|2.44|2.65|2.44|5.99|5.99|3.08|2.37|2.68|5.99|2.41|2.37|2.41|0|0|0|1.81|2.37|2.37|2.44|2.37|4.27|2.37|2.44|0|19
HOSP OP|0310 - PATHOLOGY LAB||88313|Hb Periodic Acid-schiff (pas) Stain|104.41|55.34|78.31|83.53|88.75|93.97|88.75|84.36|75.18|70.66|0|104.41|104.41|62.84|82.75|85.46|104.41|104.41|61.27|99.19|78.31|81.54|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|100.98|99.19|47.1|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|104.41
HOSP OP|0310 - PATHOLOGY LAB||88348|Hb Renal Bx Electron Microscopy|559.84|296.72|419.88|447.87|475.86|503.86|475.86|452.35|403.08|378.9|0|559.84|559.84|495.92|425.69|458.23|556.4|541.42|483.52|143.82|419.88|437.24|326.19|354.69|326.19|559.84|559.84|434.97|317.32|454.88|559.84|146.41|143.82|68.29|0|0|83.8|312.78|316.69|316.69|326.19|316.69|559.84|316.69|326.19|0|559.84
HOSP OP|0912 - PSYCH/PARTIAL HOSP||H0035|Hb Php Activity|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|0|210|0|117.6|0|171.89|0|0|114.66|69.55|157.5|164.01|84|0|84|166.74|173.59|90.45|84|91.92|173.59|70.8|69.55|70.8|0|0|210|0|0|0|84|0|105|0|84|0|210
HOSP OP|0912 - PSYCH/PARTIAL HOSP||H0035|Hb Php Group Psychotherapy|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|0|210|0|117.6|0|171.89|0|0|114.66|69.55|157.5|164.01|84|0|84|166.74|173.59|90.45|84|91.92|173.59|70.8|69.55|70.8|0|0|210|0|0|0|84|0|105|0|84|0|210
HOSP OP|0912 - PSYCH/PARTIAL HOSP||H0035|Hb Php Therapy|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|0|210|0|117.6|0|171.89|0|0|114.66|69.55|157.5|164.01|84|0|84|166.74|173.59|90.45|84|91.92|173.59|70.8|69.55|70.8|0|0|210|0|0|0|84|0|105|0|84|0|210
HOSP OP|0302 - LAB/IMMUNOLOGY||86334|IMMUNOFIXATION CRYOGLOBULIN|55.34|29.33|41.51|44.27|47.04|49.81|47.04|44.71|39.84|37.45|0|55.34|37.49|33.52|27.26|45.3|35.63|34.67|32.68|56.65|41.51|43.22|23.01|25.02|23.01|52.95|52.95|27.74|22.38|23.66|52.95|57.67|56.65|26.9|0|0|0|20.02|22.34|22.34|23.01|22.34|40.21|22.34|23.01|0|57.67
HOSP OP|0390 - BLOOD/STOR-PROC||86920|MBC IMMEDIATE SPIN COMPATIBILITY|99|52.47|74.25|79.2|84.15|89.1|84.15|79.99|71.28|67|0|99|64.55|99|36.25|81.03|61.28|59.7|99|18.92|74.25|77.32|99|172.44|99|99|99|99|99|99|99|19.26|18.92|19.26|0|0|21.19|43.87|99|99|158.58|99|99|153.96|99|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||86921|MBC INCUBATION TECHNIQUE|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|58.68|90|32.96|73.67|55.71|54.27|90|11.06|67.5|70.29|90|172.44|90|90|90|90|90|90|90|11.26|11.06|11.26|0|0|12.38|39.88|90|90|158.58|90|90|153.96|90|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||86922|MBC ANTIGLOBULIN TECHNIQUE|99|52.47|74.25|79.2|84.15|89.1|84.15|79.99|71.28|67|0|99|64.55|99|36.25|81.03|61.28|59.7|99|18.45|74.25|77.32|99|172.44|99|99|99|99|99|99|99|18.78|18.45|18.78|0|0|20.66|43.87|99|99|158.58|99|99|153.96|99|0|172.44
HOSP OP|0300 - LABORATORY||81479|Hb Unlisted Molecular Pathology|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|202.49|0|0|0|0|0|0|0|0|0|0|0|206.13|202.49|96.14|0|0|0|0|0|0|0|0|0|0|0|0|206.13
HOSP OP|0361 - OR/MINOR||32554|THOROCENTESIS W/O IMAGE GUIDE|1042|552.26|781.5|833.6|885.7|937.8|885.7|841.94|750.24|705.23|0|1042|0|504.27|0|852.88|0|0|491.65|1070.89|781.5|813.8|91.99|100.03|91.99|592.47|592.47|250.94|89.49|264.72|592.47|1090.17|1070.89|508.45|0|0|0|0|89.31|89.31|91.99|89.31|160.76|89.31|91.99|0|1090.17
HOSP OP|0361 - OR/MINOR||32555|Hb Thorocentesis W Image Guide|1124|595.72|843|899.2|955.4|1011.6|955.4|908.19|809.28|760.72|0|1124|1124|1124|598.82|919.99|1124|1124|1124|1070.89|843|877.84|696.77|757.65|696.77|1124|1124|500.39|677.83|507.34|1124|1090.17|1070.89|508.45|0|0|694.45|733.53|1124|1124|696.77|1124|1124|676.47|696.69|0|1124
HOSP OP|0361 - OR/MINOR||36227|Hb Selective Cath Uni External Carotid Inc Angio Of Ips External Circ|6084|3224.52|4563|4867.2|5171.4|5475.6|0|4915.87|4380.48|4117.65|0|6084|0|0|0|4979.75|0|0|0|9721.71|4563|4751.6|0|0|0|0|0|0|0|0|0|9896.7|9721.71|4615.75|0|0|0|0|0|0|114.93|0|0|111.58|0|0|9896.7
HOSP OP|0361 - OR/MINOR||37197|RETRIEVAL INTRAVASC FB W IMAGE GUIDE|5403|2863.59|4052.25|4322.4|4592.55|4862.7|4592.55|4365.62|3890.16|3656.75|0|5403|0|4496.28|0|4422.36|0|0|4383.82|10912.4|4052.25|4219.74|304.18|330.76|304.18|4317.11|4317.11|1801.96|295.91|1928.89|4317.11|11108.82|10912.4|5181.07|0|0|0|0|295.32|295.32|304.18|295.32|531.58|295.32|304.18|0|11108.82
HOSP OP|0360 - OR SERVICES||95940|INTRA-OPERATIVE NEURO TEST PER 15 MIN*|96|50.88|72|76.8|81.6|86.4|0|77.57|69.12|64.97|0|96|0|0|0|78.58|0|0|0|0|72|74.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33.88|0|0|32.89|0|0|96
HOSP OP|0922 - EMG||95913|NCV 13 or more studies|518|274.54|388.5|414.4|440.3|466.2|440.3|418.54|372.96|350.58|0|518|337.74|383.92|189.69|423.98|320.64|312.35|374.31|766.68|388.5|404.56|120.27|130.78|120.27|518|518|376.86|117|380.33|518|780.48|766.68|364.01|0|0|509.93|229.53|116.77|116.77|120.27|116.77|210.19|116.77|120.27|0|780.48
HOSP OP|0900 - PSYCHIATRIC TREATMENT||90791|Hb Psychiatric Diagnostic Evaluation Brief|381|201.93|285.75|304.8|323.85|342.9|323.85|307.85|274.32|257.86|0|381|248.41|381|139.52|311.85|235.84|229.74|381|576.6|285.75|297.56|129.15|140.44|129.15|381|381|164.21|125.64|170.97|381|586.98|576.6|273.76|0|0|142.87|168.82|125.39|125.39|129.15|125.39|225.7|125.39|129.15|0|586.98
HOSP OP|0918 - PSYCH - TESTING||90792|Psychiatric diagnostic evaluation with medical services|301|159.53|225.75|240.8|255.85|270.9|255.85|243.21|216.72|203.72|0|301|196.25|301|110.23|246.37|186.32|181.5|301|576.6|225.75|235.08|144.84|157.49|144.84|301|301|182.71|140.9|191.06|301|586.98|576.6|273.76|0|0|142.87|133.37|140.62|140.62|144.84|140.62|253.12|140.62|144.84|0|586.98
HOSP OP|0918 - PSYCH - TESTING||90839|Psychotherapy for crisis first 60 minutes|423|224.19|317.25|338.4|359.55|380.7|359.55|341.78|304.56|286.29|0|423|275.8|86.65|154.9|346.23|261.84|255.07|84.48|312.14|317.25|330.36|134.73|146.51|134.73|389.65|389.65|166.86|131.07|174.1|389.65|317.76|312.14|148.2|0|0|142.87|187.43|130.81|130.81|134.73|130.81|235.46|130.81|134.73|0|423
HOSP OP|0361 - OR/MINOR||32557|Hb Pleural Drainage Percutaneousindwelling Cath W Imaging|1248|661.44|936|998.4|1060.8|1123.2|1060.8|1008.38|898.56|844.65|0|1248|0|1248|0|1021.49|0|0|1248|1070.89|936|974.69|157.56|171.33|157.56|1248|1248|637.93|153.28|715.13|1248|1090.17|1070.89|508.45|0|0|0|0|152.97|152.97|157.56|152.97|275.35|152.97|157.56|0|1248
HOSP OP|0361 - OR/MINOR||36221|Hb Non Selective Cath Thoracic|5384|2853.52|4038|4307.2|4576.4|4845.6|4576.4|4350.27|3876.48|3643.89|0|5384|0|3055.69|0|4406.8|0|0|2979.26|9721.71|4038|4204.9|197.61|214.87|197.61|2904.38|2904.38|1271.01|192.23|1297.68|2904.38|9896.7|9721.71|4615.75|0|0|0|0|191.85|191.85|197.61|191.85|345.33|191.85|197.61|0|9896.7
HOSP OP|0361 - OR/MINOR||36222|Hb Selective Cath Uni Com Or Innom Artery Inc Angio Ips Extracranial|5384|2853.52|4038|4307.2|4576.4|4845.6|4576.4|4350.27|3876.48|3643.89|0|5384|0|3544.31|0|4406.8|0|0|3455.66|9721.71|4038|4204.9|277.49|301.74|277.49|3423.92|3423.92|1489.82|269.95|1529.81|3423.92|9896.7|9721.71|4615.75|0|0|0|0|269.41|269.41|277.49|269.41|484.94|269.41|277.49|0|9896.7
HOSP OP|0361 - OR/MINOR||36223|Hb Selective Cath Uni Com Or Innom Artery Inc Angio Ips Intracranial|11285|5981.05|8463.75|9028|9592.25|10156.5|9592.25|9118.28|8125.2|7637.69|0|11285|0|4597.37|0|9236.77|0|0|4482.39|9721.71|8463.75|8813.59|311.12|338.31|311.12|4347.08|4347.08|1871.08|302.66|1942.29|4347.08|9896.7|9721.71|4615.75|0|0|0|0|302.06|302.06|311.12|302.06|543.71|302.06|311.12|0|11285
HOSP OP|0361 - OR/MINOR||36224|Hb Selective Cath Uni Internal Carotid Inc Angio Ips Intra /extracranial|15075|7989.75|11306.25|12060|12813.75|13567.5|12813.75|12180.6|10854|10202.76|0|15075|0|6092.12|0|12338.89|0|0|5939.75|9721.71|11306.25|11773.58|351.34|382.04|351.34|5628.93|5628.93|2380.01|341.79|2515.02|5628.93|9896.7|9721.71|4615.75|0|0|0|0|341.11|341.11|351.34|341.11|614|341.11|351.34|0|15075
HOSP OP|0361 - OR/MINOR||36225|Hb Selective Cath Uni Subclavian Or Innom Inc Ips Vertebral Angio|5384|2853.52|4038|4307.2|4576.4|4845.6|4576.4|4350.27|3876.48|3643.89|0|5384|0|4403.61|0|4406.8|0|0|4293.47|9721.71|4038|4204.9|309.26|336.28|309.26|4182.23|4182.23|1798.44|300.85|1868.63|4182.23|9896.7|9721.71|4615.75|0|0|0|0|300.25|300.25|309.26|300.25|540.45|300.25|309.26|0|9896.7
HOSP OP|0361 - OR/MINOR||36226|Hb Selective Cath Uni Vertebral Inc Angio Of Ips Vertebral Circ|9289|4923.17|6966.75|7431.2|7895.65|8360.1|7895.65|7505.51|6688.08|6286.8|0|9289|0|5720.24|0|7603.05|0|0|5577.17|9721.71|6966.75|7254.71|347.41|377.76|347.41|5322.21|5322.21|2307.37|337.96|2377.97|5322.21|9896.7|9721.71|4615.75|0|0|0|0|337.29|337.29|347.41|337.29|607.12|337.29|347.41|0|9896.7
HOSP OP|0361 - OR/MINOR||37211|Hb Transcath Arterial Infusion Thrombolysis Any Method Initial Tx Day|3606|1911.18|2704.5|2884.8|3065.1|3245.4|3065.1|2913.65|2596.32|2440.54|0|3606|0|416.41|0|2951.51|0|0|406|7698.94|2704.5|2816.29|386.24|419.99|386.24|1037.07|1037.07|457.42|375.74|463.36|1037.07|7837.52|7698.94|3655.36|0|0|0|0|374.99|374.99|386.24|374.99|674.98|374.99|386.24|0|7837.52
HOSP OP|0361 - OR/MINOR||37212|Hb Transcath Venous Infusion Thrombolysis Any Method Initial Tx Day|2358|1249.74|1768.5|1886.4|2004.3|2122.2|2004.3|1905.26|1697.76|1595.89|0|2358|0|361.05|0|1930.02|0|0|352.02|7698.94|1768.5|1841.6|339.94|369.64|339.94|914.18|914.18|403.27|330.7|408.46|914.18|7837.52|7698.94|3655.36|0|0|0|0|330.04|330.04|339.94|330.04|594.07|330.04|339.94|0|7837.52
HOSP OP|0361 - OR/MINOR||37213|Hb Transcath Arterial Or Venous Subs Day Inc Contrast/reposition/exchange|4268|2262.04|3201|3414.4|3627.8|3841.2|3627.8|3448.54|3072.96|2888.58|0|4268|0|241.9|0|3493.36|0|0|235.85|7698.94|3201|3333.31|234.65|255.16|234.65|632.43|632.43|280.44|228.28|282.57|632.43|7837.52|7698.94|3655.36|0|0|0|0|227.82|227.82|234.65|227.82|410.08|227.82|234.65|0|7837.52
HOSP OP|0361 - OR/MINOR||37214|Hb Transcath Arterial Or Venous Subs Day Inc C/rep/exc Cessation Of Tx|4268|2262.04|3201|3414.4|3627.8|3841.2|3627.8|3448.54|3072.96|2888.58|0|4268|0|129.98|0|3493.36|0|0|126.73|7698.94|3201|3333.31|123.45|134.23|123.45|332.7|332.7|146.6|120.09|148.65|332.7|7837.52|7698.94|3655.36|0|0|0|0|119.85|119.85|123.45|119.85|215.73|119.85|123.45|0|7837.52
HOSP OP|0341 - NUC MED/DX||78014|Thyroid Imaging IncVascular Flow  Single or mult uptakes/quant measurements|980|519.4|735|784|833|882|833|791.84|705.6|663.26|0|980|980|691.51|747.53|802.13|980|980|674.21|936.36|735|765.38|406.82|442.36|406.82|684.26|698.22|292.16|395.76|296.21|698.22|953.21|936.36|444.57|0|0|395.93|960.4|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|980
HOSP OP|0361 - OR/MINOR||G0269|Placement Occulsive Device Venous or Arterial Access Site Post Tx|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|0|0|0|399.43|0|0|0|38.92|366|381.13|0|0|0|0|0|0|0|0|0|39.62|38.92|39.62|0|0|0|0|0|0|195.2|0|0|0|0|0|488
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92920|PTCA  INITIAL|11349|6014.97|8511.75|9079.2|9646.65|10214.1|9646.65|9169.99|8171.28|7681|0|11349|0|1864.22|0|9289.16|0|0|1817.6|14931.05|8511.75|8863.57|522.71|568.39|522.71|1407.73|1407.73|620.32|508.5|628.98|1407.73|15199.81|14931.05|7089.08|0|0|5240.3|0|507.49|507.49|522.71|507.49|913.48|507.49|522.71|0|15199.81
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92921|PTCA  EACH ADDITIONAL|9844|5217.32|7383|7875.2|8367.4|8859.6|0|7953.95|7087.68|6662.42|0|9844|0|0|0|8057.31|0|0|0|161.56|7383|7688.16|0|0|0|0|0|0|0|0|0|164.47|161.56|164.47|0|0|0|0|0|0|3937.6|0|0|0|0|0|9844
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92924|ATHERECTOMY INITIAL|20079|10641.87|15059.25|16063.2|17067.15|18071.1|17067.15|16223.83|14456.88|13589.47|0|20079|0|2224.07|0|16434.66|0|0|2168.44|14931.05|15059.25|15681.7|622.75|677.16|622.75|1676.49|1676.49|738.31|605.82|749.06|1676.49|15199.81|14931.05|7089.08|0|0|10830.06|0|604.61|604.61|622.75|604.61|1088.3|604.61|622.75|0|20079
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92928|Hb Ptca Stent Bms Initial|17021|9021.13|12765.75|13616.8|14467.85|15318.9|14467.85|13752.97|12255.12|11519.81|0|17021|0|2074.83|0|13931.69|0|0|2022.94|14931.05|12765.75|13293.4|581.21|631.99|581.21|1565.59|1565.59|689.44|565.41|699.51|1565.59|15199.81|14931.05|7089.08|0|0|10830.06|0|564.28|564.28|581.21|564.28|1015.7|564.28|581.21|0|17021
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92929|Hb Ptca Stent Bms Each Addl|8181|4335.93|6135.75|6544.8|6953.85|7362.9|0|6610.25|5890.32|5536.9|0|8181|0|0|0|6696.15|0|0|0|383.49|6135.75|6389.36|0|0|0|0|0|0|0|0|0|390.39|383.49|390.39|0|0|0|0|0|0|3272.4|0|0|0|0|0|8181
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9600|Hb Ptca Stent Des Initial|26126|13846.78|19594.5|20900.8|22207.1|23513.4|22207.1|21109.81|18810.72|17682.08|0|26126|0|14630.56|0|21384.13|0|0|14264.8|14931.05|19594.5|20404.41|10450.4|0|10450.4|20744.04|21595.75|11252.47|10450.4|11435.35|21595.75|15199.81|14931.05|7089.08|0|0|10830.06|0|0|0|10450.4|0|13063|0|10450.4|0|26126
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9601|Hb Ptca Stent Des Each Addl|12551|6652.03|9413.25|10040.8|10668.35|11295.9|0|10141.21|9036.72|8494.52|0|12551|0|0|0|10272.99|0|0|0|14931.05|9413.25|9802.33|0|0|0|0|0|0|0|0|0|15199.81|14931.05|7089.08|0|0|0|0|0|0|5020.4|0|0|0|0|0|15199.81
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92933|Hb Athr W/bms W/ptca Init|18000|9540|13500|14400|15300|16200|15300|14544|12960|12182.4|0|18000|0|2327.57|0|14733|0|0|2269.36|14931.05|13500|14058|651.83|708.78|651.83|1756.42|1756.42|773.09|634.11|784.77|1756.42|15199.81|14931.05|7089.08|0|0|17198.21|0|632.84|632.84|651.83|632.84|1139.11|632.84|651.83|0|18000
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9602|Hb Athr W/des W/ptca Init|32605|17280.65|24453.75|26084|27714.25|29344.5|27714.25|26344.84|23475.6|22067.06|0|32605|0|18258.8|0|26687.19|0|0|17802.33|14931.05|24453.75|25464.51|13042|0|13042|25888.37|26951.29|14042.97|13042|14271.21|26951.29|15199.81|14931.05|7089.08|0|0|17198.21|0|0|0|13042|0|16302.5|0|13042|0|32605
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92937|Hb Athr Bms Ptca Of Ima/svg|16733|8868.49|12549.75|13386.4|14223.05|15059.7|14223.05|13520.26|12047.76|11324.89|0|16733|0|2073.63|0|13695.96|0|0|2021.77|14931.05|12549.75|13068.47|580.47|631.19|580.47|1564.59|1564.59|688.56|564.69|699.06|1564.59|15199.81|14931.05|7089.08|0|0|10830.06|0|563.56|563.56|580.47|563.56|1014.41|563.56|580.47|0|16733
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9604|Hb Athr Des Ptca Of Ima/svg|17250|9142.5|12937.5|13800|14662.5|15525|14662.5|13938|12420|11674.8|0|17250|0|9660|0|14119.13|0|0|9418.5|14931.05|12937.5|13472.25|6900|0|6900|13696.5|14258.85|7429.58|6900|7550.33|14258.85|15199.81|14931.05|7089.08|0|0|10830.06|0|0|0|6900|0|8625|0|6900|0|17250
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92941|Hb Revasc W/ami Single Vessl|15000|7950|11250|12000|12750|13500|12750|12120|10800|10152|0|15000|0|0|0|12277.5|0|0|8190|14931.05|11250|11715|653.18|710.26|653.18|1760.41|1760.41|774.41|635.43|786.56|1760.41|15199.81|14931.05|7089.08|0|0|10830.06|0|634.16|634.16|653.18|634.16|1141.49|634.16|653.18|0|15199.81
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9606|Hb Revasc Des W/ami|19000|10070|14250|15200|16150|17100|16150|15352|13680|12859.2|0|19000|0|0|0|15551.5|0|0|10374|14931.05|14250|14839|7600|0|7600|15086|15705.4|8183.3|7600|8316.3|15705.4|15199.81|14931.05|7089.08|0|0|17198.21|0|0|0|7600|0|9500|0|7600|0|19000
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93653|ABLATION SVT|30125|15966.25|22593.75|24100|25606.25|27112.5|25606.25|24341|21690|20388.6|0|30125|0|2931.73|0|24657.31|0|0|2858.4|13161.24|22593.75|23527.63|827.8|900.13|827.8|2222|2222|979.12|805.3|992.79|2222|13398.14|13161.24|6248.79|0|0|21520.84|0|803.69|803.69|827.8|803.69|1446.64|803.69|827.8|0|30125
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93655|ABL SEP FROM PRIM ABL CRYO|12190|6460.7|9142.5|9752|10361.5|10971|0|9849.52|8776.8|8250.19|0|12190|0|0|0|9977.52|0|0|0|13161.24|9142.5|9520.39|0|0|0|0|0|0|0|0|0|13398.14|13161.24|6248.79|0|0|0|0|0|0|421.84|0|0|409.55|0|0|13398.14
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93656|SVT W/PVI CRYO|49374|26168.22|37030.5|39499.2|41967.9|44436.6|41967.9|39894.19|35549.28|33416.32|0|49374|0|3935.45|0|40412.62|0|0|3837.02|13161.24|37030.5|38561.09|1111.65|1208.78|1111.65|2983.31|2983.31|1315.48|1081.43|1332.95|2983.31|13398.14|13161.24|6248.79|0|0|21520.84|0|1079.27|1079.27|1111.65|1079.27|1942.69|1079.27|1111.65|0|49374
HOSP OP|0300 - LABORATORY||81206|Hb Bcr/abl P210 Quant Monitor|374.2|198.33|280.65|299.36|318.07|336.78|318.07|302.35|269.42|253.26|0|374.2|235.01|245.94|170.88|306.28|223.35|217.34|239.79|180.36|280.65|292.25|168.88|183.64|168.88|374.2|374.2|204.28|164.29|186.6|374.2|183.61|180.36|183.61|0|0|204.06|125.55|163.96|163.96|168.88|163.96|295.13|163.96|168.88|0|374.2
HOSP OP|0300 - LABORATORY||81270|Hb Jak2 V617f Mutation Detection Blood|309.2|163.88|231.9|247.36|262.82|278.28|262.82|249.83|222.62|209.27|0|309.2|131.39|137.5|95.54|253.08|124.87|121.51|134.06|100.83|231.9|241.49|94.41|102.66|94.41|233.79|233.79|114.47|91.84|104.46|233.79|102.64|100.83|102.64|0|0|114.08|70.19|91.66|91.66|94.41|91.66|164.99|91.66|94.41|0|309.2
HOSP OP|0300 - LABORATORY||81291|Hb Mthfr C677t Mutation Analysis Blood|135.75|71.95|101.81|108.6|115.39|122.18|115.39|109.69|97.74|91.88|0|135.75|84.29|88.21|61.29|111.11|80.11|77.95|86|71.87|101.81|106.02|67.3|73.18|67.3|135.75|135.75|66.04|65.47|66.96|135.75|73.16|71.87|73.16|0|0|0|45.02|65.34|65.34|67.3|65.34|117.61|65.34|67.3|0|135.75
HOSP OP|0300 - LABORATORY||81315|Hb Pml/rara Quantitative Pcr|408.85|216.69|306.64|327.08|347.52|367.97|347.52|330.35|294.37|276.71|0|408.85|297.15|310.97|216.07|334.64|282.41|274.81|303.2|228.04|306.64|319.31|213.53|232.19|213.53|408.85|408.85|258.43|207.72|236.15|408.85|232.14|228.04|232.14|0|0|258.01|158.76|207.31|207.31|213.53|207.31|373.16|207.31|213.53|0|408.85
HOSP OP|0300 - LABORATORY||0034U|Hb Tpmt And Nudt 15 Genotype|404.7|214.49|303.53|323.76|344|364.23|344|327|291.38|273.9|0|404.7|404.7|404.7|404.7|331.25|404.7|404.7|404.7|512.79|303.53|316.07|404.7|404.7|404.7|404.7|404.7|404.7|404.7|404.7|404.7|522.02|512.79|522.02|0|0|0|321.29|404.7|404.7|404.7|404.7|404.7|404.7|404.7|0|522.02
HOSP OP|0300 - LABORATORY||81511|Hb Alpha-feto Protein Quad Screen|56.12|29.74|42.09|44.9|47.7|50.51|47.7|45.34|40.41|37.98|0|56.12|56.12|56.12|56.12|45.93|56.12|56.12|56.12|168.85|42.09|43.83|56.12|56.12|56.12|56.12|56.12|56.12|56.12|56.12|56.12|171.89|168.85|171.89|0|0|56.12|55|56.12|56.12|56.12|56.12|56.12|56.12|56.12|0|171.89
HOSP OP|0300 - LABORATORY||81240|Hb Factor Ii (g20210a) Mutation|191|101.23|143.25|152.8|162.35|171.9|162.35|154.33|137.52|129.27|0|191|84.74|88.68|61.62|156.33|80.54|78.37|86.46|72.26|143.25|149.17|67.66|73.57|67.66|150.86|150.86|66.48|65.82|67.41|150.86|73.56|72.26|73.56|0|0|73.57|45.27|65.69|65.69|67.66|65.69|118.24|65.69|67.66|0|191
HOSP OP|0300 - LABORATORY||81241|Hb Factor V (g1691a) Mutation|215|113.95|161.25|172|182.75|193.5|182.75|173.72|154.8|145.51|0|215|94.65|99.05|68.82|175.98|89.95|87.53|96.57|80.71|161.25|167.92|75.57|82.17|75.57|167.85|167.85|76.16|73.52|75|167.85|82.16|80.71|82.16|0|0|82.18|50.56|73.37|73.37|75.57|73.37|132.07|73.37|75.57|0|215
HOSP OP|0306 - LAB/BACT-MICRO||87591|Hb N Gonorrhoea By Namisc|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|49.7|49.7|36.57|40.68|47.8|46.52|49.7|38.6|37.28|38.82|36.14|39.3|36.14|49.7|49.7|43.59|35.16|37.05|49.7|39.29|38.6|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|49.7|35.09|36.14|0|49.7
HOSP OP|0306 - LAB/BACT-MICRO||87491|Hb C Trachomatis By Namisc|45.84|24.3|34.38|36.67|38.96|41.26|38.96|37.04|33|31.02|0|45.84|45.84|45.84|36.57|37.52|45.84|45.84|45.84|38.6|34.38|35.8|36.14|39.3|36.14|45.84|45.84|45.84|35.16|45.84|45.84|39.29|38.6|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|45.84|35.09|36.14|0|45.84
HOSP OP|0301 - LAB/CHEMISTRY||83993|Hb Calprotectin Fecal|174.2|92.33|130.65|139.36|148.07|156.78|148.07|140.75|125.42|117.9|0|174.2|28.13|29.44|20.46|142.58|26.74|26.02|28.7|21.59|130.65|136.05|20.22|21.99|20.22|46.96|46.96|24.65|19.67|20.98|46.96|21.98|21.59|21.98|0|0|0|15.02|19.63|19.63|20.22|19.63|35.33|19.63|20.22|0|174.2
HOSP OP|0300 - LABORATORY||81375|HB HLA-ABC DR TYPING|565.96|299.96|424.47|452.77|481.07|509.36|481.07|457.3|407.49|383.04|0|565.96|316.4|331.11|230.06|463.24|300.7|292.61|322.83|242.81|424.47|442.01|227.36|247.23|227.36|562.49|562.49|275.16|221.18|251.32|562.49|247.18|242.81|247.18|0|0|274.73|169.03|220.74|220.74|227.36|220.74|397.33|220.74|227.36|0|565.96
HOSP OP|0300 - LABORATORY||81220|Hb Ump Cystic Fibrosis|351.2|186.14|263.4|280.96|298.52|316.08|298.52|283.77|252.86|237.69|0|351.2|351.2|351.2|351.2|287.46|351.2|351.2|351.2|612.26|263.4|274.29|351.2|351.2|351.2|351.2|351.2|302.01|351.2|351.2|351.2|623.28|612.26|623.28|0|0|351.2|344.18|351.2|351.2|351.2|351.2|351.2|351.2|351.2|0|623.28
HOSP OP|0301 - LAB/CHEMISTRY||80358|Hb Methadone|6.87|3.64|5.15|5.5|5.84|6.18|5.84|5.55|4.95|4.65|0|6.87|6.87|0|6.87|5.62|6.87|6.87|0|27.85|5.15|5.37|6.87|0|6.87|5.45|5.68|6.87|2.75|3.01|5.68|28.35|27.85|28.35|0|0|0|6.73|6.87|6.87|6.87|6.87|6.87|6.87|6.87|0|28.35
HOSP OP|0301 - LAB/CHEMISTRY||80361|HB OPIATESDRUG & METAB|6.87|3.64|5.15|5.5|5.84|6.18|5.84|5.55|4.95|4.65|0|6.87|6.87|0|6.87|5.62|6.87|6.87|0|35.21|5.15|5.37|6.87|0|6.87|5.45|5.68|6.87|2.75|3.01|5.68|35.84|35.21|35.84|0|0|0|6.73|6.87|6.87|6.87|6.87|6.87|6.87|6.87|0|35.84
HOSP OP|0922 - EMG||95885|Hb Emg: Each Ext Limited With Ncv Study|240|127.2|180|192|204|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|766.68|180|187.44|0|0|0|0|0|0|0|0|0|780.48|766.68|364.01|0|0|0|106.34|0|0|46.65|0|0|45.29|0|0|780.48
HOSP OP|0922 - EMG||95886|Hb Emg: Each Ext 5 Or More Muscles With Ncv Study|279|147.87|209.25|223.2|237.15|251.1|0|225.43|200.88|188.83|0|279|181.91|0|102.17|228.36|172.7|168.24|0|766.68|209.25|217.9|0|0|0|0|0|0|0|0|0|780.48|766.68|364.01|0|0|0|123.62|0|0|54.17|0|0|52.59|0|0|780.48
HOSP OP|0302 - LAB/IMMUNOLOGY||86038|Hb Antinuclear Antibody|17.87|9.47|13.4|14.3|15.19|16.08|15.19|14.44|12.87|12.09|0|17.87|17.32|17.87|12.6|14.63|16.47|16.02|17.68|13.3|13.4|13.96|12.45|13.54|12.45|17.87|17.87|14.97|12.11|12.95|17.87|13.54|13.3|13.54|0|0|0|9.25|12.09|12.09|12.45|12.09|17.87|12.09|12.45|0|17.87
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88368|HB PRENATAL ANEUPLOIDY PARAFIN 1ST PROBE|274.2|145.33|205.65|219.36|233.07|246.78|233.07|221.55|197.42|185.58|0|274.2|152.71|274.2|111.04|224.43|145.14|141.23|274.2|143.82|205.65|214.15|274.2|340.56|274.2|274.2|274.2|224.92|274.2|228.04|274.2|146.41|143.82|68.29|0|0|96.86|81.58|274.2|274.2|313.19|274.2|274.2|304.07|274.2|0|340.56
HOSP OP|0300 - LABORATORY||81245|Hb Flt3 Gene Analysis Internal Tandem Dup|228.59|121.15|171.44|182.87|194.3|205.73|194.3|184.7|164.58|154.71|0|228.59|213.51|223.44|155.25|187.1|202.92|197.45|217.85|182.06|171.44|178.53|170.48|185.37|170.48|228.59|228.59|167.3|165.84|169.63|228.59|185.34|182.06|185.34|0|0|185.38|114.06|165.51|165.51|170.48|165.51|228.59|165.51|170.48|0|228.59
HOSP OP|0300 - LABORATORY||81479|Hb Flt3 Gene Analysis Unlisted Path Procedure|120.61|63.92|90.46|96.49|102.52|108.55|102.52|97.45|86.84|81.63|0|120.61|79.72|67.54|58.13|98.72|75.74|73.69|65.85|202.49|90.46|94.2|48.24|0|48.24|120.61|120.61|107.42|48.24|108.92|120.61|206.13|202.49|96.14|0|0|48.24|57.57|0|0|48.24|0|60.31|0|48.24|0|206.13
HOSP OP|0300 - LABORATORY||81310|Hb Nmp1 Molecular Pathology Procedure|374.26|198.36|280.7|299.41|318.12|336.83|318.12|302.4|269.47|253.3|0|374.26|318.01|332.8|231.24|306.33|302.23|294.1|324.48|271.17|280.7|292.3|253.92|276.1|253.92|374.26|374.26|249.18|247.01|252.66|374.26|276.05|271.17|276.05|0|0|276.12|169.9|246.52|246.52|253.92|246.52|374.26|246.52|253.92|0|374.26
HOSP OP|0761 - TREATMENT ROOM||55700|Hb Bx Prostate Needle|3238|1716.14|2428.5|2590.4|2752.3|2914.2|2752.3|2616.3|2331.36|2191.48|0|3238|2111.18|556.02|1185.76|2650.3|2004.32|1952.51|542.11|3898.87|2428.5|2528.88|133.89|145.59|133.89|699.37|699.37|309.06|130.25|312.48|699.37|3969.05|3898.87|1851.14|0|0|0|1434.76|129.99|129.99|133.89|129.99|233.98|129.99|133.89|0|3969.05
HOSP OP|0914 - INDIVIDUAL PSYCHIATRY||90832|Hb Psychotherapy 30 Minutes With Patient|207|109.71|155.25|165.6|175.95|186.3|175.95|167.26|149.04|140.1|0|207|0|42.12|0|169.43|0|0|41.07|482.08|155.25|161.67|64.46|70.09|64.46|186.83|186.83|79.69|62.71|83.48|186.83|490.76|482.08|228.89|0|0|142.87|0|62.58|62.58|64.46|62.58|112.64|62.58|64.46|0|490.76
HOSP OP|0900 - PSYCHIATRIC TREATMENT||90791|Hb Psychiatric Diagnostic Evaluation|374|198.22|280.5|299.2|317.9|336.6|317.9|302.19|269.28|253.12|0|374|243.85|374|136.96|306.12|231.51|225.52|374|576.6|280.5|292.09|129.15|140.44|129.15|374|374|164.21|125.64|170.97|374|586.98|576.6|273.76|0|0|142.87|165.72|125.39|125.39|129.15|125.39|225.7|125.39|129.15|0|586.98
HOSP OP|0272 - STERILE SUPPLY||C1732|Hb Ep Mapping Catheter Penta Ray|5695|3018.35|4271.25|4556|4840.75|5125.5|0|4601.56|4100.4|3854.38|0|5695|3713.14|0|2085.51|4661.36|3525.21|3434.09|0|0|4271.25|4447.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2523.45|0|0|2278|0|0|0|0|0|5695
HOSP OP|0390 - BLOOD/STOR-PROC||P9012|Hb Mbc Cryoprecipitate Pooled X 5|905|479.65|678.75|724|769.25|814.5|769.25|731.24|651.6|612.5|0|905|590.06|506.8|331.41|740.74|560.2|545.72|494.13|34.7|678.75|706.81|362|0|362|718.57|748.07|389.78|362|396.12|748.07|35.32|34.7|35.32|0|0|38.87|401.01|0|0|362|0|452.5|0|362|0|905
HOSP OP|0361 - OR/MINOR||22510|Hb Percut Verte Inc Bone Bx Uni Or Bilat Cervthoracic W Img|5852|3101.56|4389|4681.6|4974.2|5266.8|4974.2|4728.42|4213.44|3960.63|0|5852|0|5046.28|0|4789.86|0|0|4920.07|12965.57|4389|4570.41|444.8|483.66|444.8|4962.53|4962.53|2104.85|432.7|2217.27|4962.53|13198.95|12965.57|6155.89|0|0|0|0|431.84|431.84|444.8|431.84|777.31|431.84|444.8|0|13198.95
HOSP OP|0361 - OR/MINOR||22511|Hb Percut Verte Inc Bone Bx Uni Or Bilat Thor W Img|6438|3412.14|4828.5|5150.4|5472.3|5794.2|5472.3|5201.9|4635.36|4357.24|0|6438|3532|5131.84|1996.08|5269.5|3356|3268|5003.46|12965.57|4828.5|5028.08|3025.12|3289.45|3025.12|5088.27|5192.11|2172.53|2942.88|2202.69|5192.11|13198.95|12965.57|6155.89|0|0|2938.34|2445.1|5861.64|5217.87|3025.12|5624.46|5286.62|2937.01|3024.79|0|13198.95
HOSP OP|0361 - OR/MINOR||22512|Hb Percut Verte Inc Bone Bx Uni Or Bilat Each Addl Level|644|341.32|483|515.2|547.4|579.6|0|520.35|463.68|435.86|0|644|0|0|0|527.11|0|0|0|12965.57|483|502.96|0|0|0|0|0|0|0|0|0|13198.95|12965.57|6155.89|0|0|0|0|0|0|209.28|0|0|203.18|0|0|13198.95
HOSP OP|0361 - OR/MINOR||22513|Hb Percut Kypho Inc Bone Bx Uni Or Bilat Thoracic|13795|7311.35|10346.25|11036|11725.75|12415.5|11725.75|11146.36|9932.4|9336.46|0|13795|0|13795|0|11291.21|0|0|13795|32691.45|10346.25|10773.9|517.99|563.25|517.99|13795|13795|9010.24|503.91|8775.33|13795|33279.9|32691.45|15521.49|0|0|0|0|502.9|502.9|517.99|502.9|905.22|502.9|517.99|0|33279.9
HOSP OP|0361 - OR/MINOR||22514|Hb Percut Kypho Inc Bone Bx Uni Or Bilat Lumbar|13795|7311.35|10346.25|11036|11725.75|12415.5|11725.75|11146.36|9932.4|9336.46|0|13795|0|13795|0|11291.21|0|0|13795|32691.45|10346.25|10773.9|483.1|525.31|483.1|13795|13795|8971.06|469.97|8750.33|13795|33279.9|32691.45|15521.49|0|0|0|0|469.03|469.03|483.1|469.03|844.25|469.03|483.1|0|33279.9
HOSP OP|0361 - OR/MINOR||22515|Hb Percut Kypho Inc Bone Bx Uni Or Bilat Each Add Level|7663|4061.39|5747.25|6130.4|6513.55|6896.7|0|6191.7|5517.36|5186.32|0|7663|0|0|0|6272.17|0|0|0|32691.45|5747.25|5984.8|0|0|0|0|0|0|0|0|0|33279.9|32691.45|15521.49|0|0|0|0|0|0|220.82|0|0|214.39|0|0|33279.9
HOSP OP|0361 - OR/MINOR||37218|Hb Stent Intrathoracic Carotid/innom Open/perc W Angio|10117|5362.01|7587.75|8093.6|8599.45|9105.3|8599.45|8174.54|7284.24|6847.19|0|10117|0|0|0|8280.76|0|0|5523.88|0|7587.75|7901.38|808.83|879.5|808.83|2171.04|2171.04|953.15|786.84|970.03|2171.04|0|0|0|0|0|0|0|785.27|785.27|808.83|785.27|1413.49|785.27|808.83|0|10117
HOSP OP|0761 - TREATMENT ROOM||62302|Hb Myelography Via Lumbar Inj Cervical|1382|732.46|1036.5|1105.6|1174.7|1243.8|1174.7|1116.66|995.04|935.34|0|1382|901.06|1353.22|506.09|1131.17|855.46|833.35|1319.37|1227.19|1036.5|1079.34|752.37|818.11|752.37|1265.48|1291.3|540.32|731.91|547.82|1291.3|1249.28|1227.19|582.66|0|0|774.82|612.36|1382|1297.71|752.37|1382|1314.81|730.45|752.28|0|1382
HOSP OP|0761 - TREATMENT ROOM||62304|Hb Myelography Via Lumbar Inj Lumbar|1673|886.69|1254.75|1338.4|1422.05|1505.7|1422.05|1351.78|1204.56|1132.29|0|1673|1090.8|1353.22|612.65|1369.35|1035.59|1008.82|1319.37|1227.19|1254.75|1306.61|752.37|818.11|752.37|1265.48|1291.3|540.32|731.91|547.82|1291.3|1249.28|1227.19|582.66|0|0|774.82|741.31|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|1673
HOSP OP|0761 - TREATMENT ROOM||62305|Hb Myelography Via Lumbar Inj 2 Or More Regions|1341|710.73|1005.75|1072.8|1139.85|1206.9|1139.85|1083.53|965.52|907.59|0|1341|874.33|1341|491.07|1097.61|830.08|808.62|1319.37|1227.19|1005.75|1047.32|752.37|818.11|752.37|1265.48|1291.3|540.32|731.91|547.82|1291.3|1249.28|1227.19|582.66|0|0|774.82|594.2|1341|1297.71|752.37|1341|1314.81|730.45|752.28|0|1341
HOSP OP|0402 - ULTRASOUND||76641|Hb Us Breast Uni Including Axilla If Done Complete|423|224.19|317.25|338.4|359.55|380.7|359.55|341.78|304.56|286.29|0|423|275.8|238.29|154.9|346.23|261.84|255.07|232.33|289.27|317.25|330.36|74.61|81.13|74.61|299.73|299.73|133.84|72.58|133.92|299.73|294.48|289.27|137.34|0|0|126.02|187.43|72.44|72.44|74.61|72.44|130.39|72.44|74.61|0|423
HOSP OP|0402 - ULTRASOUND||76642|Hb Us Breast Uni Including Axilla If Done Limited|394|208.82|295.5|315.2|334.9|354.6|334.9|318.35|283.68|266.66|0|394|256.89|180.53|144.28|322.49|243.89|237.58|176.01|289.27|295.5|307.71|56.56|61.5|56.56|244.78|244.78|109.62|55.02|109.37|244.78|294.48|289.27|137.34|0|0|69.78|174.58|54.91|54.91|56.56|54.91|98.84|54.91|56.56|0|394
HOSP OP|0301 - LAB/CHEMISTRY||83630|STOOL LEUKOCYTES (LACTOFERRIN)|137|72.61|102.75|109.6|116.45|123.3|116.45|110.7|98.64|92.72|0|137|28.13|29.44|20.46|112.13|26.74|26.02|28.7|21.67|102.75|107|20.29|22.06|20.29|46.96|46.96|24.65|19.74|20.98|46.96|22.06|21.67|22.06|0|0|0|15.02|19.7|19.7|20.29|19.7|35.46|19.7|20.29|0|137
HOSP OP|0305 - LAB/HEMATOLOGY||85660|Hemglobin S|46.01|24.39|34.51|36.81|39.11|41.41|39.11|37.18|33.13|31.14|0|46.01|7.89|8.26|5.74|37.66|7.5|7.3|8.05|6.06|34.51|35.93|5.68|6.17|5.68|12.99|12.99|7.04|5.52|5.8|12.99|6.17|6.06|6.17|0|0|0|4.21|5.51|5.51|5.68|5.51|9.92|5.51|5.68|0|46.01
HOSP OP|0761 - TREATMENT ROOM||19100|CORE BX BREAST NO IMAGING|1490|789.7|1117.5|1192|1266.5|1341|1266.5|1203.92|1072.8|1008.43|0|1490|971.48|367.07|545.64|1219.57|922.31|898.47|357.89|1070.89|1117.5|1163.69|68.87|74.88|68.87|415.63|415.63|181.82|66.99|185.7|415.63|1090.17|1070.89|508.45|0|0|0|660.22|66.86|66.86|68.87|66.86|120.35|66.86|68.87|0|1490
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88177|FINE NEEDLE ASPIRATE ADD'L EVAL EA|62|32.86|46.5|49.6|52.7|55.8|0|50.1|44.64|41.96|0|62|14.54|0|10.57|50.75|13.81|13.44|0|99.19|46.5|48.42|0|0|0|0|0|0|0|0|0|100.98|99.19|47.1|0|0|0|7.76|0|0|7.52|0|0|7.3|0|0|100.98
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Test(s) Presumptive Any Number|200|106|150|160|170|180|170|161.6|144|135.36|0|200|83.4|87.28|60.64|163.7|79.26|77.13|85.1|68.35|150|156.2|64|69.6|64|137.88|137.88|72.64|62.26|61.6|137.88|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|200
HOSP OP|0301 - LAB/CHEMISTRY||81259|ISOLATION/EXTRACTION OF NA|357|189.21|267.75|285.6|303.45|321.3|303.45|288.46|257.04|241.62|0|357|357|357|357|292.2|357|357|357|660|267.75|278.82|357|357|357|357|357|357|357|357|357|671.88|660|671.88|0|0|357|349.86|357|357|357|357|357|357|357|0|671.88
HOSP OP|0361 - OR/MINOR||49422|REMOVE TUNNELED PERIT'L CATH|4400|2332|3300|3520|3740|3960|3740|3555.2|3168|2977.92|0|4400|0|296.06|0|3601.4|0|0|288.66|1070.89|3300|3436.4|219.57|238.75|219.57|590.47|590.47|446.42|213.6|263.82|590.47|1090.17|1070.89|508.45|0|0|0|0|213.17|213.17|219.57|213.17|383.71|213.17|219.57|0|4400
HOSP OP|0301 - LAB/CHEMISTRY||83605|LACTATE PLASMA|88.31|46.8|66.23|70.65|75.06|79.48|75.06|71.35|63.58|59.77|0|88.31|15.31|16.02|11.13|72.28|14.55|14.16|15.62|11.57|66.23|68.97|11.92|12.96|11.92|24.98|24.98|13.21|11.59|11.16|24.98|11.78|11.57|11.78|0|0|0|8.17|11.57|11.57|11.92|11.57|20.83|11.57|11.92|0|88.31
HOSP OP|0301 - LAB/CHEMISTRY||84999|CHEMISTRY MISCELLANEOUS|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|40.28|0|0|0|0|0|0|0|0|0|0|0|41|40.28|19.12|0|0|0|0|0|0|0|0|0|0|0|0|41
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88175|PAP SMEAR SCREEN AUTOMATED|101|53.53|75.75|80.8|85.85|90.9|85.85|81.61|72.72|68.36|0|101|35.85|39|26.07|82.67|34.07|33.15|38.03|29.27|75.75|78.88|27.41|29.8|27.41|62.94|62.94|33.02|26.66|28.12|62.94|29.8|29.27|29.8|0|0|0|19.15|26.61|26.61|27.41|26.61|47.9|26.61|27.41|0|101
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||95807|ABBREVIATED PAP-NAP STUDY|2571|1362.63|1928.25|2056.8|2185.35|2313.9|2185.35|2077.37|1851.12|1740.05|0|2571|1676.29|1250.44|941.5|2104.36|1591.45|1550.31|1219.16|2693.38|1928.25|2007.95|364.21|396.03|364.21|1216.9|1216.9|576.29|354.31|543.72|1216.9|2741.86|2693.38|1278.78|0|0|509.93|1139.21|353.6|353.6|364.21|353.6|636.48|353.6|364.21|0|2741.86
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT Group Treatment Level 5|91|48.23|68.25|72.8|77.35|81.9|77.35|73.53|65.52|61.59|0|91|91|56.56|91|74.48|91|91|51.54|622.52|68.25|71.07|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|89.18|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT Group Treatment Level 6|97|51.41|72.75|77.6|82.45|87.3|82.45|78.38|69.84|65.65|0|97|97|56.56|97|79.39|97|97|51.54|622.52|72.75|75.76|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|95.06|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT Group Treatment Level 7|107|56.71|80.25|85.6|90.95|96.3|90.95|86.46|77.04|72.42|0|107|107|56.56|106.79|87.58|107|107|51.54|622.52|80.25|83.57|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|104.86|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0260 - IV THERAPY||96365|INFUSION THERAPY 1ST HR|497|263.41|372.75|397.6|422.45|447.3|422.45|401.58|357.84|336.37|0|497|324.04|366.16|182|406.79|307.64|299.69|357|438.62|372.75|388.16|203.05|220.79|203.05|113.07|113.07|145.82|197.53|147.85|113.07|446.52|438.62|208.25|0|0|209.65|220.22|393.44|350.23|203.05|377.52|354.84|197.13|203.03|0|497
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Nmo / Aquaporin-4-igg Cell-binding|342.44|181.49|256.83|273.95|291.07|308.2|291.07|276.69|246.56|231.76|0|342.44|37.49|18.08|27.26|280.29|35.63|34.67|17.63|56.65|256.83|267.45|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|342.44
HOSP OP|0306 - LAB/BACT-MICRO||87999|MEASLES PCR|24.2|12.83|18.15|19.36|20.57|21.78|0|19.55|17.42|16.38|0|24.2|16|0|11.66|19.81|15.2|14.79|0|30.33|18.15|18.9|0|0|0|0|0|0|0|0|0|30.88|30.33|14.4|0|0|0|11.55|0|0|9.68|0|0|0|0|0|30.88
HOSP OP|0306 - LAB/BACT-MICRO||87529|HERPES SIMPLEX VIRUS PCR|33.24|17.62|24.93|26.59|28.25|29.92|28.25|26.86|23.93|22.5|0|33.24|33.24|33.24|33.24|27.21|33.24|33.24|33.24|38.6|24.93|25.96|33.24|33.24|33.24|33.24|33.24|33.24|33.24|33.24|33.24|39.29|38.6|39.29|0|0|0|26.87|33.24|33.24|33.24|33.24|33.24|33.24|33.24|0|39.29
HOSP OP|0306 - LAB/BACT-MICRO||87498|ENTEROVIRUS PCR PLASMA|93.73|49.68|70.3|74.98|79.67|84.36|79.67|75.73|67.49|63.44|0|93.73|50.3|52.64|36.57|76.72|47.8|46.52|51.32|38.6|70.3|73.2|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|93.73
HOSP OP|0761 - TREATMENT ROOM||43753|GASTRIC INTUBATION|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|21.66|248.65|555.76|420.3|409.44|21.12|1602.08|509.25|530.3|22.06|23.99|22.06|58.95|58.95|25.97|21.46|26.34|58.95|1630.92|1602.08|760.65|0|0|0|300.86|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|1630.92
HOSP OP|0250 - PHARMACY|||Hb Nitric Oxide Per Hour|328|173.84|0|262.4|0|295.2|0|265.02|236.16|221.99|0|328|216.81|0|158.1|268.47|205.98|200.41|0|0|0|256.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|156.55|0|0|0|0|0|0|0|0|328
HOSP OP|0305 - LAB/HEMATOLOGY||85300|ANTITHROMBIN III ACTIVITY|93|49.29|69.75|74.4|79.05|83.7|79.05|75.14|66.96|62.94|0|93|16.99|17.78|12.35|76.12|16.15|15.71|17.34|13.04|69.75|72.63|12.21|13.27|12.21|27.97|27.97|14.97|11.87|12.5|27.97|13.27|13.04|13.27|0|0|0|9.07|11.85|11.85|12.21|11.85|21.33|11.85|12.21|0|93
HOSP OP|0305 - LAB/HEMATOLOGY||85306|PROTEIN S ACTIVITY|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|21.97|22.99|15.97|96.58|20.88|20.32|22.42|16.85|88.5|92.16|15.78|17.16|15.78|35.97|35.97|18.93|15.35|16.07|35.97|17.15|16.85|17.15|0|0|0|11.73|15.32|15.32|15.78|15.32|27.58|15.32|15.78|0|118
HOSP OP|0302 - LAB/IMMUNOLOGY||85613|LAC / DRVVT (CARDIOLIPIN ANTIBODY)|71|37.63|53.25|56.8|60.35|63.9|60.35|57.37|51.12|48.05|0|71|13.73|14.36|9.98|58.11|13.04|12.69|14|10.54|53.25|55.45|9.87|10.73|9.87|22.98|22.98|11.89|9.6|10.27|22.98|10.73|10.54|10.73|0|0|0|7.33|9.58|9.58|9.87|9.58|17.24|9.58|9.87|0|71
HOSP OP|0305 - LAB/HEMATOLOGY||85303|PROTEIN C CHROMOGENIC|107|56.71|80.25|85.6|90.95|96.3|90.95|86.46|77.04|72.42|0|107|19.83|20.75|14.42|87.58|18.84|18.34|20.23|15.22|80.25|83.57|14.26|15.5|14.26|32.97|32.97|17.17|13.87|14.73|32.97|15.49|15.22|15.49|0|0|0|10.59|13.84|13.84|14.26|13.84|24.91|13.84|14.26|0|107
HOSP OP|0305 - LAB/HEMATOLOGY||85730|SILICA CLOTTING TIME|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|8.6|9|6.26|16.37|8.18|7.96|8.78|6.61|15|15.62|6.19|6.73|6.19|13.99|13.99|7.48|6.02|6.25|13.99|6.73|6.61|6.73|0|0|0|4.59|6.01|6.01|6.19|6.01|10.82|6.01|6.19|0|20
HOSP OP|0681 - TRAUMA LEVEL I||G0390|Hb Trauma Adult Full Activation W Prenotification|8396|4449.88|6297|6716.8|7136.6|7556.4|7136.6|6783.97|6045.12|5682.41|0|8396|5474.19|4701.76|3074.62|6872.13|5197.12|5062.79|4584.22|366.12|6297|6557.28|3358.4|0|3358.4|6666.42|6940.13|3616.16|3358.4|3674.93|6940.13|372.71|366.12|372.71|0|0|1058.86|3720.27|0|0|3358.4|0|4198|0|3358.4|0|8396
HOSP OP|0681 - TRAUMA LEVEL I||G0390|Hb Trauma Adult Partial Activation W Prenotification|4950|2623.5|3712.5|3960|4207.5|4455|4207.5|3999.6|3564|3350.16|0|4950|3227.4|2772|1812.69|4051.58|3064.05|2984.85|2702.7|366.12|3712.5|3865.95|1980|0|1980|3930.3|4091.67|2131.97|1980|2166.62|4091.67|372.71|366.12|372.71|0|0|1058.86|2193.35|0|0|1980|0|2475|0|1980|0|4950
HOSP OP|0682 - TRAUMA LEVEL II||G0390|Hb Trauma Peds Full Activation W Prenotification|8396|4449.88|6297|6716.8|7136.6|7556.4|7136.6|6783.97|6045.12|5682.41|0|8396|5474.19|4701.76|3074.62|6872.13|5197.12|5062.79|4584.22|366.12|6297|6557.28|3358.4|0|3358.4|6666.42|6940.13|3616.16|3358.4|3674.93|6940.13|372.71|366.12|372.71|0|0|1058.86|3720.27|0|0|3358.4|0|4198|0|3358.4|0|8396
HOSP OP|0682 - TRAUMA LEVEL II||G0390|Hb Trauma Peds Partial Activation W Prenotification|4860|2575.8|3645|3888|4131|4374|4131|3926.88|3499.2|3289.25|0|4860|3168.72|2721.6|1779.73|3977.91|3008.34|2930.58|2653.56|366.12|3645|3795.66|1944|0|1944|3858.84|4017.28|2093.2|1944|2127.22|4017.28|372.71|366.12|372.71|0|0|1058.86|2153.47|0|0|1944|0|2430|0|1944|0|4860
HOSP OP|0450 - EMERGENCY ROOM||30020|Hb Drain Abscess Nasal Septum|650|344.5|487.5|520|552.5|585|552.5|525.2|468|439.92|0|650|0|650|0|532.03|0|0|635.98|888.87|487.5|507.65|121.89|132.54|121.89|650|650|283.08|118.58|304.89|650|904.87|888.87|422.02|0|0|0|0|118.34|118.34|121.89|118.34|213.01|118.34|121.89|0|904.87
HOSP OP|0922 - EMG||95874|EMG FOR CHEMODENERVATION|166|87.98|124.5|132.8|141.1|149.4|0|134.13|119.52|112.35|0|166|108.23|0|60.79|135.87|102.75|100.1|0|0|124.5|129.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|73.55|0|0|62.82|0|0|60.99|0|0|166
HOSP OP|0301 - LAB/CHEMISTRY||82017|C5-OH ACYLCARNITINE QN URINE|110.93|58.79|83.2|88.74|94.29|99.84|94.29|89.63|79.87|75.08|0|110.93|24.17|25.3|17.58|90.8|22.98|22.36|24.67|18.56|83.2|86.64|17.38|18.89|17.38|39.96|39.96|21.13|16.9|17.86|39.96|18.89|18.56|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|110.93
HOSP OP|0301 - LAB/CHEMISTRY||82378|CEA PANCREATIC CYST|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|27.18|28.44|19.76|73.67|25.83|25.14|27.73|20.86|67.5|70.29|19.53|21.24|19.53|44.96|44.96|23.77|19|20.09|44.96|21.24|20.86|21.24|0|0|0|14.51|18.96|18.96|19.53|18.96|34.13|18.96|19.53|0|90
HOSP OP|0301 - LAB/CHEMISTRY||80235|LACOSAMIDE & METABOLITE|128.24|67.97|96.18|102.59|109|115.42|109|103.62|92.33|86.79|0|128.24|84.77|36.6|61.81|104.96|80.53|78.35|35.69|29.82|96.18|100.16|27.92|30.36|27.92|57.95|57.95|55.23|27.16|25.89|57.95|30.36|29.82|30.36|0|0|51.3|61.21|27.11|27.11|27.92|27.11|48.8|27.11|27.92|0|128.24
HOSP OP|0306 - LAB/BACT-MICRO||87624|Hb Hpv Dna Low & High Risk Anal-rectal|130.4|69.11|97.8|104.32|110.84|117.36|110.84|105.36|93.89|88.25|0|130.4|50.3|52.64|36.57|106.73|47.8|46.52|51.32|38.6|97.8|101.84|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|130.4
HOSP OP|0306 - LAB/BACT-MICRO||87502|INFLUENZA VIRUS RT/AMP PROBE1ST TWO|275|145.75|206.25|220|233.75|247.5|233.75|222.2|198|186.12|0|275|123.58|129.33|89.86|225.09|117.45|114.29|126.1|95.8|206.25|214.78|98.67|107.3|98.67|204.82|204.82|106.1|95.99|91.51|204.82|97.52|95.8|97.52|0|0|0|66.02|95.8|95.8|98.67|95.8|172.44|95.8|98.67|0|275
HOSP OP|0302 - LAB/IMMUNOLOGY||86357|NATURAL KILLER (NK) CELLS|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.5|0|0|0|0|0|0|0|0|0|0|0|42.25|41.5|42.25|0|0|0|0|0|0|0|0|0|0|0|0|42.25
HOSP OP|0272 - STERILE SUPPLY||C1733|ARCTIC FRONT CATHETER|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|1512|0|0|0|0|0|3780
HOSP OP|0272 - STERILE SUPPLY||C1733|FREEZOR MAX CATHETER|3857|2044.21|2892.75|3085.6|3278.45|3471.3|0|3116.46|2777.04|2610.42|0|3857|2514.76|0|1412.43|3156.95|2387.48|2325.77|0|0|2892.75|3012.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1709.04|0|0|1542.8|0|0|0|0|0|3857
HOSP OP|0306 - LAB/BACT-MICRO||87253|ADD'L TESTING VIRUS ID|48.43|25.67|36.32|38.74|41.17|43.59|41.17|39.13|34.87|32.78|0|48.43|28.96|30.31|21.06|39.64|27.52|26.78|29.55|22.22|36.32|37.82|20.81|22.62|20.81|47.96|47.96|25.09|20.24|21.43|47.96|22.62|22.22|22.62|0|0|0|15.47|20.2|20.2|20.81|20.2|36.36|20.2|20.81|0|48.43
HOSP OP|0306 - LAB/BACT-MICRO||87077|ADD'L ID PROCEDURE|43.9|23.27|32.93|35.12|37.32|39.51|37.32|35.47|31.61|29.71|0|43.9|11.57|12.11|8.41|35.93|11|10.7|11.81|8.08|32.93|34.29|8.32|9.05|8.32|18.98|18.98|10.13|8.1|8.48|18.98|8.23|8.08|8.23|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|43.9
HOSP OP|0306 - LAB/BACT-MICRO||87176|TISSUE PROCESSING|14|7.42|10.5|11.2|11.9|12.6|11.9|11.31|10.08|9.48|0|14|8.44|8.83|6.13|11.46|8.02|7.8|8.61|6.47|10.5|10.93|6.06|6.59|6.06|13.99|13.99|7.48|5.89|6.25|13.99|6.59|6.47|6.59|0|0|0|4.5|5.88|5.88|6.06|5.88|10.58|5.88|6.06|0|14
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Drug Eluting Balloon Lutonix|4480|2374.4|3360|3584|3808|4032|0|3619.84|3225.6|3032.06|0|4480|2920.96|0|1640.58|3666.88|2773.12|2701.44|0|0|3360|3498.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1985.09|0|0|1792|0|0|0|0|0|4480
HOSP OP|0310 - PATHOLOGY LAB||88341|Hb Immunohistochemistry Ea Add'l Atby|92.2|48.87|69.15|73.76|78.37|82.98|0|74.5|66.38|62.4|0|92.2|92.2|0|92.2|75.47|92.2|92.2|0|99.19|69.15|72.01|0|0|0|0|0|0|0|0|0|100.98|99.19|47.1|0|0|0|68.62|0|0|67.34|0|0|65.38|0|0|100.98
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88369|Hb Prenatal Aneuploidy Parafin Ea Add'l|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|60|0|60|49.11|60|60|0|143.82|45|46.86|0|0|0|0|0|0|0|0|0|146.41|143.82|68.29|0|0|0|58.8|0|0|85.9|0|0|60|0|0|146.41
HOSP OP|0310 - PATHOLOGY LAB||88377|Hb Fish Onc Parafin Emb Tissue Ea Multiplx|290|153.7|217.5|232|246.5|261|246.5|234.32|208.8|196.27|0|290|290|283.12|290|237.37|290|290|276.04|143.82|217.5|226.49|158.58|172.44|158.58|266.73|272.17|113.88|154.27|115.46|272.17|146.41|143.82|68.29|0|0|290|284.2|290|273.52|158.58|290|277.13|153.96|158.56|0|290
HOSP OP|0310 - PATHOLOGY LAB||88368|Hb Fish Onc Smears/touch Prep 1st Probe|184.2|97.63|138.15|147.36|156.57|165.78|156.57|148.83|132.62|124.67|0|184.2|152.71|184.2|111.04|150.77|145.14|141.23|184.2|143.82|138.15|143.86|184.2|340.56|184.2|184.2|184.2|184.2|184.2|184.2|184.2|146.41|143.82|68.29|0|0|96.86|81.58|184.2|184.2|313.19|184.2|184.2|304.07|184.2|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88369|Hb Fish Onc Smears/touch Prep Ea Add'l|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|60|0|60|49.11|60|60|0|143.82|45|46.86|0|0|0|0|0|0|0|0|0|146.41|143.82|68.29|0|0|0|58.8|0|0|85.9|0|0|60|0|0|146.41
HOSP OP|0306 - LAB/BACT-MICRO||87801|Hb Infectious Agent Multiple Organisms Amp|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|70.2|0|0|0|0|0|0|0|0|0|0|0|71.46|70.2|71.46|0|0|0|0|0|0|0|0|0|0|0|0|71.46
HOSP OP|0301 - LAB/CHEMISTRY||80356|Hb Heroin Metabolite|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|16|0|16|13.1|16|16|0|30.35|12|12.5|16|0|16|12.7|13.23|16|6.4|7|13.23|30.9|30.35|30.9|0|0|0|15.68|16|16|16|16|16|16|16|0|30.9
HOSP OP|0301 - LAB/CHEMISTRY||80365|Hb Oxycodone Confirmation|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|16|0|16|13.1|16|16|0|20.15|12|12.5|16|0|16|12.7|13.23|16|6.4|7|13.23|20.51|20.15|20.51|0|0|0|15.68|16|16|16|16|16|16|16|0|20.51
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92607|Hb Eval Speech Gen Communication Device 1st Hr|450|238.5|337.5|360|382.5|405|382.5|363.6|324|304.56|0|450|207|0|106.79|368.33|196|191|0|305.9|337.5|351.45|0|0|0|366.67|366.67|162.45|0|163.83|366.67|311.41|305.9|145.24|0|0|104.94|173.11|130.98|130.98|0|130.98|0|0|0|0|450
HOSP OP|0360 - OR SERVICES||41000|Hb I&d Mouth/tong Intralingual|1168|619.04|876|934.4|992.8|1051.2|992.8|943.74|840.96|790.5|0|1168|0|397.16|0|956.01|0|0|387.22|3349.88|876|912.21|113.5|123.41|113.5|454.59|454.59|200.76|110.41|203.11|454.59|3410.18|3349.88|1590.48|0|0|0|0|110.19|110.19|113.5|110.19|198.34|110.19|113.5|0|3410.18
HOSP OP|0260 - IV THERAPY||96366|Infusion Therapy ea addtl hr|243|128.79|182.25|194.4|206.55|218.7|206.55|196.34|174.96|164.46|0|243|158.44|74.11|88.99|198.9|150.42|146.53|72.26|525.61|182.25|189.78|42.11|45.79|42.11|37.23|37.23|30.25|40.97|30.67|37.23|535.07|525.61|249.55|0|0|42.43|107.67|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|535.07
HOSP OP|0260 - IV THERAPY||96367|IV INFUSION SEQUENTIAL 1 HR|285|151.05|213.75|228|242.25|256.5|242.25|230.28|205.2|192.89|0|285|185.82|116.89|104.37|233.27|176.42|171.86|113.97|438.62|213.75|222.59|66.82|72.66|66.82|83.14|83.14|47.99|65.01|48.65|83.14|446.52|438.62|208.25|0|0|66.92|126.28|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|446.52
HOSP OP|0120 - SEMI-PRIVATE ROOM & BOARD|||Semi Private|3529|1870.37|0|2823.2|0|3176.1|0|2851.43|2540.88|2388.43|0|3529|0|0|0|2888.49|0|0|0|0|0|2756.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3529
HOSP OP|0171 - NEWBORN LEVEL I|||Nursery Level I|1884|998.52|0|1507.2|0|1695.6|0|1522.27|1356.48|1275.09|0|1884|0|0|0|1542.05|0|0|0|0|0|1471.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1884
HOSP OP|0210 - CORONARY CARE ROOM & BED|||Coronary Care Room|4654|2466.62|0|3723.2|0|4188.6|0|3760.43|3350.88|3149.83|0|4654|0|0|0|3809.3|0|0|0|0|0|3634.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4654
HOSP OP|0204 - ICU/PSYCH|||Psych Lrc Room|4251|2253.03|0|3400.8|0|3825.9|0|3434.81|3060.72|2877.08|0|4251|0|0|0|3479.44|0|0|0|0|0|3320.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4251
HOSP OP|0124 - SEMI-PRIVATE ROOM & BOARD|||Psych Semi Private Room|3038|1610.14|0|2430.4|0|2734.2|0|2454.7|2187.36|2056.12|0|3038|0|0|0|2486.6|0|0|0|0|0|2372.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3038
HOSP OP|0128 - REHAB/2BED|||Rehab Semi Private Room|1852|981.56|0|1481.6|0|1666.8|0|1496.42|1333.44|1253.43|0|1852|0|0|0|1515.86|0|0|0|0|0|1446.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1852
HOSP OP|0200 - INTENSIVE CARE ROOM & BED|||Icu Room|8248|4371.44|0|6598.4|0|7423.2|0|6664.38|5938.56|5582.25|0|8248|0|0|0|6750.99|0|0|0|0|0|6441.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8248
HOSP OP|0351 - CT SCAN/HEAD||70481|CT ORBITS/SELLA/EAR W|1432|758.96|1074|1145.6|1217.2|1288.8|1217.2|1157.06|1031.04|969.18|0|1432|1158|394.64|605.81|1172.09|1101|1072|384.77|530.28|1074|1118.39|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1432
HOSP OP|0320 - DX X-RAY||72110|XR LUMBAR MIN 4-VIEWS|383|202.99|287.25|306.4|325.55|344.7|325.55|309.46|275.76|259.21|0|383|383|220.09|313.38|313.49|383|383|214.59|157.34|287.25|299.12|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|375.34|240|213.64|123.86|230.29|216.45|120.25|123.85|0|383
HOSP OP|0612 - MRI - SPINAL CORD||72158|MRI SPINE LUMBAR W/O & W CONT|2070|1097.1|1552.5|1656|1759.5|1863|1759.5|1672.56|1490.4|1400.98|0|2070|1868|754.87|979.08|1694.3|1775|1728|735.99|944.93|1552.5|1616.67|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|961.94|944.93|448.64|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2070
HOSP OP|0320 - DX X-RAY||73600|XR ANKLE 2 VIEW|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|303|121.88|303|248.01|303|303|118.83|157.34|227.25|236.64|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|296.94|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|303
HOSP OP|0618 - MRA/OTHER||74185|MR ANGIO ABDOMEN|1746|925.38|1309.5|1396.8|1484.1|1571.4|1484.1|1410.77|1257.12|1181.69|0|1746|1746|0|979.08|1429.1|1746|1728|0|1174.24|1309.5|1363.63|314.51|341.99|314.51|1114|1114|503.65|305.96|497.74|1114|1195.38|1174.24|557.52|0|0|0|1178.54|305.35|305.35|314.51|305.35|549.63|305.35|314.51|0|1746
HOSP OP|0352 - CT SCAN/BODY||75635|CTA ABD RUN-OFF|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|1092.78|605.81|1228.57|1101|1072|1065.45|799.29|1125.75|1172.28|343.1|373.08|343.1|1243.88|1243.88|549.44|333.78|555.77|1243.88|813.68|799.29|379.49|0|0|225.96|730.1|333.11|333.11|343.1|333.11|599.6|333.11|343.1|0|1501
HOSP OP|0320 - DX X-RAY||76010|XR FB NOSE/RECTUM CHILD 1V|224|118.72|168|179.2|190.4|201.6|190.4|180.99|161.28|151.6|0|224|224|61.38|224|183.34|224|224|59.84|157.34|168|174.94|20.45|22.23|20.45|75.93|75.93|32.14|19.89|33.93|75.93|160.17|157.34|74.7|0|0|69.78|219.52|19.85|19.85|20.45|19.85|35.73|19.85|20.45|0|224
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9505|TL-201 CHLORIDE|50|26.5|37.5|40|42.5|45|0|40.4|36|33.84|0|50|50|0|50|40.93|50|50|0|30|37.5|39.05|0|0|0|0|0|0|0|0|0|30.54|30|30.54|0|0|0|49|0|0|20|0|0|0|0|0|50
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9516|I-123 CAPSULE DX PER 100UCI|101|53.53|75.75|80.8|85.85|90.9|0|81.61|72.72|68.36|0|101|101|0|101|82.67|101|101|0|180.85|75.75|78.88|0|0|0|0|0|0|0|0|0|184.11|180.85|184.11|0|0|0|98.98|0|0|40.4|0|0|0|0|0|184.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1751|PICC/CENTRAL/MIDLINE CATH|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|184|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1757|THROMB/EMBOLECTOMY CATHETER|1951|1034.03|1463.25|1560.8|1658.35|1755.9|0|1576.41|1404.72|1320.44|0|1951|1272.05|0|714.46|1596.89|1207.67|1176.45|0|0|1463.25|1523.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|864.49|0|0|780.4|0|0|0|0|0|1951
HOSP OP|0272 - STERILE SUPPLY||C1760|CLOSURE DEVICE VASCULAR|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|0|486|506.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|287.13|0|0|259.2|0|0|0|0|0|648
HOSP OP|0272 - STERILE SUPPLY||C1769|WIRE SPECIALTY|1729|916.37|1296.75|1383.2|1469.65|1556.1|0|1397.03|1244.88|1170.19|0|1729|1127.31|0|633.16|1415.19|1070.25|1042.59|0|0|1296.75|1350.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|766.12|0|0|691.6|0|0|0|0|0|1729
HOSP OP|0272 - STERILE SUPPLY||C1773|RETRIEVAL DEVICE|756|400.68|567|604.8|642.6|680.4|0|610.85|544.32|511.66|0|756|492.91|0|276.85|618.79|467.96|455.87|0|0|567|590.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|334.98|0|0|302.4|0|0|0|0|0|756
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|PORT INDWELLING IMPLANT|1236|655.08|927|988.8|1050.6|1112.4|0|998.69|889.92|836.52|0|1236|805.87|0|452.62|1011.67|765.08|745.31|0|0|927|965.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|547.67|0|0|494.4|0|0|0|0|0|1236
HOSP OP|0272 - STERILE SUPPLY||C1887|CATHETER GUIDING|253|134.09|189.75|202.4|215.05|227.7|0|204.42|182.16|171.23|0|253|164.96|0|92.65|207.08|156.61|152.56|0|0|189.75|197.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|112.1|0|0|101.2|0|0|0|0|0|253
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRODUCER NON-GUIDING|275|145.75|206.25|220|233.75|247.5|0|222.2|198|186.12|0|275|179.3|0|100.71|225.09|170.23|165.83|0|0|206.25|214.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|121.85|0|0|110|0|0|0|0|0|275
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90734|Hb Menacwy-d Or Menacwy-crm Conj Vacc Grps Acyw Im Use|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|125.5|0|0|0|0|0|0|0|0|0|0|0|127.76|125.5|127.76|0|0|0|0|0|0|0|0|0|0|0|0|127.76
HOSP OP|0943 - CARDIAC REHAB||93797|CARDIAC REHAB W/O ECG|259|137.27|194.25|207.2|220.15|233.1|220.15|209.27|186.48|175.29|0|259|168.87|55.36|94.85|211.99|160.32|156.18|53.98|236.07|194.25|202.28|9.08|9.88|9.08|44.96|44.96|19.81|8.84|20.09|44.96|240.32|236.07|112.08|0|0|132.34|114.76|8.82|8.82|9.08|8.82|15.88|8.82|9.08|0|259
HOSP OP|0360 - OR SERVICES||53600|Hb Dilate Urethra Stricture Male Initial|563|298.39|422.25|450.4|478.55|506.7|478.55|454.9|405.36|381.04|0|563|0|315.28|0|460.82|0|0|307.4|1788.46|422.25|439.7|65.14|70.83|65.14|231.79|231.79|242.48|63.37|103.56|231.79|1820.65|1788.46|849.14|0|0|225.2|0|63.24|63.24|65.14|63.24|113.83|63.24|65.14|0|1820.65
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90700|DIPHTHPERTUSS TET(ACE11) PED|81.78|43.34|61.34|65.42|69.51|73.6|0|66.08|58.88|55.35|0|81.78|31.02|0|22.56|66.94|29.49|28.69|0|25.51|61.34|63.87|0|0|0|0|0|0|0|0|0|25.97|25.51|25.97|0|0|0|16.57|0|0|32.71|0|0|0|0|0|81.78
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90647|HAEMOPHILUS B CONJ.VACCINE 0.5|83.93|44.48|62.95|67.14|71.34|75.54|0|67.82|60.43|56.8|0|83.93|33.84|0|24.6|68.7|32.16|31.29|0|26.56|62.95|65.55|0|0|0|0|0|0|0|0|0|27.04|26.56|27.04|0|0|0|18.07|0|0|33.57|0|0|0|0|0|83.93
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90723|HEP B VACCINE/DP(A) T-POLIO|114.06|60.45|85.55|91.25|96.95|102.65|96.95|92.16|82.12|77.2|0|114.06|99.27|0|72.18|93.36|94.34|91.8|0|83.94|85.55|89.08|45.62|0|45.62|114.06|114.06|90.69|45.62|91.96|114.06|85.45|83.94|85.45|0|0|45.62|53.03|0|0|45.62|0|57.03|0|45.62|0|114.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90371|HEPATITIS 1MM GLOB 1ML SYR|267.92|142|200.94|214.34|227.73|241.13|227.73|216.48|192.9|181.33|0|267.92|154.21|128.71|112.13|219.29|146.56|142.61|125.49|115.94|200.94|209.25|107.17|0|107.17|267.92|267.92|151.45|107.17|140.62|267.92|118.03|115.94|118.03|0|0|133.88|82.39|0|0|107.17|0|133.96|0|107.17|0|267.92
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90371|HEPATITIS 1MM GLOB 5ML VIAL|267.92|142|200.94|214.34|227.73|241.13|227.73|216.48|192.9|181.33|0|267.92|154.21|128.71|112.13|219.29|146.56|142.61|125.49|115.94|200.94|209.25|107.17|0|107.17|267.92|267.92|151.45|107.17|140.62|267.92|118.03|115.94|118.03|0|0|133.88|82.39|0|0|107.17|0|133.96|0|107.17|0|267.92
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90746|Hb Hepatitis B Vac 2.5mcg/0.5*|126.97|67.29|95.23|101.58|107.92|114.27|107.92|102.59|91.42|85.93|0|126.97|84|67.06|61.08|103.92|79.84|77.69|65.38|67.06|95.23|99.16|50.79|0|50.79|126.97|126.97|67.8|50.79|81.24|126.97|68.27|67.06|68.27|0|0|75.12|44.88|69.57|69.57|50.79|69.57|63.49|0|50.79|0|126.97
HOSP OP|0637 - DRUGS/SELF ADMIN||J8499|HYDROCODONE/APAP TAB 325MG|1.28|0.68|0.96|1.02|1.09|1.15|1.09|1.03|0.92|0.87|0|1.28|0.85|0|0.62|1.05|0.8|0.78|0.7|0|0.96|1|1.28|1.28|0|1.02|1.06|0.55|1.28|0.56|1.06|0|0|0|0|0|0|0.61|0|0|1.28|0|1.47|1.28|1.28|0|1.47
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90732|PNEUMOCOCCAL VAC 23-VALENT|110.83|58.74|83.12|88.66|94.21|99.75|94.21|89.55|79.8|75.01|0|110.83|110.83|110.83|101.07|90.71|110.83|110.83|110.83|114.21|83.12|86.56|44.33|0|44.33|110.83|110.83|110.83|44.33|110.83|110.83|116.27|114.21|116.27|0|0|110.83|74.26|110.83|110.83|44.33|110.83|55.42|0|44.33|0|116.27
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90713|POLIOVIRUS VACCINE INACT SYRNG|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.11|0|0|0|0|0|0|0|0|0|0|0|34.72|34.11|34.72|0|0|0|0|0|0|0|0|0|0|0|0|34.72
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90375|RABIES IMMUNE GLOBULIN 10ML|563.82|298.82|422.87|451.06|479.25|507.44|479.25|455.57|405.95|381.59|0|563.82|396.06|312.46|287.98|461.49|376.41|366.27|304.65|277.34|422.87|440.34|225.53|0|225.53|563.82|563.82|381.26|225.53|336.59|563.82|282.33|277.34|282.33|0|0|343.88|211.6|0|0|225.53|0|281.91|0|225.53|0|563.82
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90675|RABIES VACCINE(HDCV) 2.5 I*|491.73|260.62|368.8|393.38|417.97|442.56|417.97|397.32|354.05|332.8|0|491.73|374.07|323.52|272|402.48|355.52|345.95|315.43|277.82|368.8|384.04|196.69|0|196.69|491.73|491.73|396.23|196.69|337.03|491.73|282.82|277.82|282.82|0|0|329.89|199.86|0|0|196.69|0|245.87|0|196.69|0|491.73
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90714|TETANUS-DIPHTHERIA INJ ADU*|82.85|43.91|62.14|66.28|70.42|74.57|0|66.94|59.65|56.07|0|82.85|29.84|0|21.7|67.81|28.36|27.59|0|25.11|62.14|64.71|0|0|0|0|0|0|0|0|0|25.56|25.11|25.56|0|0|0|15.94|0|0|33.14|0|0|0|0|0|82.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90716|VARICELLA VIRUS VACCINE|128.04|67.86|96.03|102.43|108.83|115.24|108.83|103.46|92.19|86.66|0|128.04|128.04|0|114.45|104.8|128.04|128.04|0|138.31|96.03|100|51.22|0|51.22|128.04|128.04|128.04|51.22|128.04|128.04|140.8|138.31|140.8|0|0|128.04|84.09|0|0|51.22|0|64.02|0|51.22|0|140.8
HOSP OP|0762 - OBSERVATION ROOM||G0378|Hb Observation Status Per Hour|147|77.91|110.25|117.6|124.95|132.3|0|118.78|105.84|99.49|0|132.3|94.23|0|49.57|120.32|89.52|87.17|0|57.9|110.25|114.81|0|0|0|0|0|0|0|0|0|58.94|57.9|58.94|0|0|0|59.81|0|0|58.8|0|0|0|0|0|132.3
HOSP OP|0180 - LEAVE OF ABSENCE|||Leave Of Absense|0.01|0.01|0|0.01|0|0.01|0|0.01|0.01|0.01|0|0.01|0|0|0|0.01|0|0|0|0|0|0.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.01
HOSP OP|0730 - EKG/ECG|||EKG PANEL|219|116.07|0|175.2|0|197.1|0|176.95|157.68|148.22|0|219|142.79|0|80.2|179.25|135.56|132.06|0|0|0|171.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.04|0|0|0|0|0|0|0|0|219
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|SPEECH THERAPY INDIV 1|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|0|106.79|293.84|196|191|0|305.9|269.25|280.38|0|0|0|220.8|220.8|96.86|0|98.65|220.8|311.41|305.9|145.24|0|0|63.08|173.11|80.43|80.43|0|80.43|0|0|0|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|SPEECH THERAPY INDIV 2|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|0|106.79|293.84|196|191|0|305.9|269.25|280.38|0|0|0|220.8|220.8|96.86|0|98.65|220.8|311.41|305.9|145.24|0|0|63.08|173.11|80.43|80.43|0|80.43|0|0|0|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|SPEECH THERAPY INDIV 3|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|0|106.79|293.84|196|191|0|305.9|269.25|280.38|0|0|0|220.8|220.8|96.86|0|98.65|220.8|311.41|305.9|145.24|0|0|63.08|173.11|80.43|80.43|0|80.43|0|0|0|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|SPEECH THERAPY INDIV 4|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|0|106.79|293.84|196|191|0|305.9|269.25|280.38|0|0|0|220.8|220.8|96.86|0|98.65|220.8|311.41|305.9|145.24|0|0|63.08|173.11|80.43|80.43|0|80.43|0|0|0|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|Hb Speech Therapy Indiv 5|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|0|106.79|293.84|196|191|0|305.9|269.25|280.38|0|0|0|220.8|220.8|96.86|0|98.65|220.8|311.41|305.9|145.24|0|0|63.08|173.11|80.43|80.43|0|80.43|0|0|0|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92611|SP VIDEOFLUOR LEVEL 1|547|289.91|410.25|437.6|464.95|492.3|464.95|441.98|393.84|370.21|0|547|207|306.89|106.79|447.72|196|191|299.22|157.34|410.25|427.21|95.77|104.14|95.77|250.77|250.77|107.42|93.17|112.05|250.77|160.17|157.34|74.7|0|0|71.96|173.11|102.28|102.28|95.77|102.28|167.36|92.98|95.77|0|547
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92611|SP VIDEOFLUOR LEVEL 2|547|289.91|410.25|437.6|464.95|492.3|464.95|441.98|393.84|370.21|0|547|207|306.89|106.79|447.72|196|191|299.22|157.34|410.25|427.21|95.77|104.14|95.77|250.77|250.77|107.42|93.17|112.05|250.77|160.17|157.34|74.7|0|0|71.96|173.11|102.28|102.28|95.77|102.28|167.36|92.98|95.77|0|547
HOSP OP|0320 - DX X-RAY||70030|Hb Xray Eye For Foreign Body|212.5|112.62|159.38|170|180.63|191.25|180.63|171.7|153|143.82|0|212.5|212.5|71.01|212.5|173.93|212.5|212.5|69.23|157.34|159.38|165.96|23.45|25.5|23.45|81.93|81.93|34.34|22.82|36.6|81.93|160.17|157.34|74.7|0|0|69.78|208.25|22.77|22.77|23.45|22.77|40.99|22.77|23.45|0|212.5
HOSP OP|0320 - DX X-RAY||70110|XR MANDIBLE MIN 4 VIEWS|364|192.92|273|291.2|309.4|327.6|309.4|294.11|262.08|246.36|0|364|364|92.67|313.38|297.93|364|364|90.35|157.34|273|284.28|30.98|33.69|30.98|111.9|111.9|46.67|30.14|50|111.9|160.17|157.34|74.7|0|0|126.02|356.72|30.08|30.08|30.98|30.08|54.14|30.08|30.98|0|364
HOSP OP|0320 - DX X-RAY||70140|XR FACIAL BONES <3 VIEWS|232|122.96|174|185.6|197.2|208.8|197.2|187.46|167.04|157.02|0|232|232|68.6|232|189.89|232|232|66.88|157.34|174|181.19|21.95|23.87|21.95|84.92|84.92|36.54|21.35|37.94|84.92|160.17|157.34|74.7|0|0|69.78|227.36|21.31|21.31|21.95|21.31|38.36|21.31|21.95|0|232
HOSP OP|0320 - DX X-RAY||70150|XR FACIAL BONES MIN 3 VIEWS|340|180.2|255|272|289|306|289|274.72|244.8|230.11|0|340|340|102.3|313.38|278.29|340|340|99.74|157.34|255|265.54|33.99|36.96|33.99|121.89|121.89|51.07|33.07|54.46|121.89|160.17|157.34|74.7|0|0|126.02|333.2|33|33|33.99|33|59.4|33|33.99|0|340
HOSP OP|0320 - DX X-RAY||70160|XR NASAL BONES MIN 3 VIEWS|375|198.75|281.25|300|318.75|337.5|318.75|303|270|253.8|0|375|375|86.65|313.38|306.94|375|375|84.48|157.34|281.25|292.88|28.73|31.24|28.73|95.91|95.91|40.5|27.95|42.85|95.91|160.17|157.34|74.7|0|0|69.78|367.5|27.89|27.89|28.73|27.89|50.2|27.89|28.73|0|375
HOSP OP|0320 - DX X-RAY||70200|XR ORBITS MIN 4 VIEWS|351|186.03|263.25|280.8|298.35|315.9|298.35|283.61|252.72|237.56|0|351|351|220.09|313.38|287.29|351|351|214.59|157.34|263.25|274.13|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|343.98|240|213.64|123.86|230.29|216.45|120.25|123.85|0|351
HOSP OP|0320 - DX X-RAY||70210|XR SINUSES <3 VIEWS|263|139.39|197.25|210.4|223.55|236.7|223.55|212.5|189.36|178|0|263|263|77.02|263|215.27|263|263|75.1|157.34|197.25|205.4|23.08|25.1|23.08|87.92|87.92|36.54|22.45|39.28|87.92|160.17|157.34|74.7|0|0|69.78|257.74|22.41|22.41|23.08|22.41|40.34|22.41|23.08|0|263
HOSP OP|0320 - DX X-RAY||70220|XR SINUS MIN 3 VIEWS|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|303|89.06|303|248.01|303|303|86.83|157.34|227.25|236.64|26.46|28.77|26.46|108.9|108.9|46.23|25.74|48.66|108.9|160.17|157.34|74.7|0|0|69.78|296.94|25.69|25.69|26.46|25.69|46.24|25.69|26.46|0|303
HOSP OP|0320 - DX X-RAY||70250|XR SKULL <4 VIEWS|305|161.65|228.75|244|259.25|274.5|259.25|246.44|219.6|206.42|0|305|305|220.09|305|249.64|305|305|214.59|157.34|228.75|238.21|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|298.9|240|213.64|123.86|230.29|216.45|120.25|123.85|0|305
HOSP OP|0320 - DX X-RAY||70260|XR SKULL MIN 4 VIEWS|351|186.03|263.25|280.8|298.35|315.9|298.35|283.61|252.72|237.56|0|351|351|101.09|313.38|287.29|351|351|98.57|157.34|263.25|274.13|30.98|33.69|30.98|132.88|132.88|56.35|30.14|59.37|132.88|160.17|157.34|74.7|0|0|126.02|343.98|30.08|30.08|30.98|30.08|54.14|30.08|30.98|0|351
HOSP OP|0610 - MRI||70336|MRI TMJ(S)|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|814.77|979.08|1403.73|1715|1715|794.39|957.41|1286.25|1339.42|247.05|268.63|247.05|887.2|887.2|402.39|240.33|396.4|887.2|974.64|957.41|454.56|0|0|258.25|1178.54|239.85|239.85|247.05|239.85|431.73|239.85|247.05|0|1715
HOSP OP|0320 - DX X-RAY||70360|XR NECK SOFT TISSUE|280|148.4|210|224|238|252|238|226.24|201.6|189.5|0|280|280|121.88|280|229.18|280|280|118.83|157.34|210|218.68|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|274.4|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|280
HOSP OP|0320 - DX X-RAY||70390|SIALOGRAPHY RAD|536|284.08|402|428.8|455.6|482.4|455.6|433.09|385.92|362.76|0|536|536|284.03|313.38|438.72|536|536|276.92|689.31|402|418.62|98.31|106.9|98.31|290.74|290.74|117.11|95.64|129.9|290.74|701.72|689.31|327.28|0|0|258.25|525.28|95.45|95.45|98.31|95.45|171.81|95.45|98.31|0|701.72
HOSP OP|0351 - CT SCAN/HEAD||70450|CT HEAD/BRAIN W/O CONTRAST|766|405.98|574.5|612.8|651.1|689.4|651.1|618.93|551.52|518.43|0|766|766|220.09|605.81|626.97|766|766|214.59|495.4|574.5|598.25|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|504.32|495.4|235.21|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|766
HOSP OP|0351 - CT SCAN/HEAD||70460|CT HEAD WITH CONTRAST|1200|636|900|960|1020|1080|1020|969.6|864|812.16|0|1200|1158|394.64|605.81|982.2|1101|1072|384.77|495.4|900|937.2|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|504.32|495.4|235.21|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1200
HOSP OP|0351 - CT SCAN/HEAD||70470|CT HEAD/BRAIN W&W/O CONT|1203|637.59|902.25|962.4|1022.55|1082.7|1022.55|972.02|866.16|814.19|0|1203|1158|394.64|605.81|984.66|1101|1072|384.77|495.4|902.25|939.54|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|504.32|495.4|235.21|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1203
HOSP OP|0351 - CT SCAN/HEAD||70480|CT ORBITS/SELLA/EAR W/O CONT|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|837|220.09|605.81|685.08|837|837|214.59|530.28|627.75|653.7|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|539.83|530.28|251.77|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|837
HOSP OP|0351 - CT SCAN/HEAD||70482|CT ORBITS/SELLA/EAR W&W/O|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|769.04|605.81|1228.57|1101|1072|749.8|530.28|1125.75|1172.28|194.37|211.36|194.37|846.24|846.24|375.1|189.09|378.1|846.24|539.83|530.28|251.77|0|0|225.96|730.1|188.71|188.71|194.37|188.71|339.68|188.71|194.37|0|1501
HOSP OP|0351 - CT SCAN/HEAD||70486|CT MAXILLOFACIAL W/O CONTRAST|829|439.37|621.75|663.2|704.65|746.1|704.65|669.83|596.88|561.07|0|829|829|220.09|605.81|678.54|829|829|214.59|530.28|621.75|647.45|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|539.83|530.28|251.77|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|829
HOSP OP|0351 - CT SCAN/HEAD||70487|CT MAXILLOFACIAL W/ CONTRAST|1160|614.8|870|928|986|1044|986|937.28|835.2|785.09|0|1160|1158|394.64|605.81|949.46|1101|1072|384.77|530.28|870|905.96|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1160
HOSP OP|0350 - CT SCAN||70488|CT MAXILLOFACIAL W&W/O CONT|1784|945.52|1338|1427.2|1516.4|1605.6|1516.4|1441.47|1284.48|1207.41|0|1784|1158|394.64|605.81|1460.2|1101|1072|384.77|530.28|1338|1393.3|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1784
HOSP OP|0351 - CT SCAN/HEAD||70490|CT NECK SOFT TISSUE W/O CONT|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|837|338.18|605.81|685.08|837|837|329.73|530.28|627.75|653.7|105.46|114.68|105.46|461.58|461.58|209.12|102.59|206.24|461.58|539.83|530.28|251.77|0|0|126.02|730.1|102.39|102.39|105.46|102.39|184.3|102.39|105.46|0|837
HOSP OP|0351 - CT SCAN/HEAD||70491|CT NECK SOFT TISSUE WITH CONTR|1053|558.09|789.75|842.4|895.05|947.7|895.05|850.82|758.16|712.67|0|1053|1053|394.64|605.81|861.88|1053|1053|384.77|530.28|789.75|822.39|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1053
HOSP OP|0351 - CT SCAN/HEAD||70492|CT NECK SOFT TISSUE W/WO CONT|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|530.28|1125.75|1172.28|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0351 - CT SCAN/HEAD||70496|CT ANGIO HEAD|1486|787.58|1114.5|1188.8|1263.1|1337.4|1263.1|1200.69|1069.92|1005.72|0|1486|1158|394.64|605.81|1216.29|1101|1072|384.77|637.21|1114.5|1160.57|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|648.68|637.21|302.54|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1486
HOSP OP|0351 - CT SCAN/HEAD||70498|CT ANGIO NECK|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|530.28|1125.75|1172.28|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0610 - MRI||70540|MRI ORBIT/FACE/NECK W/O CONT|1706|904.18|1279.5|1364.8|1450.1|1535.4|1450.1|1378.45|1228.32|1154.62|0|1706|1706|669.15|979.08|1396.36|1706|1706|652.41|1075.89|1279.5|1332.39|204.16|222|204.16|748.33|748.33|338.56|198.61|334.35|748.33|1095.26|1075.89|510.82|0|0|258.25|1178.54|198.21|198.21|204.16|198.21|356.78|198.21|204.16|0|1706
HOSP OP|0615 - MRA||70544|MRA HEAD W/O CONTRAST|1435|760.55|1076.25|1148|1219.75|1291.5|1219.75|1159.48|1033.2|971.21|0|1435|1435|451.03|979.08|1174.55|1435|1435|439.74|862.95|1076.25|1120.74|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|878.48|862.95|409.72|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1435
HOSP OP|0610 - MRI||70545|MRA HEAD W/ CONTRAST|2133|1130.49|1599.75|1706.4|1813.05|1919.7|1813.05|1723.46|1535.76|1443.61|0|2133|1868|730.52|979.08|1745.86|1775|1728|712.25|862.95|1599.75|1665.87|206.79|224.86|206.79|778.3|778.3|406.35|201.17|347.75|778.3|878.48|862.95|409.72|0|0|432.22|1178.54|200.77|200.77|206.79|200.77|361.39|200.77|206.79|0|2133
HOSP OP|0615 - MRA||70546|MRA HEAD W&W/O CONTRAST|2531|1341.43|1898.25|2024.8|2151.35|2277.9|2151.35|2045.05|1822.32|1712.98|0|2531|1868|1131.29|979.08|2071.62|1775|1728|1103|862.95|1898.25|1976.71|313.39|340.77|313.39|1152.96|1152.96|605.79|304.87|515.15|1152.96|878.48|862.95|409.72|0|0|432.22|1178.54|304.26|304.26|313.39|304.26|547.67|304.26|313.39|0|2531
HOSP OP|0615 - MRA||70547|MRA NECK W/O CONTRAST|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|862.95|1286.25|1339.42|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|878.48|862.95|409.72|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||70548|MRA NECK W/ CONTRAST|2404|1274.12|1803|1923.2|2043.4|2163.6|2043.4|1942.43|1730.88|1627.03|0|2404|1868|754.87|979.08|1967.67|1775|1728|735.99|862.95|1803|1877.52|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|878.48|862.95|409.72|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2404
HOSP OP|0615 - MRA||70549|MRA NECK W&W/O CONTRAST|1756|930.68|1317|1404.8|1492.6|1580.4|1492.6|1418.85|1264.32|1188.46|0|1756|1756|754.87|979.08|1437.29|1756|1728|735.99|862.95|1317|1371.44|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|878.48|862.95|409.72|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1756
HOSP OP|0611 - MRI - BRAIN||70551|MRI BRAIN W/O CONTRAST|1125|596.25|843.75|900|956.25|1012.5|956.25|909|810|761.4|0|1125|1125|451.03|979.08|920.81|1125|1125|439.74|1095.9|843.75|878.63|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|1115.63|1095.9|520.32|0|0|258.25|1102.5|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1125
HOSP OP|0611 - MRI - BRAIN||70552|MRI BRAIN W/ CONTRAST|1805|956.65|1353.75|1444|1534.25|1624.5|1534.25|1458.44|1299.6|1221.62|0|1805|1805|760.61|979.08|1477.39|1775|1728|741.59|1095.9|1353.75|1409.71|231.25|251.45|231.25|885.2|885.2|399.75|224.96|395.51|885.2|1115.63|1095.9|520.32|0|0|432.22|1178.54|224.51|224.51|231.25|224.51|404.12|224.51|231.25|0|1805
HOSP OP|0611 - MRI - BRAIN||70553|MRI BRAIN W&W/O CONTRAST|1575|834.75|1181.25|1260|1338.75|1417.5|1338.75|1272.6|1134|1065.96|0|1575|1575|754.87|979.08|1289.14|1575|1575|735.99|1095.9|1181.25|1230.08|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1115.63|1095.9|520.32|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1575
HOSP OP|0320 - DX X-RAY||71100|XR RIBS UNI 2V|352|186.56|264|281.6|299.2|316.8|299.2|284.42|253.44|238.23|0|352|352|78.23|313.38|288.11|352|352|76.27|157.34|264|274.91|25.34|27.55|25.34|95.91|95.91|40.94|24.65|42.85|95.91|160.17|157.34|74.7|0|0|69.78|344.96|24.6|24.6|25.34|24.6|44.28|24.6|25.34|0|352
HOSP OP|0320 - DX X-RAY||71101|XR RIBS UNI W PA CXR MIN 3V|387|205.11|290.25|309.6|328.95|348.3|328.95|312.7|278.64|261.92|0|387|387|86.65|313.38|316.76|387|387|84.48|157.34|290.25|302.25|28.73|31.24|28.73|109.9|109.9|47.11|27.95|49.1|109.9|160.17|157.34|74.7|0|0|126.02|379.26|27.89|27.89|28.73|27.89|50.2|27.89|28.73|0|387
HOSP OP|0320 - DX X-RAY||71111|XR RIBS BIL W PA CXR MIN 4V|472|250.16|354|377.6|401.2|424.8|401.2|381.38|339.84|319.45|0|472|472|220.09|313.38|386.33|472|472|214.59|157.34|354|368.63|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|462.56|240|213.64|123.86|230.29|216.45|120.25|123.85|0|472
HOSP OP|0320 - DX X-RAY||71120|XR STERNUM MIN 2 VIEWS|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|303|71.01|303|248.01|303|303|69.23|157.34|227.25|236.64|23.45|25.5|23.45|86.92|86.92|36.54|22.82|38.84|86.92|160.17|157.34|74.7|0|0|69.78|296.94|22.77|22.77|23.45|22.77|40.99|22.77|23.45|0|303
HOSP OP|0320 - DX X-RAY||71130|Hb Xr Sternoclavicular Joint(s); Minimum 3 Views|215|113.95|161.25|172|182.75|193.5|182.75|173.72|154.8|145.51|0|215|215|89.06|215|175.98|215|215|86.83|157.34|161.25|167.92|29.85|32.46|29.85|103.91|103.91|44.47|29.04|46.43|103.91|160.17|157.34|74.7|0|0|69.78|210.7|28.98|28.98|29.85|28.98|52.16|28.98|29.85|0|215
HOSP OP|0352 - CT SCAN/BODY||71250|CT THORAX W/O CONTRAST|728|385.84|546|582.4|618.8|655.2|618.8|588.22|524.16|492.71|0|728|728|220.09|605.81|595.87|728|728|214.59|530.28|546|568.57|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|539.83|530.28|251.77|0|0|126.02|713.44|240|213.64|123.86|230.29|216.45|120.25|123.85|0|728
HOSP OP|0352 - CT SCAN/BODY||71260|CT THORAX W/ CONTRAST|762|403.86|571.5|609.6|647.7|685.8|647.7|615.7|548.64|515.72|0|762|762|394.64|605.81|623.7|762|762|384.77|530.28|571.5|595.12|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|762
HOSP OP|0350 - CT SCAN||71270|CT THORAX W&W/O CONTRAST|1176|623.28|882|940.8|999.6|1058.4|999.6|950.21|846.72|795.92|0|1176|1158|394.64|605.81|962.56|1101|1072|384.77|530.28|882|918.46|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1176
HOSP OP|0352 - CT SCAN/BODY||71275|CT ANGIO CHEST|1125|596.25|843.75|900|956.25|1012.5|956.25|909|810|761.4|0|1125|1125|394.64|605.81|920.81|1101|1072|384.77|799.29|843.75|878.63|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|813.68|799.29|379.49|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1125
HOSP OP|0610 - MRI||71550|MRI CHEST W/O CONTRAST|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|1124.07|979.08|1403.73|1715|1715|1095.96|954.68|1286.25|1339.42|341.08|370.89|341.08|1144.97|1144.97|519.94|331.81|511.57|1144.97|971.86|954.68|453.27|0|0|258.25|1178.54|331.15|331.15|341.08|331.15|596.07|331.15|341.08|0|1715
HOSP OP|0610 - MRI||71551|MRI CHEST W/ CONTRAST|1826|967.78|1369.5|1460.8|1552.1|1643.4|1552.1|1475.41|1314.72|1235.84|0|1826|1826|1223.96|979.08|1494.58|1775|1728|1193.35|954.68|1369.5|1426.11|370.43|402.8|370.43|1265.86|1265.86|571.89|360.36|565.59|1265.86|971.86|954.68|453.27|0|0|774.82|1178.54|359.64|359.64|370.43|359.64|647.35|359.64|370.43|0|1826
HOSP OP|0610 - MRI||71552|MRI CHEST W&W/O CONTRAST|2870|1521.1|2152.5|2296|2439.5|2583|2439.5|2318.96|2066.4|1942.42|0|2870|1868|754.87|979.08|2349.1|1775|1728|735.99|954.68|2152.5|2241.47|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|971.86|954.68|453.27|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2870
HOSP OP|0320 - DX X-RAY||72020|SPINE 1 VIEW|363|192.39|272.25|290.4|308.55|326.7|308.55|293.3|261.36|245.68|0|363|363|121.88|313.38|297.12|363|363|118.83|157.34|272.25|283.5|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|355.74|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|363
HOSP OP|0320 - DX X-RAY||72040|XR C-SPINE 2 OR 3 VIEWS|425|225.25|318.75|340|361.25|382.5|361.25|343.4|306|287.64|0|425|425|121.88|313.38|347.86|425|425|118.83|157.34|318.75|331.93|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|416.5|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|425
HOSP OP|0320 - DX X-RAY||72050|XR C-SPINE MIN 4 VIEWS|444|235.32|333|355.2|377.4|399.6|377.4|358.75|319.68|300.5|0|444|444|220.09|313.38|363.41|444|444|214.59|157.34|333|346.76|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|435.12|240|213.64|123.86|230.29|216.45|120.25|123.85|0|444
HOSP OP|0320 - DX X-RAY||72052|XR C-SPINE OBL FLEX&/OR EXT|796|421.88|597|636.8|676.6|716.4|676.6|643.17|573.12|538.73|0|796|694|220.09|313.38|651.53|660|642|214.59|157.34|597|621.68|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|583.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|796
HOSP OP|0320 - DX X-RAY||72070|XR THORACIC 2 VIEWS|355|188.15|266.25|284|301.75|319.5|301.75|286.84|255.6|240.26|0|355|355|220.09|313.38|290.57|355|355|214.59|157.34|266.25|277.26|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|347.9|240|213.64|123.86|230.29|216.45|120.25|123.85|0|355
HOSP OP|0320 - DX X-RAY||72072|XR THORACIC 3 VIEW|451|239.03|338.25|360.8|383.35|405.9|383.35|364.41|324.72|305.24|0|451|451|220.09|313.38|369.14|451|451|214.59|157.34|338.25|352.23|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|441.98|240|213.64|123.86|230.29|216.45|120.25|123.85|0|451
HOSP OP|0320 - DX X-RAY||72080|XR THORACOLUMBAR 2 VIEWS|347|183.91|260.25|277.6|294.95|312.3|294.95|280.38|249.84|234.85|0|347|347|75.82|313.38|284.02|347|347|73.92|157.34|260.25|271.01|24.21|26.32|24.21|93.92|93.92|41.38|23.55|41.96|93.92|160.17|157.34|74.7|0|0|69.78|340.06|23.5|23.5|24.21|23.5|42.3|23.5|24.21|0|347
HOSP OP|0320 - DX X-RAY||72100|XR LUMBOSACRAL 2 OR 3 VIEWS|368|195.04|276|294.4|312.8|331.2|312.8|297.34|264.96|249.06|0|368|368|220.09|313.38|301.21|368|368|214.59|157.34|276|287.41|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|360.64|240|213.64|123.86|230.29|216.45|120.25|123.85|0|368
HOSP OP|0350 - CT SCAN||72125|CT CERVICAL SPINE W/O CONTRAST|722|382.66|541.5|577.6|613.7|649.8|613.7|583.38|519.84|488.65|0|722|722|220.09|605.81|590.96|722|722|214.59|564.65|541.5|563.88|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|574.81|564.65|268.09|0|0|126.02|707.56|240|213.64|123.86|230.29|216.45|120.25|123.85|0|722
HOSP OP|0350 - CT SCAN||72126|CT CERVICAL SPINE W/ CONTRAST|1447|766.91|1085.25|1157.6|1229.95|1302.3|1229.95|1169.18|1041.84|979.33|0|1447|1158|754.87|605.81|1184.37|1101|1072|735.99|564.65|1085.25|1130.11|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|574.81|564.65|268.09|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1447
HOSP OP|0352 - CT SCAN/BODY||72128|CT THORACIC SPINE W/O CONTRAST|710|376.3|532.5|568|603.5|639|603.5|573.68|511.2|480.53|0|710|710|220.09|605.81|581.14|710|710|214.59|564.65|532.5|554.51|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|574.81|564.65|268.09|0|0|126.02|695.8|240|213.64|123.86|230.29|216.45|120.25|123.85|0|710
HOSP OP|0351 - CT SCAN/HEAD||72129|CT THORACIC SPINE W/ CONTRAST|1229|651.37|921.75|983.2|1044.65|1106.1|1044.65|993.03|884.88|831.79|0|1229|1158|565.65|605.81|1005.94|1101|1072|551.5|564.65|921.75|959.85|143.09|155.59|143.09|643.42|643.42|285.28|139.2|287.48|643.42|574.81|564.65|268.09|0|0|225.96|730.1|138.92|138.92|143.09|138.92|250.06|138.92|143.09|0|1229
HOSP OP|0350 - CT SCAN||72131|CT LUMBAR SPINE W/O CONTRAST|710|376.3|532.5|568|603.5|639|603.5|573.68|511.2|480.53|0|710|710|220.09|605.81|581.14|710|710|214.59|564.65|532.5|554.51|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|574.81|564.65|268.09|0|0|126.02|695.8|240|213.64|123.86|230.29|216.45|120.25|123.85|0|710
HOSP OP|0351 - CT SCAN/HEAD||72132|CT LUMBAR SPINE W/ CONTRAST|1742|923.26|1306.5|1393.6|1480.7|1567.8|1480.7|1407.54|1254.24|1178.99|0|1742|1158|754.87|605.81|1425.83|1101|1072|735.99|564.65|1306.5|1360.5|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|574.81|564.65|268.09|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1742
HOSP OP|0351 - CT SCAN/HEAD||72133|CT LUMBAR SPINE W&W/O CONTRAST|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|489|489|489|400.25|489|489|489|564.65|366.75|381.91|175.06|190.36|175.06|489|489|335.91|170.3|337.92|489|574.81|564.65|268.09|0|0|225.96|479.22|169.96|169.96|175.06|169.96|305.93|169.96|175.06|0|574.81
HOSP OP|0612 - MRI - SPINAL CORD||72141|MRI CERVICAL SPINE W/O CONT|1275|675.75|956.25|1020|1083.75|1147.5|1083.75|1030.2|918|862.92|0|1275|1275|451.03|979.08|1043.59|1275|1275|439.74|944.93|956.25|995.78|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|961.94|944.93|448.64|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1275
HOSP OP|0612 - MRI - SPINAL CORD||72146|MRI THORACIC SPINE W/O CONT|1698|899.94|1273.5|1358.4|1443.3|1528.2|1443.3|1371.98|1222.56|1149.21|0|1698|1698|451.03|979.08|1389.81|1698|1698|439.74|944.93|1273.5|1326.14|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|961.94|944.93|448.64|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1698
HOSP OP|0612 - MRI - SPINAL CORD||72147|MRI THORACIC SPINE W/ CONT|1834|972.02|1375.5|1467.2|1558.9|1650.6|1558.9|1481.87|1320.48|1241.25|0|1834|1834|775.05|979.08|1501.13|1775|1728|755.67|944.93|1375.5|1432.35|236.13|256.76|236.13|897.19|897.19|404.15|229.71|400.87|897.19|961.94|944.93|448.64|0|0|432.22|1178.54|229.25|229.25|236.13|229.25|412.65|229.25|236.13|0|1834
HOSP OP|0612 - MRI - SPINAL CORD||72148|MRI LUMBAR SPINE W/O CONT|1280|678.4|960|1024|1088|1152|1088|1034.24|921.6|866.3|0|1280|1280|451.03|979.08|1047.68|1280|1280|439.74|944.93|960|999.68|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|961.94|944.93|448.64|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1280
HOSP OP|0612 - MRI - SPINAL CORD||72149|MRI LUMBAR SPINE W/ CONT|1795|951.35|1346.25|1436|1525.75|1615.5|1525.75|1450.36|1292.4|1214.86|0|1795|1795|766.63|979.08|1469.21|1775|1728|747.46|944.93|1346.25|1401.9|233.12|253.49|233.12|891.2|891.2|401.95|226.78|398.19|891.2|961.94|944.93|448.64|0|0|432.22|1178.54|226.33|226.33|233.12|226.33|407.39|226.33|233.12|0|1795
HOSP OP|0612 - MRI - SPINAL CORD||72156|MRI CERVICAL SPINE W&W/O CONT|2094|1109.82|1570.5|1675.2|1779.9|1884.6|1779.9|1691.95|1507.68|1417.22|0|2094|1868|754.87|979.08|1713.94|1775|1728|735.99|944.93|1570.5|1635.41|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|961.94|944.93|448.64|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2094
HOSP OP|0612 - MRI - SPINAL CORD||72157|MRI THORACIC SPINE W&W/O CONT|2209|1170.77|1656.75|1767.2|1877.65|1988.1|1877.65|1784.87|1590.48|1495.05|0|2209|1868|754.87|979.08|1808.07|1775|1728|735.99|944.93|1656.75|1725.23|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|961.94|944.93|448.64|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2209
HOSP OP|0320 - DX X-RAY||72170|XR PELVIS 1 OR 2 VIEWS|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|277|220.09|277|226.72|277|277|214.59|157.34|207.75|216.34|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|271.46|240|213.64|123.86|230.29|216.45|120.25|123.85|0|277
HOSP OP|0320 - DX X-RAY||72190|XR PELVIS MIN 3 VIEWS|473|250.69|354.75|378.4|402.05|425.7|402.05|382.18|340.56|320.13|0|473|473|97.48|313.38|387.15|473|473|95.05|157.34|354.75|369.41|29.1|31.64|29.1|110.9|110.9|46.67|28.31|49.55|110.9|160.17|157.34|74.7|0|0|126.02|463.54|28.25|28.25|29.1|28.25|50.85|28.25|29.1|0|473
HOSP OP|0352 - CT SCAN/BODY||72191|CT ANGIO PELVIS|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|757|605.81|1228.57|1101|1072|738.07|799.29|1125.75|1172.28|245.54|267|245.54|884.2|884.2|380.38|238.87|395.06|884.2|813.68|799.29|379.49|0|0|225.96|730.1|238.39|238.39|245.54|238.39|429.1|238.39|245.54|0|1501
HOSP OP|0352 - CT SCAN/BODY||72192|CT PELVIS W/O CONTRAST|710|376.3|532.5|568|603.5|639|603.5|573.68|511.2|480.53|0|710|710|220.09|605.81|581.14|710|710|214.59|955.91|532.5|554.51|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|973.12|955.91|453.85|0|0|126.02|695.8|240|213.64|123.86|230.29|216.45|120.25|123.85|0|973.12
HOSP OP|0352 - CT SCAN/BODY||72193|CT PELVIS W/ CONTRAST|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|955.91|1125.75|1172.28|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|973.12|955.91|453.85|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0352 - CT SCAN/BODY||72194|CT PELVIS W&W/O CONTRAST|1712|907.36|1284|1369.6|1455.2|1540.8|1455.2|1383.3|1232.64|1158.68|0|1712|1158|692.01|605.81|1401.27|1101|1072|674.71|955.91|1284|1337.07|222.59|242.04|222.59|748.33|748.33|324.47|216.54|334.35|748.33|973.12|955.91|453.85|0|0|225.96|730.1|216.11|216.11|222.59|216.11|389|216.11|222.59|0|1712
HOSP OP|0610 - MRI||72195|MRI PELVIS W/O CONTRAST|1699|900.47|1274.25|1359.2|1444.15|1529.1|1444.15|1372.79|1223.28|1149.88|0|1699|1699|451.03|979.08|1390.63|1699|1699|439.74|1075.89|1274.25|1326.92|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|1095.26|1075.89|510.82|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1699
HOSP OP|0610 - MRI||72196|MRI PELVIS W/ CONTRAST|1024|542.72|768|819.2|870.4|921.6|870.4|827.39|737.28|693.04|0|1024|1024|754.87|979.08|838.14|1024|1024|735.99|1075.89|768|799.74|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1095.26|1075.89|510.82|0|0|432.22|1003.52|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1095.26
HOSP OP|0610 - MRI||72197|MRI PELVIS W&W/O CONTRAST|2401|1272.53|1800.75|1920.8|2040.85|2160.9|2040.85|1940.01|1728.72|1625|0|2401|1868|754.87|979.08|1965.22|1775|1728|735.99|1075.89|1800.75|1875.18|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1095.26|1075.89|510.82|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2401
HOSP OP|0612 - MRI - SPINAL CORD||72198|MR ANGIO PELVIS|2394|1268.82|1795.5|1915.2|2034.9|2154.6|2034.9|1934.35|1723.68|1620.26|0|2394|1868|0|979.08|1959.49|1775|1728|0|1091.88|1795.5|1869.71|313.01|340.36|313.01|1110|1110|500.57|304.5|495.95|1110|1111.53|1091.88|518.41|0|0|0|1178.54|303.89|303.89|313.01|303.89|547|303.89|313.01|0|2394
HOSP OP|0320 - DX X-RAY||72200|XR SI JNTS < 3 VIEWS|326|172.78|244.5|260.8|277.1|293.4|277.1|263.41|234.72|220.64|0|326|326|220.09|313.38|266.83|326|326|214.59|157.34|244.5|254.61|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|319.48|240|213.64|123.86|230.29|216.45|120.25|123.85|0|326
HOSP OP|0320 - DX X-RAY||72270|MYELOGRAM >2 REGIONS RAD|1024|542.72|768|819.2|870.4|921.6|870.4|827.39|737.28|693.04|0|1024|694|228.67|313.38|838.14|660|642|222.95|689.31|768|799.74|78.38|85.23|78.38|378.66|378.66|157.61|76.25|169.19|378.66|701.72|689.31|327.28|0|0|774.82|583.1|76.1|76.1|78.38|76.1|136.98|76.1|78.38|0|1024
HOSP OP|0320 - DX X-RAY||72295|DISKOGRAPHY LUMBAR RS&I|2751|1458.03|2063.25|2200.8|2338.35|2475.9|2338.35|2222.81|1980.72|1861.88|0|2751|694|2751|313.38|2251.69|660|642|2751|689.31|2063.25|2148.53|1900.03|2066.05|1900.03|2751|2751|1364.53|1848.38|1383.47|2751|701.72|689.31|327.28|0|0|1827.38|583.1|2751|2751|1900.03|2751|2751|1844.69|1899.82|0|2751
HOSP OP|0320 - DX X-RAY||73000|XR CLAVICAL COMPLETE|366|193.98|274.5|292.8|311.1|329.4|311.1|295.73|263.52|247.71|0|366|366|121.88|313.38|299.57|366|366|118.83|157.34|274.5|285.85|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|358.68|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|366
HOSP OP|0320 - DX X-RAY||73010|XR SCAPULA COMPLETE|288|152.64|216|230.4|244.8|259.2|244.8|232.7|207.36|194.92|0|288|288|220.09|288|235.73|288|288|214.59|157.34|216|224.93|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|282.24|240|213.64|123.86|230.29|216.45|120.25|123.85|0|288
HOSP OP|0320 - DX X-RAY||73020|XR SHOULDER 1 VIEW|292|154.76|219|233.6|248.2|262.8|248.2|235.94|210.24|197.63|0|292|292|121.88|292|239|292|292|118.83|157.34|219|228.05|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|286.16|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|292
HOSP OP|0320 - DX X-RAY||73030|XR SHOULDER MIN 2 VIEW|352|186.56|264|281.6|299.2|316.8|299.2|284.42|253.44|238.23|0|352|352|121.88|313.38|288.11|352|352|118.83|157.34|264|274.91|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|344.96|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|352
HOSP OP|0329 - DX X-RAY/OTHER||73040|XR ARTHROGRAM SHOULDER|854|452.62|640.5|683.2|725.9|768.6|725.9|690.03|614.88|577.99|0|854|694|281.62|313.38|699|660|642|274.58|689.31|640.5|666.97|97.94|106.5|97.94|311.72|311.72|125.47|95.28|139.28|311.72|701.72|689.31|327.28|0|0|432.22|583.1|95.09|95.09|97.94|95.09|171.16|95.09|97.94|0|854
HOSP OP|0320 - DX X-RAY||73050|XR AC JNTS BIL|280|148.4|210|224|238|252|238|226.24|201.6|189.5|0|280|280|90.26|280|229.18|280|280|88.01|157.34|210|218.68|22.7|24.68|22.7|103.91|103.91|44.03|22.08|46.43|103.91|160.17|157.34|74.7|0|0|69.78|274.4|22.04|22.04|22.7|22.04|39.67|22.04|22.7|0|280
HOSP OP|0320 - DX X-RAY||73060|XR HUMERUS MIN 2 VIEWS|318|168.54|238.5|254.4|270.3|286.2|270.3|256.94|228.96|215.22|0|318|318|121.88|313.38|260.28|318|318|118.83|157.34|238.5|248.36|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|311.64|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|318
HOSP OP|0320 - DX X-RAY||73080|XR ELBOW MIN 3 VIEWS|343|181.79|257.25|274.4|291.55|308.7|291.55|277.14|246.96|232.14|0|343|343|121.88|313.38|280.75|343|343|118.83|157.34|257.25|267.88|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|336.14|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|343
HOSP OP|0320 - DX X-RAY||73090|XR FOREARM 2 VIEWS|304|161.12|228|243.2|258.4|273.6|258.4|245.63|218.88|205.75|0|304|304|121.88|304|248.82|304|304|118.83|157.34|228|237.42|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|297.92|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|304
HOSP OP|0320 - DX X-RAY||73092|XR UPPER EXT INFANT MIN 2 V|232|122.96|174|185.6|197.2|208.8|197.2|187.46|167.04|157.02|0|232|232|69.8|232|189.89|232|232|68.06|157.34|174|181.19|23.08|25.1|23.08|79.93|79.93|33.46|22.45|35.71|79.93|160.17|157.34|74.7|0|0|126.02|227.36|22.41|22.41|23.08|22.41|40.34|22.41|23.08|0|232
HOSP OP|0320 - DX X-RAY||73110|XR WRIST MIN 3 VIEWS|325|172.25|243.75|260|276.25|292.5|276.25|262.6|234|219.96|0|325|325|121.88|313.38|266.01|325|325|118.83|157.34|243.75|253.83|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|318.5|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|325
HOSP OP|0322 - DX X-RAY/ARTH||73115|XR ARTHROGRAM WRIST|480|254.4|360|384|408|432|408|387.84|345.6|324.86|0|480|480|480|313.38|392.88|480|480|480|689.31|360|374.88|421.98|458.85|421.98|480|480|303.05|410.51|307.26|480|701.72|689.31|327.28|0|0|432.22|470.4|480|480|421.98|480|480|409.69|421.93|0|701.72
HOSP OP|0320 - DX X-RAY||73130|XR HAND MIN 3 VIEWS|318|168.54|238.5|254.4|270.3|286.2|270.3|256.94|228.96|215.22|0|318|318|121.88|313.38|260.28|318|318|118.83|157.34|238.5|248.36|88.2|95.9|88.2|151.37|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|311.64|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|318
HOSP OP|0320 - DX X-RAY||73140|XR FINGER(S) MIN 2 VIEWS|291|154.23|218.25|232.8|247.35|261.9|247.35|235.13|209.52|196.95|0|291|291|121.88|291|238.18|291|291|118.83|157.34|218.25|227.27|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|285.18|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|291
HOSP OP|0350 - CT SCAN||73200|CT UPPER EXTREMITY W/O CONT|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|837|220.09|605.81|685.08|837|837|214.59|530.28|627.75|653.7|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|539.83|530.28|251.77|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|837
HOSP OP|0350 - CT SCAN||73201|CT UPPER EXT W CONTRAST|1230|651.9|922.5|984|1045.5|1107|1045.5|993.84|885.6|832.46|0|1230|1158|754.87|605.81|1006.76|1101|1072|735.99|530.28|922.5|960.63|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|539.83|530.28|251.77|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1230
HOSP OP|0350 - CT SCAN||73206|CT ANGIO UPPER EXTREMITY|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|799.29|1125.75|1172.28|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|813.68|799.29|379.49|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0610 - MRI||73218|MRI UP EXT W/O|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|1075.89|1286.25|1339.42|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|1095.26|1075.89|510.82|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||73220|MRI UP EXT W&WO|2870|1521.1|2152.5|2296|2439.5|2583|2439.5|2318.96|2066.4|1942.42|0|2870|1868|754.87|979.08|2349.1|1775|1728|735.99|1075.89|2152.5|2241.47|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1095.26|1075.89|510.82|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2870
HOSP OP|0610 - MRI||73221|MRI UP EXT JNT W/O|1698|899.94|1273.5|1358.4|1443.3|1528.2|1443.3|1371.98|1222.56|1149.21|0|1698|1698|451.03|979.08|1389.81|1698|1698|439.74|957.41|1273.5|1326.14|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|974.64|957.41|454.56|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1698
HOSP OP|0610 - MRI||73222|UP EXT JNT WITH|2026|1073.78|1519.5|1620.8|1722.1|1823.4|1722.1|1637.01|1458.72|1371.2|0|2026|1868|980.85|979.08|1658.28|1775|1728|956.32|957.41|1519.5|1582.31|299.33|325.48|299.33|1049.06|1049.06|474.59|291.19|468.72|1049.06|974.64|957.41|454.56|0|0|774.82|1178.54|290.61|290.61|299.33|290.61|523.1|290.61|299.33|0|2026
HOSP OP|0322 - DX X-RAY/ARTH||73525|XR ARTHROGRAM HIP|880|466.4|660|704|748|792|748|711.04|633.6|595.58|0|880|694|754.87|313.38|720.28|660|642|735.99|689.31|660|687.28|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|701.72|689.31|327.28|0|0|432.22|583.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|880
HOSP OP|0320 - DX X-RAY||73560|XR KNEE 1 OR 2 VIEWS|321|170.13|240.75|256.8|272.85|288.9|272.85|259.37|231.12|217.25|0|321|321|121.88|313.38|262.74|321|321|118.83|157.34|240.75|250.7|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|314.58|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|321
HOSP OP|0320 - DX X-RAY||73562|XR KNEE  3 VIEWS|374|198.22|280.5|299.2|317.9|336.6|317.9|302.19|269.28|253.12|0|374|374|121.88|313.38|306.12|374|374|118.83|157.34|280.5|292.09|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|366.52|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|374
HOSP OP|0320 - DX X-RAY||73590|XR TIB/FIB 2 VIEWS|336|178.08|252|268.8|285.6|302.4|285.6|271.49|241.92|227.4|0|336|336|121.88|313.38|275.02|336|336|118.83|157.34|252|262.42|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|329.28|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|336
HOSP OP|0320 - DX X-RAY||73592|XR LOW EXT INFANT MIN 2 VWS|239|126.67|179.25|191.2|203.15|215.1|203.15|193.11|172.08|161.76|0|239|239|69.8|239|195.62|239|239|68.06|157.34|179.25|186.66|23.08|25.1|23.08|79.93|79.93|33.46|22.45|35.71|79.93|160.17|157.34|74.7|0|0|69.78|234.22|22.41|22.41|23.08|22.41|40.34|22.41|23.08|0|239
HOSP OP|0320 - DX X-RAY||73610|XR ANKLE MIN 3 VIEWS|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|333|121.88|313.38|272.56|333|333|118.83|157.34|249.75|260.07|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|326.34|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|333
HOSP OP|0320 - DX X-RAY||73620|XR FOOT 2 VIEW|290|153.7|217.5|232|246.5|261|246.5|234.32|208.8|196.27|0|290|290|121.88|290|237.37|290|290|118.83|157.34|217.5|226.49|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|284.2|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|290
HOSP OP|0320 - DX X-RAY||73630|XR FOOT MIN 3 VIEWS|319|169.07|239.25|255.2|271.15|287.1|271.15|257.75|229.68|215.9|0|319|319|121.88|313.38|261.1|319|319|118.83|157.34|239.25|249.14|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|312.62|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|319
HOSP OP|0320 - DX X-RAY||73650|XR CALCANEOUS MIN 2 VIEWS|290|153.7|217.5|232|246.5|261|246.5|234.32|208.8|196.27|0|290|290|63.79|290|237.37|290|290|62.19|157.34|217.5|226.49|20.83|22.65|20.83|74.93|74.93|33.46|20.26|33.48|74.93|160.17|157.34|74.7|0|0|69.78|284.2|20.22|20.22|20.83|20.22|36.4|20.22|20.83|0|290
HOSP OP|0320 - DX X-RAY||73660|XR TOES MIN 2 VIEWS|263|139.39|197.25|210.4|223.55|236.7|223.55|212.5|189.36|178|0|263|263|74.62|263|215.27|263|263|72.75|157.34|197.25|205.4|22.33|24.28|22.33|79.93|79.93|34.78|21.72|35.71|79.93|160.17|157.34|74.7|0|0|69.78|257.74|21.68|21.68|22.33|21.68|39.02|21.68|22.33|0|263
HOSP OP|0350 - CT SCAN||73700|CT LOWER EXTREM W/O CONT|829|439.37|621.75|663.2|704.65|746.1|704.65|669.83|596.88|561.07|0|829|829|220.09|605.81|678.54|829|829|214.59|530.28|621.75|647.45|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|539.83|530.28|251.77|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|829
HOSP OP|0350 - CT SCAN||73701|CT LOWER EXTREM W/ CONT|1181|625.93|885.75|944.8|1003.85|1062.9|1003.85|954.25|850.32|799.3|0|1181|1158|394.64|605.81|966.65|1101|1072|384.77|530.28|885.75|922.36|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|539.83|530.28|251.77|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1181
HOSP OP|0350 - CT SCAN||73702|CT LOWER EXTREM W&W/O CONT|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|718.49|605.81|1228.57|1101|1072|700.52|530.28|1125.75|1172.28|181.83|197.71|181.83|771.31|771.31|342.52|176.88|344.62|771.31|539.83|530.28|251.77|0|0|225.96|730.1|176.53|176.53|181.83|176.53|317.75|176.53|181.83|0|1501
HOSP OP|0350 - CT SCAN||73706|CT ANGIO LOWER EXTREMITY|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|882.17|605.81|1228.57|1101|1072|860.1|799.29|1125.75|1172.28|275.39|299.45|275.39|1000.1|1000.1|442.9|267.9|446.85|1000.1|813.68|799.29|379.49|0|0|225.96|730.1|267.37|267.37|275.39|267.37|481.27|267.37|275.39|0|1501
HOSP OP|0610 - MRI||73718|MRI LOW EXT W/O|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|1075.89|1286.25|1339.42|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|1095.26|1075.89|510.82|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||73720|MRI LOW EXT W&WO|2674|1417.22|2005.5|2139.2|2272.9|2406.6|2272.9|2160.59|1925.28|1809.76|0|2674|1868|754.87|979.08|2188.67|1775|1728|735.99|1075.89|2005.5|2088.39|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1095.26|1075.89|510.82|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2674
HOSP OP|0610 - MRI||73721|LOW EXT JNT W/O|1310|694.3|982.5|1048|1113.5|1179|1113.5|1058.48|943.2|886.61|0|1310|1310|451.03|979.08|1072.24|1310|1310|439.74|957.41|982.5|1023.11|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|974.64|957.41|454.56|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1310
HOSP OP|0610 - MRI||73722|LOW EXT JNT WITH|2046|1084.38|1534.5|1636.8|1739.1|1841.4|1739.1|1653.17|1473.12|1384.73|0|2046|1868|1353.22|979.08|1674.65|1775|1728|1319.37|957.41|1534.5|1597.93|752.37|818.11|752.37|1265.48|1291.3|540.32|731.91|547.82|1291.3|974.64|957.41|454.56|0|0|774.82|1178.54|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|2046
HOSP OP|0610 - MRI||73723|LOW EXT JNT W&WO|2459|1303.27|1844.25|1967.2|2090.15|2213.1|2090.15|1986.87|1770.48|1664.25|0|2459|1868|754.87|979.08|2012.69|1775|1728|735.99|957.41|1844.25|1920.48|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|974.64|957.41|454.56|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2459
HOSP OP|0618 - MRA/OTHER||73725|MR ANGIO LOWER EXTREMITY|1600|848|1200|1280|1360|1440|1360|1292.8|1152|1082.88|0|1600|1600|0|979.08|1309.6|1600|1600|0|1091.88|1200|1249.6|312.63|339.94|312.63|1111|1111|501.01|304.13|496.4|1111|1111.53|1091.88|518.41|0|0|0|1178.54|303.52|303.52|312.63|303.52|546.34|303.52|312.63|0|1600
HOSP OP|0320 - DX X-RAY||74022|XR ABDOMEN 2 VIEW W/ CHEST|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|303|220.09|303|248.01|303|303|214.59|157.34|227.25|236.64|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|160.17|157.34|74.7|0|0|126.02|296.94|240|213.64|123.86|230.29|216.45|120.25|123.85|0|303
HOSP OP|0352 - CT SCAN/BODY||74150|CT ABDOMEN W/O CONTRAST|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|837|220.09|605.81|685.08|837|837|214.59|955.91|627.75|653.7|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|973.12|955.91|453.85|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|973.12
HOSP OP|0352 - CT SCAN/BODY||74160|CT ABDOMEN W/ CONTRAST|1372|727.16|1029|1097.6|1166.2|1234.8|1166.2|1108.58|987.84|928.57|0|1372|1158|394.64|605.81|1122.98|1101|1072|384.77|955.91|1029|1071.53|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|973.12|955.91|453.85|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1372
HOSP OP|0352 - CT SCAN/BODY||74170|CT ABDOMEN W&W/O CONTRAST|1355|718.15|1016.25|1084|1151.75|1219.5|1151.75|1094.84|975.6|917.06|0|1355|1158|394.64|605.81|1109.07|1101|1072|384.77|955.91|1016.25|1058.26|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|973.12|955.91|453.85|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1355
HOSP OP|0352 - CT SCAN/BODY||74175|CT ANGIO ABDOMEN|1459|773.27|1094.25|1167.2|1240.15|1313.1|1240.15|1178.87|1050.48|987.45|0|1459|1158|758.21|605.81|1194.19|1101|1072|739.24|799.29|1094.25|1139.48|245.16|266.58|245.16|886.2|886.2|382.14|238.5|395.96|886.2|813.68|799.29|379.49|0|0|225.96|730.1|238.02|238.02|245.16|238.02|428.44|238.02|245.16|0|1459
HOSP OP|0610 - MRI||74181|MRI ABDOMEN W/O CONTRAST|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|1174.24|1286.25|1339.42|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|1195.38|1174.24|557.52|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||74182|MRI ABDOMEN W CONTRAST|1024|542.72|768|819.2|870.4|921.6|870.4|827.39|737.28|693.04|0|1024|1024|919.47|979.08|838.14|1024|1024|896.48|1174.24|768|799.74|279.4|303.81|279.4|1011.09|1011.09|478.56|271.8|451.76|1011.09|1195.38|1174.24|557.52|0|0|432.22|1003.52|271.26|271.26|279.4|271.26|488.27|271.26|279.4|0|1195.38
HOSP OP|0610 - MRI||74183|MRI ABDOMEN W&W/O CONT|2262|1198.86|1696.5|1809.6|1922.7|2035.8|1922.7|1827.7|1628.64|1530.92|0|2262|1868|754.87|979.08|1851.45|1775|1728|735.99|1174.24|1696.5|1766.62|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1195.38|1174.24|557.52|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2262
HOSP OP|0320 - DX X-RAY||74190|PERITONEOGRAM RAD|880|466.4|660|704|748|792|748|711.04|633.6|595.58|0|880|694|492.8|313.38|720.28|660|642|480.48|689.31|660|687.28|352|0|352|214.81|214.81|95.09|352|95.98|214.81|701.72|689.31|327.28|0|0|557.22|583.1|0|0|352|0|440|0|352|0|880
HOSP OP|0320 - DX X-RAY||74220|XR ESOPHAGUS|453|240.09|339.75|362.4|385.05|407.7|385.05|366.02|326.16|306.59|0|453|453|394.64|313.38|370.78|453|453|384.77|157.34|339.75|353.79|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|160.17|157.34|74.7|0|0|225.96|443.94|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|453
HOSP OP|0320 - DX X-RAY||74230|XR VIDEO SWALLOW FUNCTION|425|225.25|318.75|340|361.25|382.5|361.25|343.4|306|287.64|0|425|425|220.09|313.38|347.86|425|425|214.59|477.99|318.75|331.93|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|486.59|477.99|226.94|0|0|126.02|416.5|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|486.59
HOSP OP|0320 - DX X-RAY||74240|XR UPPER GI TRACT W/O KUB|431|228.43|323.25|344.8|366.35|387.9|366.35|348.25|310.32|291.7|0|431|431|394.64|313.38|352.77|431|431|384.77|477.99|323.25|336.61|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|486.59|477.99|226.94|0|0|225.96|422.38|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|486.59
HOSP OP|0320 - DX X-RAY||74246|XR UPPER GI W/ AIR CONTRAST|550|291.5|412.5|440|467.5|495|467.5|444.4|396|372.24|0|550|550|394.64|313.38|450.18|550|550|384.77|477.99|412.5|429.55|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|486.59|477.99|226.94|0|0|225.96|539|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|550
HOSP OP|0320 - DX X-RAY||74250|XR SM INTESTINE|386|204.58|289.5|308.8|328.1|347.4|328.1|311.89|277.92|261.24|0|386|386|220.09|313.38|315.94|386|386|214.59|477.99|289.5|301.47|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|486.59|477.99|226.94|0|0|126.02|378.28|386|347.33|201.37|374.4|351.91|195.5|201.35|0|486.59
HOSP OP|0320 - DX X-RAY||74270|XR COLON|474|251.22|355.5|379.2|402.9|426.6|402.9|382.99|341.28|320.8|0|474|474|394.64|313.38|387.97|474|474|384.77|477.99|355.5|370.19|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|486.59|477.99|226.94|0|0|225.96|464.52|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|486.59
HOSP OP|0320 - DX X-RAY||74280|XR COLON WITH AIR CONTRAST|846|448.38|634.5|676.8|719.1|761.4|719.1|683.57|609.12|572.57|0|846|694|394.64|313.38|692.45|660|642|384.77|477.99|634.5|660.73|201.37|218.96|201.37|338.7|345.62|144.62|195.89|146.62|345.62|486.59|477.99|226.94|0|0|225.96|583.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|846
HOSP OP|0320 - DX X-RAY||74300|CHOLANGIOGRAM IN OR|626|331.78|469.5|500.8|532.1|563.4|0|505.81|450.72|423.68|0|626|626|0|313.38|512.38|626|626|0|689.31|469.5|488.91|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|250.4|0|0|0|0|0|701.72
HOSP OP|0320 - DX X-RAY||74328|ENDO CATH OF BILIARY DUCT|1161|615.33|870.75|928.8|986.85|1044.9|0|938.09|835.92|785.76|0|1161|694|0|313.38|950.28|660|642|0|689.31|870.75|906.74|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|464.4|0|0|0|0|0|1161
HOSP OP|0320 - DX X-RAY||74329|XR ENDO PANCREAS DUCTAL|1584|839.52|1188|1267.2|1346.4|1425.6|0|1279.87|1140.48|1072.05|0|1584|694|0|313.38|1296.5|660|642|0|689.31|1188|1237.1|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|633.6|0|0|0|0|0|1584
HOSP OP|0320 - DX X-RAY||74340|INTRO LONG GI TUBE W/ FILMS|555|294.15|416.25|444|471.75|499.5|0|448.44|399.6|375.62|0|555|555|0|313.38|454.27|555|555|0|689.31|416.25|433.46|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|543.9|0|0|222|0|0|0|0|0|701.72
HOSP OP|0320 - DX X-RAY||74360|Hb Intraluminal Dilation Of Strictures And Obstructions Radiogocial Supervision And Interp|612|324.36|459|489.6|520.2|550.8|0|494.5|440.64|414.2|0|612|612|0|313.38|500.92|612|612|0|689.31|459|477.97|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|244.8|0|0|0|0|0|701.72
HOSP OP|0320 - DX X-RAY||74420|UROGRAM RETROGRADE|626|331.78|469.5|500.8|532.1|563.4|532.1|505.81|450.72|423.68|0|626|626|626|313.38|512.38|626|626|626|881.4|469.5|488.91|421.98|458.85|421.98|626|626|303.05|410.51|307.26|626|897.27|881.4|418.48|0|0|432.22|583.1|626|626|421.98|626|626|409.69|421.93|0|897.27
HOSP OP|0320 - DX X-RAY||74425|UROGRAM ANTEGRADE|789|418.17|591.75|631.2|670.65|710.1|670.65|637.51|568.08|534|0|789|694|441.84|313.38|645.8|660|642|430.79|689.31|591.75|616.21|110.74|120.41|110.74|199.82|199.82|88.05|107.73|89.28|199.82|701.72|689.31|327.28|0|0|432.22|583.1|107.51|107.51|110.74|107.51|193.52|107.51|110.74|0|789
HOSP OP|0320 - DX X-RAY||74430|CYSTOGRAM MIN 3 VIEWS|668|354.04|501|534.4|567.8|601.2|567.8|539.74|480.96|452.1|0|668|668|668|313.38|546.76|660|642|668|689.31|501|521.71|421.98|458.85|421.98|668|668|303.05|410.51|307.26|668|701.72|689.31|327.28|0|0|432.22|583.1|668|668|421.98|668|668|409.69|421.93|0|701.72
HOSP OP|0320 - DX X-RAY||74455|URETHROCYSTOGRAM VOIDING|645|341.85|483.75|516|548.25|580.5|548.25|521.16|464.4|436.54|0|645|645|451.03|313.38|527.93|645|642|439.74|689.31|483.75|503.75|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|701.72|689.31|327.28|0|0|258.25|583.1|499|444.2|257.53|478.81|450.05|250.03|257.5|0|701.72
HOSP OP|0320 - DX X-RAY||74485|DILATION URINARY|2639|1398.67|1979.25|2111.2|2243.15|2375.1|2243.15|2132.31|1900.08|1786.08|0|2639|694|226.26|313.38|2160.02|660|642|220.6|689.31|1979.25|2061.06|76.88|83.6|76.88|300.73|300.73|115.35|74.79|134.37|300.73|701.72|689.31|327.28|0|0|1948.64|583.1|74.64|74.64|76.88|74.64|134.35|74.64|76.88|0|2639
HOSP OP|0320 - DX X-RAY||74740|HYSTEROSALPINGOGRAM|1150|609.5|862.5|920|977.5|1035|977.5|929.2|828|778.32|0|1150|694|451.03|313.38|941.28|660|642|439.74|689.31|862.5|898.15|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|701.72|689.31|327.28|0|0|258.25|583.1|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1150
HOSP OP|0323 - DX X-RAY/ARTER||75605|AORTOGRAM THORACIC|6272|3324.16|4704|5017.6|5331.2|5644.8|5331.2|5067.78|4515.84|4244.89|0|6272|694|264.77|313.38|5133.63|660|642|258.15|689.31|4704|4898.43|79.13|86.05|79.13|372.66|372.66|169.94|76.98|166.51|372.66|701.72|689.31|327.28|0|0|4902.04|583.1|76.83|76.83|79.13|76.83|138.29|76.83|79.13|0|6272
HOSP OP|0323 - DX X-RAY/ARTER||75625|AORTOGRAM ABD BY SERIALGRAM|4940|2618.2|3705|3952|4199|4446|4199|3991.52|3556.8|3343.39|0|4940|694|258.75|313.38|4043.39|660|642|252.28|689.31|3705|3858.14|72.36|78.68|72.36|364.67|364.67|167.74|70.39|162.94|364.67|701.72|689.31|327.28|0|0|2958.71|583.1|70.25|70.25|72.36|70.25|126.45|70.25|72.36|0|4940
HOSP OP|0323 - DX X-RAY/ARTER||75630|RAD AORTOGRAM ABD & BI EXTR|5531|2931.43|4148.25|4424.8|4701.35|4977.9|4701.35|4469.05|3982.32|3743.38|0|5531|694|263.57|313.38|4527.12|660|642|256.97|689.31|4148.25|4319.71|76.5|83.18|76.5|458.59|458.59|208.24|74.42|204.9|458.59|701.72|689.31|327.28|0|0|2958.71|583.1|74.27|74.27|76.5|74.27|133.69|74.27|76.5|0|5531
HOSP OP|0323 - DX X-RAY/ARTER||75710|ANGIO EXTREMITY UNILAT|3863|2047.39|2897.25|3090.4|3283.55|3476.7|3283.55|3121.3|2781.36|2614.48|0|3863|694|274.4|313.38|3161.87|660|642|267.54|689.31|2897.25|3017|81.76|88.91|81.76|460.59|460.59|209.56|79.54|205.79|460.59|701.72|689.31|327.28|0|0|2958.71|583.1|79.38|79.38|81.76|79.38|142.88|79.38|81.76|0|3863
HOSP OP|0323 - DX X-RAY/ARTER||75716|ANGIO EXTREMITY BILAT|4697|2489.41|3522.75|3757.6|3992.45|4227.3|3992.45|3795.18|3381.84|3178.93|0|4697|694|278.01|313.38|3844.49|660|642|271.06|689.31|3522.75|3668.36|83.4|90.69|83.4|493.56|493.56|239.06|81.13|220.52|493.56|701.72|689.31|327.28|0|0|2958.71|583.1|80.97|80.97|83.4|80.97|145.75|80.97|83.4|0|4697
HOSP OP|0323 - DX X-RAY/ARTER||75726|HB ANG VISCERAL SEL W/WO FLUSH|5704|3023.12|4278|4563.2|4848.4|5133.6|4848.4|4608.83|4106.88|3860.47|0|5704|694|303.28|313.38|4668.72|660|642|295.7|689.31|4278|4454.82|90.79|98.73|90.79|404.64|404.64|184.47|88.33|180.79|404.64|701.72|689.31|327.28|0|0|4902.04|583.1|88.15|88.15|90.79|88.15|158.67|88.15|90.79|0|5704
HOSP OP|0320 - DX X-RAY||75736|ANGIO PELVIC SEL|5561|2947.33|4170.75|4448.8|4726.85|5004.9|4726.85|4493.29|4003.92|3763.68|0|5561|694|339.39|313.38|4551.68|660|642|330.9|689.31|4170.75|4343.14|101.46|110.32|101.46|432.61|432.61|197.23|98.7|193.29|432.61|701.72|689.31|327.28|0|0|4902.04|583.1|98.5|98.5|101.46|98.5|177.3|98.5|101.46|0|5561
HOSP OP|0323 - DX X-RAY/ARTER||75741|ANG PULMONARY UNI SEL|3956|2096.68|2967|3164.8|3362.6|3560.4|3362.6|3196.45|2848.32|2677.42|0|3956|694|280.42|313.38|3237.99|660|642|273.4|689.31|2967|3089.64|84.02|91.36|84.02|408.63|408.63|185.35|81.73|182.58|408.63|701.72|689.31|327.28|0|0|2958.71|583.1|81.57|81.57|84.02|81.57|146.83|81.57|84.02|0|3956
HOSP OP|0323 - DX X-RAY/ARTER||75743|ANG PULMONARY BIL SEL|6272|3324.16|4704|5017.6|5331.2|5644.8|5331.2|5067.78|4515.84|4244.89|0|6272|694|284.03|313.38|5133.63|660|642|276.92|689.31|4704|4898.43|85.15|92.59|85.15|458.59|458.59|207.8|82.84|204.9|458.59|701.72|689.31|327.28|0|0|2958.71|583.1|82.67|82.67|85.15|82.67|148.81|82.67|85.15|0|6272
HOSP OP|0323 - DX X-RAY/ARTER||75774|ANG EA ADDL VESSEL SEL|1665|882.45|1248.75|1332|1415.25|1498.5|0|1345.32|1198.8|1126.87|0|1665|694|0|313.38|1362.8|660|642|0|689.31|1248.75|1300.37|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|62.2|0|0|60.39|0|0|1665
HOSP OP|0320 - DX X-RAY||75820|VENOGRAM EXTREMITY UNILAT|1340|710.2|1005|1072|1139|1206|1139|1082.72|964.8|906.91|0|1340|694|259.96|313.38|1096.79|660|642|253.45|689.31|1005|1046.54|77.25|84|77.25|311.72|311.72|142.64|75.15|139.28|311.72|701.72|689.31|327.28|0|0|694.45|583.1|75|75|77.25|75|135|75|77.25|0|1340
HOSP OP|0320 - DX X-RAY||75822|VENOGRAM EXTREMITY BIL|2214|1173.42|1660.5|1771.2|1881.9|1992.6|1881.9|1788.91|1594.08|1498.44|0|2214|694|265.97|313.38|1812.16|660|642|259.32|689.31|1660.5|1729.13|78.38|85.23|78.38|362.67|362.67|167.3|76.25|162.04|362.67|701.72|689.31|327.28|0|0|1224.95|583.1|76.1|76.1|78.38|76.1|136.98|76.1|78.38|0|2214
HOSP OP|0320 - DX X-RAY||75825|IVC W/ SERIALOGRAM|5807|3077.71|4355.25|4645.6|4935.95|5226.3|4935.95|4692.06|4181.04|3930.18|0|5807|694|252.74|313.38|4753.03|660|642|246.41|689.31|4355.25|4535.27|74.24|80.73|74.24|360.68|360.68|164.65|72.22|161.15|360.68|701.72|689.31|327.28|0|0|2958.71|583.1|72.08|72.08|74.24|72.08|129.74|72.08|74.24|0|5807
HOSP OP|0320 - DX X-RAY||75827|SVC W/ SERIALOGRAM|2133|1130.49|1599.75|1706.4|1813.05|1919.7|1813.05|1723.46|1535.76|1443.61|0|2133|694|267.18|313.38|1745.86|660|642|260.49|689.31|1599.75|1665.87|79.13|86.05|79.13|373.66|373.66|169.94|76.98|166.95|373.66|701.72|689.31|327.28|0|0|694.45|583.1|76.83|76.83|79.13|76.83|138.29|76.83|79.13|0|2133
HOSP OP|0320 - DX X-RAY||75831|VENOGRAM RENAL UNI SEL|2584|1369.52|1938|2067.2|2196.4|2325.6|2196.4|2087.87|1860.48|1748.85|0|2584|694|274.4|313.38|2115|660|642|267.54|689.31|1938|2018.1|81.01|88.09|81.01|378.66|378.66|173.02|78.81|169.19|378.66|701.72|689.31|327.28|0|0|2584|583.1|78.65|78.65|81.01|78.65|141.57|78.65|81.01|0|2584
HOSP OP|0320 - DX X-RAY||75833|VENOGRAM RENAL BIL SEL|2630|1393.9|1972.5|2104|2235.5|2367|2235.5|2125.04|1893.6|1779.98|0|2630|694|298.47|313.38|2152.66|660|642|291|689.31|1972.5|2054.03|89.42|97.24|89.42|444.6|444.6|202.52|86.99|198.65|444.6|701.72|689.31|327.28|0|0|2630|583.1|86.82|86.82|89.42|86.82|156.28|86.82|89.42|0|2630
HOSP OP|0320 - DX X-RAY||75885|PORTOGRAPHY W HEM EVAL|5269|2792.57|3951.75|4215.2|4478.65|4742.1|4478.65|4257.35|3793.68|3566.06|0|5269|694|285.23|313.38|4312.68|660|642|278.1|689.31|3951.75|4115.09|85.53|93|85.53|425.62|425.62|193.27|83.21|190.17|425.62|701.72|689.31|327.28|0|0|2958.71|583.1|83.04|83.04|85.53|83.04|149.47|83.04|85.53|0|5269
HOSP OP|0320 - DX X-RAY||75887|PORTOGRAPHY WO/HEMO|1790|948.7|1342.5|1432|1521.5|1611|1521.5|1446.32|1288.8|1211.47|0|1790|694|286.43|313.38|1465.12|660|642|279.27|689.31|1342.5|1397.99|85.9|93.41|85.9|427.61|427.61|194.15|83.57|191.06|427.61|701.72|689.31|327.28|0|0|1224.95|583.1|83.4|83.4|85.9|83.4|150.12|83.4|85.9|0|1790
HOSP OP|0320 - DX X-RAY||75889|VENOGRAM HEPATIC W/HEMO|5974|3166.22|4480.5|4779.2|5077.9|5376.6|5077.9|4826.99|4301.28|4043.2|0|5974|694|286.43|313.38|4889.72|660|642|279.27|689.31|4480.5|4665.69|85.53|93|85.53|390.65|390.65|177.86|83.21|174.54|390.65|701.72|689.31|327.28|0|0|2958.71|583.1|83.04|83.04|85.53|83.04|149.47|83.04|85.53|0|5974
HOSP OP|0320 - DX X-RAY||75891|VENOGRAM HEPATIC W/O HEMO|4078|2161.34|3058.5|3262.4|3466.3|3670.2|3466.3|3295.02|2936.16|2759.99|0|4078|694|290.04|313.38|3337.84|660|642|282.79|689.31|3058.5|3184.92|86.65|94.23|86.65|395.64|395.64|179.18|84.3|176.77|395.64|701.72|689.31|327.28|0|0|2958.71|583.1|84.13|84.13|86.65|84.13|151.43|84.13|86.65|0|4078
HOSP OP|0320 - DX X-RAY||75894|EMBOLIZATION RS&I|3836|2033.08|2877|3068.8|3260.6|3452.4|0|3099.49|2761.92|2596.2|0|3836|694|0|313.38|3139.77|660|642|0|689.31|2877|2995.92|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|1534.4|0|0|0|0|0|3836
HOSP OP|0323 - DX X-RAY/ARTER||75898|ANGIO EXIST CATH FOLLOW-UP|1509|799.77|1131.75|1207.2|1282.65|1358.1|1282.65|1219.27|1086.48|1021.29|0|1509|694|845.04|313.38|1235.12|660|642|823.91|881.4|1131.75|1178.53|603.6|0|603.6|359.68|359.68|158.05|603.6|160.7|359.68|897.27|881.4|418.48|0|0|1224.95|583.1|0|0|603.6|0|754.5|0|603.6|0|1509
HOSP OP|0320 - DX X-RAY||75901|MECH REM OBSTRUCT FROM CVAD|471|249.63|353.25|376.8|400.35|423.9|0|380.57|339.12|318.77|0|471|471|0|313.38|385.51|471|471|0|689.31|353.25|367.85|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|461.58|0|0|205.66|0|0|199.67|0|0|701.72
HOSP OP|0320 - DX X-RAY||75970|TRANSCATH BIOPSY|1662|880.86|1246.5|1329.6|1412.7|1495.8|0|1342.9|1196.64|1124.84|0|1662|694|0|313.38|1360.35|660|642|0|689.31|1246.5|1298.02|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|664.8|0|0|0|0|0|1662
HOSP OP|0320 - DX X-RAY||75984|PERC TUBE/CATH DRAIN CHG|939|497.67|704.25|751.2|798.15|845.1|0|758.71|676.08|635.52|0|939|694|0|313.38|768.57|660|642|0|689.31|704.25|733.36|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|583.1|0|0|67.47|0|0|65.5|0|0|939
HOSP OP|0350 - CT SCAN||75989|CT PERC DRAIN GUIDANCE|994|526.82|745.5|795.2|844.9|894.6|0|803.15|715.68|672.74|0|994|994|0|605.81|813.59|994|994|0|689.31|745.5|776.31|0|0|0|0|0|0|0|0|0|701.72|689.31|327.28|0|0|0|730.1|0|0|66.34|0|0|64.41|0|0|994
HOSP OP|0320 - DX X-RAY||76000|FLUOROSCOPY <ONE HOUR|612|324.36|459|489.6|520.2|550.8|520.2|494.5|440.64|414.2|0|612|612|451.03|313.38|500.92|612|612|439.74|157.34|459|477.97|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|160.17|157.34|74.7|0|0|258.25|583.1|499|444.2|257.53|478.81|450.05|250.03|257.5|0|612
HOSP OP|0320 - DX X-RAY||76098|RAD EXAM SURGICAL SPECIMEN|512|271.36|384|409.6|435.2|460.8|435.2|413.7|368.64|346.52|0|512|512|28.88|313.38|419.07|512|512|28.16|157.34|384|399.87|28.35|30.82|28.35|44.96|44.96|20.25|27.58|20.09|44.96|160.17|157.34|74.7|0|0|512|501.76|27.52|27.52|28.35|27.52|49.54|27.52|28.35|0|512
HOSP OP|0610 - MRI||76390|MR SPECTROSCOPY|2666|1412.98|1999.5|2132.8|2266.1|2399.4|2266.1|2154.13|1919.52|1804.35|0|2666|1868|1243.22|979.08|2182.12|1775|1728|1212.12|1075.89|1999.5|2082.15|1066.4|0|1066.4|1237.88|1237.88|563.97|1066.4|553.09|1237.88|1095.26|1075.89|510.82|0|0|0|1178.54|0|0|1066.4|0|1333|0|1066.4|0|2666
HOSP OP|0402 - ULTRASOUND||76506|ECHOENCEPHALOGRAPHY|542|287.26|406.5|433.6|460.7|487.8|460.7|437.94|390.24|366.83|0|542|353.38|220.09|198.48|443.63|335.5|326.83|214.59|289.27|406.5|423.3|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|240.16|240|213.64|123.86|230.29|216.45|120.25|123.85|0|542
HOSP OP|0402 - ULTRASOUND||76536|US SOFT TISSUE HEAD/NECK|625|331.25|468.75|500|531.25|562.5|531.25|505|450|423|0|625|407.5|220.09|228.88|511.56|386.88|376.88|214.59|289.27|468.75|488.13|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|276.94|240|213.64|123.86|230.29|216.45|120.25|123.85|0|625
HOSP OP|0402 - ULTRASOUND||76604|US CHEST|485|257.05|363.75|388|412.25|436.5|412.25|391.88|349.2|328.25|0|485|316.22|220.09|177.61|396.97|300.22|292.46|214.59|289.27|363.75|378.79|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|214.9|240|213.64|123.86|230.29|216.45|120.25|123.85|0|485
HOSP OP|0402 - ULTRASOUND||76700|US ABDOMINAL COMPLETE|681|360.93|510.75|544.8|578.85|612.9|578.85|550.25|490.32|460.9|0|681|444.01|220.09|249.38|557.4|421.54|410.64|214.59|289.27|510.75|531.86|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|301.75|240|213.64|123.86|230.29|216.45|120.25|123.85|0|681
HOSP OP|0402 - ULTRASOUND||76705|US ABD LIMITED|437|231.61|327.75|349.6|371.45|393.3|371.45|353.1|314.64|295.76|0|437|284.92|220.09|160.03|357.68|270.5|263.51|214.59|289.27|327.75|341.3|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|193.63|240|213.64|123.86|230.29|216.45|120.25|123.85|0|437
HOSP OP|0402 - ULTRASOUND||76770|US RETROPERITONEAL COMPLETE|501|265.53|375.75|400.8|425.85|450.9|425.85|404.81|360.72|339.08|0|501|326.65|220.09|183.47|410.07|310.12|302.1|214.59|289.27|375.75|391.28|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|221.99|240|213.64|123.86|230.29|216.45|120.25|123.85|0|501
HOSP OP|0402 - ULTRASOUND||76800|US SPINAL CANAL CONTENTS|527|279.31|395.25|421.6|447.95|474.3|447.95|425.82|379.44|356.67|0|527|343.6|220.09|192.99|431.35|326.21|317.78|214.59|289.27|395.25|411.59|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|233.51|240|213.64|123.86|230.29|216.45|120.25|123.85|0|527
HOSP OP|0402 - ULTRASOUND||76801|US OB <14 WEEKS|577|305.81|432.75|461.6|490.45|519.3|490.45|466.22|415.44|390.51|0|577|376.2|220.09|211.3|472.27|357.16|347.93|214.59|328.58|432.75|450.64|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|334.49|328.58|156|0|0|126.02|255.67|240|213.64|123.86|230.29|216.45|120.25|123.85|0|577
HOSP OP|0402 - ULTRASOUND||76802|US OB<14 WKS EA ADDL GEST|349|184.97|261.75|279.2|296.65|314.1|0|281.99|251.28|236.2|0|349|227.55|0|127.8|285.66|216.03|210.45|0|328.58|261.75|272.57|0|0|0|0|0|0|0|0|0|334.49|328.58|156|0|0|0|154.64|0|0|22.95|0|0|22.28|0|0|349
HOSP OP|0402 - ULTRASOUND||76805|US OB>14 WEEKS|676|358.28|507|540.8|574.6|608.4|574.6|546.21|486.72|457.52|0|676|440.75|220.09|247.55|553.31|418.44|407.63|214.59|328.58|507|527.96|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|334.49|328.58|156|0|0|126.02|299.54|240|213.64|123.86|230.29|216.45|120.25|123.85|0|676
HOSP OP|0402 - ULTRASOUND||76810|US OB>14 WKS EA ADDL GEST|436|231.08|327|348.8|370.6|392.4|0|352.29|313.92|295.08|0|436|284.27|0|159.66|356.87|269.88|262.91|0|328.58|327|340.52|0|0|0|0|0|0|0|0|0|334.49|328.58|156|0|0|0|193.19|0|0|44.53|0|0|43.23|0|0|436
HOSP OP|0402 - ULTRASOUND||76817|US OB TRANSVAGINAL|542|287.26|406.5|433.6|460.7|487.8|460.7|437.94|390.24|366.83|0|542|353.38|220.09|198.48|443.63|335.5|326.83|214.59|328.58|406.5|423.3|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|334.49|328.58|156|0|0|126.02|240.16|240|213.64|123.86|230.29|216.45|120.25|123.85|0|542
HOSP OP|0402 - ULTRASOUND||76818|FETAL BIOPHYSICAL PROFILE|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|545.72|220.09|306.51|685.08|518.1|504.71|214.59|328.58|627.75|653.7|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|334.49|328.58|156|0|0|126.02|370.87|240|213.64|123.86|230.29|216.45|120.25|123.85|0|837
HOSP OP|0402 - ULTRASOUND||76825|US ECHOCARIDOGRAM FETAL|1291.58|684.54|968.69|1033.26|1097.84|1162.42|1097.84|1043.6|929.94|874.14|0|1291.58|842.11|651.09|472.98|1057.16|799.49|778.82|634.81|328.58|968.69|1008.72|201.9|219.54|201.9|621.44|621.44|278.68|196.41|277.66|621.44|334.49|328.58|156|0|0|557.22|572.3|196.02|196.02|201.9|196.02|352.84|196.02|201.9|0|1291.58
HOSP OP|0402 - ULTRASOUND||76830|US TRANSVAGINAL NON-OB|433|229.49|324.75|346.4|368.05|389.7|368.05|349.86|311.76|293.05|0|433|282.32|220.09|158.56|354.41|268.03|261.1|214.59|289.27|324.75|338.17|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|191.86|240|213.64|123.86|230.29|216.45|120.25|123.85|0|433
HOSP OP|0402 - ULTRASOUND||76856|US PELVIC NON-OB|576|305.28|432|460.8|489.6|518.4|489.6|465.41|414.72|389.84|0|576|375.55|220.09|210.93|471.46|356.54|347.33|214.59|289.27|432|449.86|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|255.23|240|213.64|123.86|230.29|216.45|120.25|123.85|0|576
HOSP OP|0402 - ULTRASOUND||76857|US PELVIC LIMITED|500|265|375|400|425|450|425|404|360|338.4|0|500|326|220.09|183.1|409.25|309.5|301.5|214.59|289.27|375|390.5|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|221.55|240|213.64|123.86|230.29|216.45|120.25|123.85|0|500
HOSP OP|0402 - ULTRASOUND||76870|US SCROTUM AND CONTENTS|560|296.8|420|448|476|504|476|452.48|403.2|379.01|0|560|365.12|220.09|205.07|458.36|346.64|337.68|214.59|289.27|420|437.36|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|248.14|240|213.64|123.86|230.29|216.45|120.25|123.85|0|560
HOSP OP|0402 - ULTRASOUND||76872|ULTRASOUND TRANSRECTAL|396|209.88|297|316.8|336.6|356.4|336.6|319.97|285.12|268.01|0|396|258.19|321.33|145.02|324.13|245.12|238.79|313.3|289.27|297|309.28|130.67|142.08|130.67|362.67|362.67|121.07|127.11|162.04|362.67|294.48|289.27|137.34|0|0|126.02|175.47|126.86|126.86|130.67|126.86|228.35|126.86|130.67|0|396
HOSP OP|0402 - ULTRASOUND||76885|US INFANT HIP DYNAMIC|464|245.92|348|371.2|394.4|417.6|394.4|374.91|334.08|314.04|0|464|302.53|121.88|169.92|379.78|287.22|279.79|118.83|289.27|348|362.38|88.2|95.9|88.2|148.34|151.37|63.34|85.8|64.22|151.37|294.48|289.27|137.34|0|0|69.78|205.6|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|464
HOSP OP|0402 - ULTRASOUND||76936|US PSEUDOANEURYSM GUIDE|583|308.99|437.25|466.4|495.55|524.7|495.55|471.06|419.76|394.57|0|583|380.12|581.29|213.49|477.19|360.88|351.55|566.75|1161.19|437.25|455.32|181.96|197.86|181.96|583|583|335.91|177.01|335.25|583|1182.09|1161.19|551.32|0|0|282.6|258.33|176.66|176.66|181.96|176.66|317.99|176.66|181.96|0|1182.09
HOSP OP|0402 - ULTRASOUND||76937|US GUIDE VASCULAR ACCESS|459|243.27|344.25|367.2|390.15|413.1|0|370.87|330.48|310.65|0|459|299.27|0|168.09|375.69|284.12|276.78|0|1161.19|344.25|358.48|0|0|0|0|0|0|0|0|0|1182.09|1161.19|551.32|0|0|0|203.38|0|0|23.32|0|0|22.64|0|0|1182.09
HOSP OP|0402 - ULTRASOUND||76942|US GUIDE NEEDLE PLACEMENT|623|330.19|467.25|498.4|529.55|560.7|0|503.38|448.56|421.65|0|623|406.2|0|228.14|509.93|385.64|375.67|0|1161.19|467.25|486.56|0|0|0|0|0|0|0|0|0|1182.09|1161.19|551.32|0|0|0|276.05|0|0|26.84|0|0|26.06|0|0|1182.09
HOSP OP|0402 - ULTRASOUND||76946|US GUIDE AMNIOCENTESIS|68|36.04|51|54.4|57.8|61.2|0|54.94|48.96|46.02|0|68|44.34|0|24.9|55.66|42.09|41|0|1161.19|51|53.11|0|0|0|0|0|0|0|0|0|1182.09|1161.19|551.32|0|0|0|30.13|0|0|14.05|0|0|13.64|0|0|1182.09
HOSP OP|0402 - ULTRASOUND||76999|US UNLISTED PROCEDURE|385|204.05|288.75|308|327.25|346.5|327.25|311.08|277.2|260.57|0|385|251.02|215.6|140.99|315.12|238.32|232.16|210.21|289.27|288.75|300.69|154|0|154|305.69|318.24|165.82|154|168.51|318.24|294.48|289.27|137.34|0|0|69.78|170.59|0|0|154|0|192.5|0|154|0|385
HOSP OP|0333 - RADIATION RX||77280|TX SIMULATION SIMPLE|599|317.47|449.25|479.2|509.15|539.1|509.15|483.99|431.28|405.4|0|599|390.55|599|219.35|490.28|370.78|361.2|599|2024.15|449.25|467.82|254.81|277.08|254.81|599|599|353.52|247.88|351.76|599|2060.58|2024.15|961.04|0|0|138.62|265.42|247.39|247.39|254.81|247.39|445.3|247.39|254.81|0|2060.58
HOSP OP|0333 - RADIATION RX||77290|TX SIMULATION COMPLEX|1396|739.88|1047|1116.8|1186.6|1256.4|1186.6|1127.97|1005.12|944.81|0|1396|910.19|1396|511.22|1142.63|864.12|841.79|1396|1193.35|1047|1090.28|440.4|478.88|440.4|1396|1396|662.58|428.43|648.17|1396|1214.83|1193.35|566.59|0|0|360.46|618.57|427.57|427.57|440.4|427.57|769.63|427.57|440.4|0|1396
HOSP OP|0333 - RADIATION RX||77300|RADIATION DOSIMETRY CALC|392|207.76|294|313.6|333.2|352.8|333.2|316.74|282.24|265.31|0|392|255.58|115.54|143.55|320.85|242.65|236.38|112.65|886.79|294|306.15|35.49|38.6|35.49|186.83|186.83|83.21|34.53|83.48|186.83|902.75|886.79|421.04|0|0|138.62|173.7|34.46|34.46|35.49|34.46|62.03|34.46|35.49|0|902.75
HOSP OP|0333 - RADIATION RX||77334|TREATMENT DEVICE COMPLEX|786|416.58|589.5|628.8|668.1|707.4|668.1|635.09|565.92|531.96|0|786|512.47|231.07|287.83|643.34|486.53|473.96|225.29|267.19|589.5|613.87|70.1|76.23|70.1|362.67|362.67|162.01|68.2|162.04|362.67|272|267.19|126.86|0|0|360.46|348.28|68.06|68.06|70.1|68.06|122.51|68.06|70.1|0|786
HOSP OP|0333 - RADIATION RX||77336|CONTIN PHYSICS CONSULT|583|308.99|437.25|466.4|495.55|524.7|495.55|471.06|419.76|394.57|0|583|380.12|271.99|213.49|477.19|360.88|351.55|265.19|366.91|437.25|455.32|83.18|90.45|83.18|223.8|223.8|100.38|80.92|99.99|223.8|373.51|366.91|174.2|0|0|138.62|258.33|80.76|80.76|83.18|80.76|145.37|80.76|83.18|0|583
HOSP OP|0333 - RADIATION RX||77370|SPECIAL PHYSICS CONSULT|871|461.63|653.25|696.8|740.35|783.9|740.35|703.77|627.12|589.49|0|871|567.89|423.63|318.96|712.91|539.15|525.21|413.04|366.91|653.25|680.25|129.36|140.66|129.36|347.69|347.69|154.09|125.84|155.35|347.69|373.51|366.91|174.2|0|0|138.62|385.94|125.59|125.59|129.36|125.59|226.06|125.59|129.36|0|871
HOSP OP|0333 - RADIATION RX||77417|TX PORT FILMS|229|121.37|171.75|183.2|194.65|206.1|0|185.03|164.88|154.99|0|229|149.31|0|83.86|187.44|141.75|138.09|0|157.34|171.75|178.85|0|0|0|0|0|0|0|0|0|160.17|157.34|74.7|0|0|0|101.47|0|0|11.79|0|0|11.45|0|0|229
HOSP OP|0341 - NUC MED/DX||78018|Hb Nuclear Med Whole Body Study For Thyroid Cancer|1266|670.98|949.5|1012.8|1076.1|1139.4|1076.1|1022.93|911.52|856.83|0|1266|1266|891.09|747.53|1036.22|1266|1266|868.8|936.36|949.5|988.75|521.58|567.15|521.58|877.31|895.21|374.58|507.4|379.78|895.21|953.21|936.36|444.57|0|0|510.22|1222.55|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1266
HOSP OP|0341 - NUC MED/DX||78070|PARATHYROID SCAN|931|493.43|698.25|744.8|791.35|837.9|791.35|752.25|670.32|630.1|0|931|931|691.51|747.53|762.02|931|931|674.21|835.74|698.25|727.11|406.82|442.36|406.82|684.26|698.22|292.16|395.76|296.21|698.22|850.78|835.74|396.8|0|0|395.93|912.38|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|931
HOSP OP|0341 - NUC MED/DX||78195|NM LYMPHATICS/NODE IMAGING|1327|703.31|995.25|1061.6|1127.95|1194.3|1127.95|1072.22|955.44|898.11|0|1327|1327|891.09|747.53|1086.15|1327|1327|868.8|936.36|995.25|1036.39|521.58|567.15|521.58|877.31|895.21|374.58|507.4|379.78|895.21|953.21|936.36|444.57|0|0|510.22|1222.55|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1327
HOSP OP|0341 - NUC MED/DX||78215|NM LIVER/SPLEEN STATIC ONLY|1156|612.68|867|924.8|982.6|1040.4|982.6|934.05|832.32|782.38|0|1156|1156|691.51|747.53|946.19|1156|1156|674.21|835.74|867|902.84|406.82|442.36|406.82|684.26|698.22|292.16|395.76|296.21|698.22|850.78|835.74|396.8|0|0|395.93|1132.88|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1156
HOSP OP|0341 - NUC MED/DX||78262|NM GASTROESOPHAGEAL REFLUX|1202|637.06|901.5|961.6|1021.7|1081.8|1021.7|971.22|865.44|813.51|0|1202|1202|723.3|747.53|983.84|1202|1202|705.21|936.36|901.5|938.76|221.11|240.43|221.11|697.37|697.37|312.58|215.1|311.59|697.37|953.21|936.36|444.57|0|0|395.93|1177.96|214.67|214.67|221.11|214.67|386.41|214.67|221.11|0|1202
HOSP OP|0341 - NUC MED/DX||78264|NM GASTRIC EMPTYING STUDY|1326|702.78|994.5|1060.8|1127.1|1193.4|1127.1|1071.41|954.72|897.44|0|1326|1326|691.51|747.53|1085.33|1326|1326|674.21|936.36|994.5|1035.61|406.82|442.36|406.82|684.26|698.22|292.16|395.76|296.21|698.22|953.21|936.36|444.57|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1326
HOSP OP|0341 - NUC MED/DX||78278|NM GI BLOOD LOSS IMAGING|1383|732.99|1037.25|1106.4|1175.55|1244.7|1175.55|1117.46|995.76|936.01|0|1383|1383|1043.43|747.53|1131.99|1383|1349|1017.34|936.36|1037.25|1080.12|321.55|349.64|321.55|1008.09|1008.09|452.14|312.8|450.42|1008.09|953.21|936.36|444.57|0|0|395.93|1222.55|312.18|312.18|321.55|312.18|561.92|312.18|321.55|0|1383
HOSP OP|0341 - NUC MED/DX||78290|NM INTESTINE SCAN|1383|732.99|1037.25|1106.4|1175.55|1244.7|1175.55|1117.46|995.76|936.01|0|1383|1383|1032.6|747.53|1131.99|1383|1349|1006.78|835.74|1037.25|1080.12|318.54|346.37|318.54|955.14|955.14|429.25|309.88|426.76|955.14|850.78|835.74|396.8|0|0|395.93|1222.55|309.26|309.26|318.54|309.26|556.67|309.26|318.54|0|1383
HOSP OP|0341 - NUC MED/DX||78306|NM BONE/JNT SCAN WHOLE BODY|1163|616.39|872.25|930.4|988.55|1046.7|988.55|939.7|837.36|787.12|0|1163|1163|691.51|747.53|951.92|1163|1163|674.21|835.74|872.25|908.3|406.82|442.36|406.82|684.26|698.22|292.16|395.76|296.21|698.22|850.78|835.74|396.8|0|0|395.93|1139.74|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1163
HOSP OP|0341 - NUC MED/DX||78315|NM BONE/JNT SCAN 3 PHASE|1489|789.17|1116.75|1191.2|1265.65|1340.1|1265.65|1203.11|1072.08|1007.76|0|1489|1459|691.51|747.53|1218.75|1386|1349|674.21|835.74|1116.75|1162.91|406.82|442.36|406.82|684.26|698.22|292.16|395.76|296.21|698.22|850.78|835.74|396.8|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1489
HOSP OP|0341 - NUC MED/DX||78472|NM CARDIAC BLOOD POOL SING|1520|805.6|1140|1216|1292|1368|1292|1228.16|1094.4|1028.74|0|1520|1459|691.51|747.53|1244.12|1386|1349|674.21|835.74|1140|1187.12|406.82|442.36|406.82|684.26|698.22|292.16|395.76|296.21|698.22|850.78|835.74|396.8|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1520
HOSP OP|0341 - NUC MED/DX||78630|NM CISTERNOGRAM|1418|751.54|1063.5|1134.4|1205.3|1276.2|1205.3|1145.74|1020.96|959.7|0|1418|1418|1056.67|747.53|1160.63|1386|1349|1030.25|936.36|1063.5|1107.46|326.44|354.96|326.44|977.12|977.12|438.93|317.56|436.58|977.12|953.21|936.36|444.57|0|0|510.22|1222.55|316.93|316.93|326.44|316.93|570.47|316.93|326.44|0|1418
HOSP OP|0341 - NUC MED/DX||78645|NM SHUT EVAL|953|505.09|714.75|762.4|810.05|857.7|810.05|770.02|686.16|644.99|0|953|953|953|747.53|780.03|953|953|953|835.74|714.75|744.29|318.54|346.37|318.54|940.15|940.15|422.2|309.88|420.06|940.15|850.78|835.74|396.8|0|0|510.22|933.94|309.26|309.26|318.54|309.26|556.67|309.26|318.54|0|953
HOSP OP|0342 - NUC MED/RX||78708|NM KIDNEY W/FLOW AND MEDS|1184|627.52|888|947.2|1006.4|1065.6|1006.4|956.67|852.48|801.33|0|1184|1184|891.09|747.53|969.1|1184|1184|868.8|835.74|888|924.7|521.58|567.15|521.58|877.31|895.21|374.58|507.4|379.78|895.21|850.78|835.74|396.8|0|0|510.22|1160.32|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1184
HOSP OP|0342 - NUC MED/RX||78802|NM RP TUMOR LOC WB|1829|969.37|1371.75|1463.2|1554.65|1646.1|1554.65|1477.83|1316.88|1237.87|0|1829|1459|976.04|747.53|1497.04|1386|1349|951.63|1907.93|1371.75|1428.45|293.71|319.38|293.71|931.16|931.16|419.12|285.73|416.04|931.16|1942.27|1907.93|905.86|0|0|1377|1222.55|285.16|285.16|293.71|285.16|513.29|285.16|293.71|0|1942.27
HOSP OP|0342 - NUC MED/RX||78804|NM RP TUMOR LOC 2 OR > DAYS|3440|1823.2|2580|2752|2924|3096|2924|2779.52|2476.8|2328.19|0|3440|1459|1793.22|747.53|2815.64|1386|1349|1748.37|1907.93|2580|2686.64|655|712.23|655|1645.52|1645.52|736.99|637.19|735.22|1645.52|1942.27|1907.93|905.86|0|0|1377|1222.55|635.92|635.92|655|635.92|1144.66|635.92|655|0|3440
HOSP OP|0404 - PET SCAN||78815|PET/CT SCAN SKULL TO MID-THIGH|4166|2207.98|3124.5|3332.8|3541.1|3749.4|3541.1|3366.13|2999.52|2819.55|0|4166|2925|1750|1530.99|3409.87|2778|2705|1706.25|3891.4|3124.5|3253.65|1666.4|0|1666.4|3027.27|3027.27|1333.97|1666.4|1352.59|3027.27|3961.45|3891.4|1847.59|0|0|1540.7|2449.99|0|0|1666.4|0|2083|0|1666.4|0|4166
HOSP OP|0404 - PET SCAN||78816|PET/CT SCAN WHOLE BODY|4714|2498.42|3535.5|3771.2|4006.9|4242.6|4006.9|3808.91|3394.08|3190.44|0|4714|2925|1750|1530.99|3858.41|2778|2705|1706.25|3891.4|3535.5|3681.63|1885.6|0|1885.6|3031.27|3031.27|1335.73|1885.6|1354.38|3031.27|3961.45|3891.4|1847.59|0|0|1540.7|2449.99|0|0|1885.6|0|2357|0|1885.6|0|4714
HOSP OP|0342 - NUC MED/RX||79005|NM RP ORAL ADMINISTRATION|1029|545.37|771.75|823.2|874.65|926.1|874.65|831.43|740.88|696.43|0|1029|1029|451.67|747.53|842.24|1029|1029|440.37|409.13|771.75|803.65|262.35|285.27|262.35|441.27|450.28|188.41|255.22|191.03|450.28|416.49|409.13|194.25|0|0|258.61|1008.42|508.34|452.51|262.35|487.77|458.47|254.71|262.32|0|1029
HOSP OP|0342 - NUC MED/RX||79101|NM RP IV ADMIN THERAPY|952|504.56|714|761.6|809.2|856.8|809.2|769.22|685.44|644.31|0|952|952|168.49|747.53|779.21|952|952|164.28|409.13|714|743.51|53.68|58.37|53.68|413.63|413.63|179.62|52.22|184.81|413.63|416.49|409.13|194.25|0|0|258.61|932.96|52.12|52.12|53.68|52.12|93.82|52.12|53.68|0|952
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93880|DUPLEX SCAN EXTRACRANIAL BIL|683|361.99|512.25|546.4|580.55|614.7|580.55|551.86|491.76|462.25|0|683|445.32|451.03|250.11|559.04|422.78|411.85|439.74|289.27|512.25|533.42|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|294.48|289.27|137.34|0|0|258.25|302.64|499|444.2|257.53|478.81|450.05|250.03|257.5|0|683
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93886|TRANSCRANIAL COMPLETE|814|431.42|610.5|651.2|691.9|732.6|691.9|657.71|586.08|550.92|0|814|530.73|761.82|298.09|666.26|503.87|490.84|742.76|289.27|610.5|635.73|238.39|259.22|238.39|768.31|768.31|343.4|231.91|343.28|768.31|294.48|289.27|137.34|0|0|258.25|360.68|231.45|231.45|238.39|231.45|416.61|231.45|238.39|0|814
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93922|UPPER/LOW EXTRM ART 2LVLS|560|296.8|420|448|476|504|476|452.48|403.2|379.01|0|560|365.12|208.31|205.07|458.36|346.64|337.68|203.1|428.36|420|437.36|120.49|131.02|120.49|202.66|206.8|86.53|117.21|87.73|206.8|436.07|428.36|203.38|0|0|119.27|248.14|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|560
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93923|PHYS STUDY UP/LOW EXTREM BIL|604|320.12|453|483.2|513.4|543.6|513.4|488.03|434.88|408.79|0|604|393.81|379.1|221.18|494.37|373.88|364.21|369.62|428.36|453|471.72|116.5|126.68|116.5|376.66|376.66|171.26|113.34|168.29|376.66|436.07|428.36|203.38|0|0|152.27|267.63|113.11|113.11|116.5|113.11|203.6|113.11|116.5|0|604
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93924|LOW EXTRM VASC STUDY BILAT|655|347.15|491.25|524|556.75|589.5|556.75|529.24|471.6|443.3|0|655|427.06|477.79|239.86|536.12|405.45|394.97|465.84|428.36|491.25|511.56|146.98|159.82|146.98|466.58|466.58|213.52|142.99|208.47|466.58|436.07|428.36|203.38|0|0|152.27|290.23|142.7|142.7|146.98|142.7|256.86|142.7|146.98|0|655
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93925|DUPLX SCAN LOW EXT ART  BIL|771|408.63|578.25|616.8|655.35|693.9|655.35|622.97|555.12|521.81|0|771|502.69|451.03|282.34|631.06|477.25|464.91|439.74|389.64|578.25|602.15|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|396.65|389.64|185|0|0|258.25|341.63|499|444.2|257.53|478.81|450.05|250.03|257.5|0|771
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93926|DUPLX SCAN L-E ART UNI/LMT|482|255.46|361.5|385.6|409.7|433.8|409.7|389.46|347.04|326.22|0|482|314.26|220.09|176.51|394.52|298.36|290.65|214.59|389.64|361.5|376.44|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|396.65|389.64|185|0|0|126.02|213.57|240|213.64|123.86|230.29|216.45|120.25|123.85|0|482
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93930|DUPLEX ART ARMS OR BGRAFT|857|454.21|642.75|685.6|728.45|771.3|728.45|692.46|617.04|580.02|0|857|558.76|564.44|313.83|701.45|530.48|516.77|550.32|289.27|642.75|669.32|175.94|191.32|175.94|580.48|580.48|262.39|171.16|259.36|580.48|294.48|289.27|137.34|0|0|258.25|379.74|170.82|170.82|175.94|170.82|307.48|170.82|175.94|0|857
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93931|DUPLEX ART ARM LIMITED|493|261.29|369.75|394.4|419.05|443.7|419.05|398.34|354.96|333.66|0|493|321.44|220.09|180.54|403.52|305.17|297.28|214.59|289.27|369.75|385.03|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|294.48|289.27|137.34|0|0|126.02|218.45|240|213.64|123.86|230.29|216.45|120.25|123.85|0|493
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93970|EXT VEINS/RESPONSES BILAT|1003|531.59|752.25|802.4|852.55|902.7|852.55|810.42|722.16|678.83|0|1003|653.96|451.03|367.3|820.96|620.86|604.81|439.74|389.64|752.25|783.34|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|396.65|389.64|185|0|0|258.25|444.43|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1003
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93971|EXT VEINS/RESPONSES BILAT|542|287.26|406.5|433.6|460.7|487.8|460.7|437.94|390.24|366.83|0|542|353.38|220.09|198.48|443.63|335.5|326.83|214.59|389.64|406.5|423.3|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|396.65|389.64|185|0|0|126.02|240.16|240|213.64|123.86|230.29|216.45|120.25|123.85|0|542
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93975|DUPLEX ABD/PELVIC/SCROTAL|1084|574.52|813|867.2|921.4|975.6|921.4|875.87|780.48|733.65|0|1084|706.77|451.03|396.96|887.25|671|653.65|439.74|289.27|813|846.6|257.53|280.03|257.53|433.16|442|184.95|250.53|187.51|442|294.48|289.27|137.34|0|0|258.25|480.32|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1084
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93990|DUPLEX HEMODIALYSIS ACCESS|580|307.4|435|464|493|522|493|468.64|417.6|392.54|0|580|378.16|447.7|212.4|474.73|359.02|349.74|436.5|289.27|435|452.98|137.95|150|137.95|439.6|439.6|199.44|134.2|196.42|439.6|294.48|289.27|137.34|0|0|126.02|257|133.93|133.93|137.95|133.93|241.07|133.93|137.95|0|580
HOSP OP|0740 - EEG||95816|EEG RECORD AWAKE & DROWSY|810|429.3|607.5|648|688.5|729|688.5|654.48|583.2|548.21|0|810|528.12|810|296.62|662.99|501.39|488.43|810|622.27|607.5|632.61|325.05|353.45|325.05|810|810|456.54|316.21|460.24|810|633.47|622.27|295.45|0|0|282.6|358.91|315.58|315.58|325.05|315.58|568.04|315.58|325.05|0|810
HOSP OP|0740 - EEG||95822|EEG RECORD COMA PORTABLE|829|439.37|621.75|663.2|704.65|746.1|704.65|669.83|596.88|561.07|0|829|540.51|829|303.58|678.54|513.15|499.89|829|622.27|621.75|647.45|353.9|384.82|353.9|829|829|478.56|344.28|488.81|829|633.47|622.27|295.45|0|0|282.6|367.33|343.59|343.59|353.9|343.59|618.46|343.59|353.9|0|829
HOSP OP|0740 - EEG||95955|EEG NONINTRACRANIAL SURGERY|832|440.96|624|665.6|707.2|748.8|0|672.26|599.04|563.1|0|832|542.46|0|304.68|680.99|515.01|501.7|0|622.27|624|649.79|0|0|0|0|0|0|0|0|0|633.47|622.27|295.45|0|0|0|368.66|0|0|165.27|0|0|160.46|0|0|832
HOSP OP|0331 - CHEMOTHERAPY/INJ||96450|ADMIN CHEMO CNS W/SPINAL P|531|281.43|398.25|424.8|451.35|477.9|451.35|429.05|382.32|359.38|0|531|346.21|531|194.45|434.62|328.69|320.19|531|525.61|398.25|414.71|81.41|88.52|81.41|320.54|320.54|226.73|79.2|227.22|320.54|535.07|525.61|249.55|0|0|323|235.29|79.04|79.04|81.41|79.04|142.27|79.04|81.41|0|535.07
HOSP OP|0618 - MRA/OTHER||C8900|MRA ABD WITH|1746|925.38|1309.5|1396.8|1484.1|1571.4|1484.1|1410.77|1257.12|1181.69|0|1746|1746|977.76|979.08|1429.1|1746|1728|953.32|1091.88|1309.5|1363.63|698.4|0|698.4|1386.32|1443.24|752|698.4|764.22|1443.24|1111.53|1091.88|518.41|0|0|432.22|1178.54|0|0|698.4|0|873|0|698.4|0|1746
HOSP OP|0618 - MRA/OTHER||C8901|MRA ABD W/O|1746|925.38|1309.5|1396.8|1484.1|1571.4|1484.1|1410.77|1257.12|1181.69|0|1746|1746|977.76|979.08|1429.1|1746|1728|953.32|1091.88|1309.5|1363.63|698.4|0|698.4|1386.32|1443.24|752|698.4|764.22|1443.24|1111.53|1091.88|518.41|0|0|258.25|1178.54|0|0|698.4|0|873|0|698.4|0|1746
HOSP OP|0618 - MRA/OTHER||C8902|MRA ABD W&W/O|1950|1033.5|1462.5|1560|1657.5|1755|1657.5|1575.6|1404|1319.76|0|1950|1868|754.87|979.08|1596.08|1775|1728|735.99|1091.88|1462.5|1522.95|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|1111.53|1091.88|518.41|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1950
HOSP OP|0610 - MRI||C8903|MRI BREAST UNILATERAL W CONT|2321|1230.13|1740.75|1856.8|1972.85|2088.9|1972.85|1875.37|1671.12|1570.85|0|2321|1868|1299.76|979.08|1899.74|1775|1728|1267.27|1075.89|1740.75|1812.7|928.4|0|928.4|1842.87|1918.54|999.65|928.4|1015.9|1918.54|1095.26|1075.89|510.82|0|0|225.96|1178.54|0|0|928.4|0|1160.5|0|928.4|0|2321
HOSP OP|0610 - MRI||C8905|MRI BREAST UNI W&W/O|2764|1464.92|2073|2211.2|2349.4|2487.6|2349.4|2233.31|1990.08|1870.68|0|2764|1868|1547.84|979.08|2262.33|1775|1728|1509.14|1075.89|2073|2158.68|1105.6|0|1105.6|2194.62|2284.72|1190.45|1105.6|1209.8|2284.72|1095.26|1075.89|510.82|0|0|432.22|1178.54|0|0|1105.6|0|1382|0|1105.6|0|2764
HOSP OP|0610 - MRI||C8906|MRI BREAST BILAT W/CONTRAST|2764|1464.92|2073|2211.2|2349.4|2487.6|2349.4|2233.31|1990.08|1870.68|0|2764|1868|1547.84|979.08|2262.33|1775|1728|1509.14|1075.89|2073|2158.68|1105.6|0|1105.6|2194.62|2284.72|1190.45|1105.6|1209.8|2284.72|1095.26|1075.89|510.82|0|0|432.22|1178.54|0|0|1105.6|0|1382|0|1105.6|0|2764
HOSP OP|0618 - MRA/OTHER||C8909|MRA CHEST WITH CONTRAST|2559|1356.27|1919.25|2047.2|2175.15|2303.1|2175.15|2067.67|1842.48|1731.93|0|2559|1868|1433.04|979.08|2094.54|1775|1728|1397.21|1018.54|1919.25|1998.58|1023.6|0|1023.6|2031.85|2115.27|1102.16|1023.6|1120.07|2115.27|1036.87|1018.54|483.59|0|0|432.22|1178.54|0|0|1023.6|0|1279.5|0|1023.6|0|2559
HOSP OP|0618 - MRA/OTHER||C8910|MRA CHEST W/O CONTRAST|2483|1315.99|1862.25|1986.4|2110.55|2234.7|2110.55|2006.26|1787.76|1680.49|0|2483|1868|1390.48|979.08|2032.34|1775|1728|1355.72|1018.54|1862.25|1939.22|993.2|0|993.2|1971.5|2052.45|1069.43|993.2|1086.81|2052.45|1036.87|1018.54|483.59|0|0|258.25|1178.54|0|0|993.2|0|1241.5|0|993.2|0|2483
HOSP OP|0618 - MRA/OTHER||C8911|MRA CHEST W&W/O|2745|1454.85|2058.75|2196|2333.25|2470.5|2333.25|2217.96|1976.4|1857.82|0|2745|1868|1537.2|979.08|2246.78|1775|1728|1498.77|1018.54|2058.75|2143.85|1098|0|1098|2179.53|2269.02|1182.27|1098|1201.49|2269.02|1036.87|1018.54|483.59|0|0|432.22|1178.54|0|0|1098|0|1372.5|0|1098|0|2745
HOSP OP|0618 - MRA/OTHER||C8912|MRA LOWER EXTREM W/CONT LT|2128|1127.84|1596|1702.4|1808.8|1915.2|1808.8|1719.42|1532.16|1440.23|0|2128|1868|1191.68|979.08|1741.77|1775|1728|1161.89|1091.88|1596|1661.97|851.2|0|851.2|1689.63|1759|916.53|851.2|931.43|1759|1111.53|1091.88|518.41|0|0|432.22|1178.54|0|0|851.2|0|1064|0|851.2|0|2128
HOSP OP|0618 - MRA/OTHER||C8914|MRA LOWER EXT W&W/O|1844|977.32|1383|1475.2|1567.4|1659.6|1567.4|1489.95|1327.68|1248.02|0|1844|1844|1032.64|979.08|1509.31|1775|1728|1006.82|1091.88|1383|1440.16|737.6|0|737.6|1464.14|1524.25|794.21|737.6|807.12|1524.25|1111.53|1091.88|518.41|0|0|432.22|1178.54|0|0|737.6|0|922|0|737.6|0|1844
HOSP OP|0618 - MRA/OTHER||C8918|MRA PELVIS W/ CONTRAST|2183|1156.99|1637.25|1746.4|1855.55|1964.7|1855.55|1763.86|1571.76|1477.45|0|2183|1868|1222.48|979.08|1786.79|1775|1728|1191.92|1091.88|1637.25|1704.92|873.2|0|873.2|1733.3|1804.47|940.22|873.2|955.5|1804.47|1111.53|1091.88|518.41|0|0|432.22|1178.54|0|0|873.2|0|1091.5|0|873.2|0|2183
HOSP OP|0618 - MRA/OTHER||C8920|MRA PELVIS W&W/O CONTRAST|2467|1307.51|1850.25|1973.6|2096.95|2220.3|2096.95|1993.34|1776.24|1669.67|0|2467|1868|1381.52|979.08|2019.24|1775|1728|1346.98|1091.88|1850.25|1926.73|986.8|0|986.8|1958.8|2039.22|1062.54|986.8|1079.81|2039.22|1111.53|1091.88|518.41|0|0|432.22|1178.54|0|0|986.8|0|1233.5|0|986.8|0|2467
HOSP OP|0310 - PATHOLOGY LAB||81381|Hb Hla-b 5701 Genotype Abacavir|226.2|119.89|169.65|180.96|192.27|203.58|192.27|182.77|162.86|153.09|0|226.2|219.17|226.2|159.37|185.14|208.3|202.69|223.64|186.89|169.65|176.66|175|190.29|175|226.2|226.2|171.7|170.24|174.1|226.2|190.25|186.89|190.25|0|0|190.3|117.09|169.9|169.9|175|169.9|226.2|169.9|175|0|226.2
HOSP OP|0301 - LAB/CHEMISTRY||82657|Hexokinase|73.19|38.79|54.89|58.55|62.21|65.87|62.21|59.14|52.7|49.53|0|73.19|28.6|29.93|20.8|59.91|27.18|26.45|29.18|24.39|54.89|57.16|22.84|24.83|22.84|46.96|46.96|22.45|22.21|20.98|46.96|24.83|24.39|24.83|0|0|0|15.28|22.17|22.17|22.84|22.17|39.91|22.17|22.84|0|73.19
HOSP OP|0306 - LAB/BACT-MICRO||87798|CPT CODE 87798|153.65|81.43|115.24|122.92|130.6|138.29|130.6|124.15|110.63|103.99|0|153.65|50.3|52.64|36.57|125.76|47.8|46.52|51.32|38.6|115.24|120|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|153.65
HOSP OP|0301 - LAB/CHEMISTRY||80299|CPT CODE 80299|62.55|33.15|46.91|50.04|53.17|56.3|53.17|50.54|45.04|42.33|0|62.55|24.05|25.16|17.48|51.2|22.85|22.24|24.53|20.5|46.91|48.85|19.2|20.88|19.2|39.96|39.96|18.93|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|62.55
HOSP OP|0301 - LAB/CHEMISTRY||82438|CPT CODE 82438|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5.5|0|0|0|0|0|0|0|0|0|0|0|5.6|5.5|5.6|0|0|0|0|0|0|0|0|0|0|0|0|5.6
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|CPT CODE 83516|32.71|17.34|24.53|26.17|27.8|29.44|27.8|26.43|23.55|22.14|0|32.71|16.52|17.29|12.02|26.77|15.71|15.28|16.86|11.53|24.53|25.55|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|32.71
HOSP OP|0310 - PATHOLOGY LAB||88271|CPT CODE 88271|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|27|27|22.32|22.1|27|27|27|23.56|20.25|21.09|22.06|23.99|22.06|27|27|26.86|21.46|22.77|27|23.98|23.56|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|27|21.42|22.06|0|27
HOSP OP|0310 - PATHOLOGY LAB||88273|CPT CODE 88273|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|38.29|0|0|0|0|0|0|0|0|0|0|0|38.98|38.29|38.98|0|0|0|0|0|0|0|0|0|0|0|0|38.98
HOSP OP|0301 - LAB/CHEMISTRY||84311|CPT CODE 84311|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.91|0|0|0|0|0|0|0|0|0|0|0|9.07|8.91|9.07|0|0|0|0|0|0|0|0|0|0|0|0|9.07
HOSP OP|0301 - LAB/CHEMISTRY||84999|CPT CODE 84999|3|1.59|2.25|2.4|2.55|2.7|2.55|2.42|2.16|2.03|0|3|1.98|1.68|1.45|2.46|1.88|1.83|1.64|40.28|2.25|2.34|1.2|0|1.2|3|3|3|1.2|3|3|41|40.28|19.12|0|0|0|1.43|0|0|1.2|0|1.5|0|1.2|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86334|CPT CODE 86334|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|56.65|0|0|0|0|0|0|0|0|0|0|0|57.67|56.65|26.9|0|0|0|0|0|0|0|0|0|0|0|0|57.67
HOSP OP|0300 - LABORATORY||88289|Hb Maternal Cell Contamination|297.6|157.73|223.2|238.08|252.96|267.84|252.96|240.46|214.27|201.42|0|297.6|49.36|51.65|35.89|243.59|46.91|45.64|50.36|37.87|223.2|232.43|35.46|38.56|35.46|81.93|81.93|43.14|34.5|36.6|81.93|38.55|37.87|38.55|0|0|0|26.37|34.43|34.43|35.46|34.43|61.97|34.43|35.46|0|297.6
HOSP OP|0301 - LAB/CHEMISTRY||84302|CPT CODE 84302|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5.35|0|0|0|0|0|0|0|0|0|0|0|5.45|5.35|5.45|0|0|0|0|0|0|0|0|0|0|0|0|5.45
HOSP OP|0301 - LAB/CHEMISTRY||80321|Hb Phosphatidylethanol|94.2|49.93|70.65|75.36|80.07|84.78|80.07|76.11|67.82|63.75|0|94.2|62.27|0|45.4|77.1|59.16|57.56|0|16.21|70.65|73.57|94.2|0|94.2|31.97|31.97|94.2|37.68|14.28|31.97|16.5|16.21|16.5|0|0|0|78.86|94.2|94.2|94.2|94.2|94.2|94.2|94.2|0|94.2
HOSP OP|0306 - LAB/BACT-MICRO||87556|CPT CODE 87556|0|0|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|0|56.27|39.1|51.57|51.1|49.72|54.86|45.85|47.25|49.2|42.93|0|42.93|63|63|43.59|41.76|39.73|0|46.68|45.85|46.68|0|0|0|28.72|0|41.68|42.93|41.68|63|41.68|42.93|0|63
HOSP OP|0301 - LAB/CHEMISTRY||84410|Hb Bioavailable Testosterone|59.83|31.71|44.87|47.86|50.86|53.85|50.86|48.34|43.08|40.49|0|59.83|59.83|59.83|53.45|48.97|59.83|59.83|59.83|56.41|44.87|46.73|52.82|57.43|52.82|59.83|59.83|59.83|51.38|54.46|59.83|57.43|56.41|57.43|0|0|0|39.27|51.28|51.28|52.82|51.28|59.83|51.28|52.82|0|59.83
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|IMMUNOASSAY NOT SPECIFIED|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|22.28|23.31|16.2|54.02|21.17|20.6|22.73|17.27|49.5|51.55|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|66
HOSP OP|0302 - LAB/IMMUNOLOGY||86682|HELMINTH NOT ELSE. SPEC.|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.31|0|0|0|0|0|0|0|0|0|0|0|14.57|14.31|14.57|0|0|0|0|0|0|0|0|0|0|0|0|14.57
HOSP OP|0301 - LAB/CHEMISTRY||84087|PHOSPHOHEXOSE ISOMERASE|41.83|22.17|31.37|33.46|35.56|37.65|35.56|33.8|30.12|28.31|0|41.83|14.8|15.48|10.76|34.24|14.06|13.68|15.09|11.8|31.37|32.67|11.05|12.02|11.05|24.98|24.98|12.77|10.75|11.16|24.98|12.01|11.8|12.01|0|0|0|7.9|10.73|10.73|11.05|10.73|19.31|10.73|11.05|0|41.83
HOSP OP|0301 - LAB/CHEMISTRY||85060|Morphology Review|82.6|43.78|61.95|66.08|70.21|74.34|70.21|66.74|59.47|55.9|0|82.6|50.46|0|36.69|67.61|47.96|46.67|0|0|61.95|64.51|25.4|27.62|25.4|68.94|68.94|30.82|24.71|30.8|68.94|0|0|0|0|0|27.84|26.96|24.66|24.66|25.4|24.66|44.39|24.66|25.4|0|82.6
HOSP OP|0306 - LAB/BACT-MICRO||87077|ID Aerobic (MAYO)|134.1|71.07|100.58|107.28|113.99|120.69|113.99|108.35|96.55|90.76|0|134.1|11.57|12.11|8.41|109.76|11|10.7|11.81|8.08|100.58|104.73|8.32|9.05|8.32|18.98|18.98|10.13|8.1|8.48|18.98|8.23|8.08|8.23|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|134.1
HOSP OP|0306 - LAB/BACT-MICRO||87107|ID Fungus/Mold|81|42.93|60.75|64.8|68.85|72.9|68.85|65.45|58.32|54.82|0|81|14.8|15.48|10.76|66.3|14.06|13.68|15.09|11.35|60.75|63.26|10.63|11.56|10.63|24.98|24.98|12.77|10.34|11.16|24.98|11.55|11.35|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|81
HOSP OP|0306 - LAB/BACT-MICRO||87106|ID Yeast|63|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|14.8|15.48|10.76|51.57|14.06|13.68|15.09|11.35|47.25|49.2|10.63|11.56|10.63|24.98|24.98|12.77|10.34|11.16|24.98|11.55|11.35|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|63
HOSP OP|0306 - LAB/BACT-MICRO||87106|ID Yeast (MAYO)|99.24|52.6|74.43|79.39|84.35|89.32|84.35|80.19|71.45|67.17|0|99.24|14.8|15.48|10.76|81.23|14.06|13.68|15.09|11.35|74.43|77.51|10.63|11.56|10.63|24.98|24.98|12.77|10.34|11.16|24.98|11.55|11.35|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|99.24
HOSP OP|0306 - LAB/BACT-MICRO||87076|ID Anaerobic|62|32.86|46.5|49.6|52.7|55.8|52.7|50.1|44.64|41.96|0|62|11.57|12.11|8.41|50.75|11|10.7|11.81|8.89|46.5|48.42|8.32|9.05|8.32|18.98|18.98|10.13|8.1|8.48|18.98|9.05|8.89|9.05|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|62
HOSP OP|0306 - LAB/BACT-MICRO||87076|ID Anaer. (MAYO)|177.05|93.84|132.79|141.64|150.49|159.35|150.49|143.06|127.48|119.83|0|177.05|11.57|12.11|8.41|144.92|11|10.7|11.81|8.89|132.79|138.28|8.32|9.05|8.32|18.98|18.98|10.13|8.1|8.48|18.98|9.05|8.89|9.05|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|177.05
HOSP OP|0306 - LAB/BACT-MICRO||87206|HCMC SMEAR-AFB|25|13.25|18.75|20|21.25|22.5|21.25|20.2|18|16.92|0|25|7.73|8.09|5.62|20.46|7.34|7.15|7.89|5.93|18.75|19.53|5.55|6.04|5.55|12.99|12.99|6.6|5.4|5.8|12.99|6.04|5.93|6.04|0|0|0|4.12|5.39|5.39|5.55|5.39|9.7|5.39|5.55|0|25
HOSP OP|0306 - LAB/BACT-MICRO||87116|HCMC CULT-TB|69.2|36.68|51.9|55.36|58.82|62.28|58.82|55.91|49.82|46.83|0|69.2|15.48|16.2|11.26|56.64|14.71|14.32|15.8|11.88|51.9|54.05|11.12|12.1|11.12|25.98|25.98|13.65|10.82|11.61|25.98|12.09|11.88|12.09|0|0|0|8.27|10.8|10.8|11.12|10.8|19.44|10.8|11.12|0|69.2
HOSP OP|0306 - LAB/BACT-MICRO||87498|Hb Enterovirus Pcr Csf|91|48.23|68.25|72.8|77.35|81.9|77.35|73.53|65.52|61.59|0|91|50.3|52.64|36.57|74.48|47.8|46.52|51.32|38.6|68.25|71.07|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|91
HOSP OP|0306 - LAB/BACT-MICRO||87040|CULT-BLOOD AEROBIC (1 BOTTLE)|81|42.93|60.75|64.8|68.85|72.9|68.85|65.45|58.32|54.82|0|81|14.8|15.48|10.76|66.3|14.06|13.68|15.09|11.35|60.75|63.26|10.63|11.56|10.63|24.98|24.98|12.77|10.34|11.16|24.98|11.55|11.35|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|81
HOSP OP|0306 - LAB/BACT-MICRO||87281|Hb Pneumocystis Dfa|47.1|24.96|35.33|37.68|40.04|42.39|40.04|38.06|33.91|31.88|0|47.1|17.18|17.98|12.49|38.55|16.33|15.89|17.53|13.18|35.33|36.79|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|13.42|13.18|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|47.1
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-SPUTUM|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.35|12.92|8.98|54.84|11.73|11.42|12.6|9.48|50.25|52.33|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|67
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-GC|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|9.49|9.94|6.9|17.19|9.02|8.78|9.69|7.29|15.75|16.4|6.83|7.43|6.83|15.99|15.99|8.36|6.64|7.14|15.99|7.42|7.29|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|21
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-NASAL|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|9.49|9.94|6.9|18.83|9.02|8.78|9.69|7.29|17.25|17.96|6.83|7.43|6.83|15.99|15.99|8.36|6.64|7.14|15.99|7.42|7.29|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|23
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-AEROBIC|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|12.35|12.92|8.98|49.93|11.73|11.42|12.6|9.48|45.75|47.64|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|61
HOSP OP|0306 - LAB/BACT-MICRO||87209|Hb Smear Complex Special Stain For O & P|29.77|15.78|22.33|23.82|25.3|26.79|25.3|24.05|21.43|20.15|0|29.77|25.76|26.96|18.73|24.37|24.48|23.82|26.29|19.78|22.33|23.25|18.52|20.14|18.52|29.77|29.77|22.45|18.02|19.2|29.77|20.14|19.78|20.14|0|0|0|13.76|17.98|17.98|18.52|17.98|29.77|17.98|18.52|0|29.77
HOSP OP|0306 - LAB/BACT-MICRO||87177|Hb Ova & Parasites Direct Smears Conc & Id|20.85|11.05|15.64|16.68|17.72|18.77|17.72|16.85|15.01|14.11|0|20.85|12.76|13.35|9.28|17.07|12.13|11.8|13.02|9.79|15.64|16.28|9.17|9.97|9.17|20.85|20.85|11.01|8.92|9.37|20.85|9.97|9.79|9.97|0|0|0|6.81|8.9|8.9|9.17|8.9|16.02|8.9|9.17|0|20.85
HOSP OP|0306 - LAB/BACT-MICRO||87328|Hb Cryptosporidium|48.74|25.83|36.56|38.99|41.43|43.87|41.43|39.38|35.09|32.99|0|48.74|17.83|18.66|12.96|39.89|16.94|16.49|18.19|15.2|36.56|38.07|14.23|15.48|14.23|29.97|29.97|14.97|13.85|13.39|29.97|15.47|15.2|15.47|0|0|0|9.52|13.82|13.82|14.23|13.82|24.88|13.82|14.23|0|48.74
HOSP OP|0306 - LAB/BACT-MICRO||87102|CULT-YEAST|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|12.05|12.61|8.76|54.02|11.45|11.14|12.29|9.25|49.5|51.55|8.66|9.42|8.66|19.98|19.98|10.57|8.43|8.93|19.98|9.42|9.25|9.42|0|0|0|6.44|8.41|8.41|8.66|8.41|15.14|8.41|8.66|0|66
HOSP OP|0306 - LAB/BACT-MICRO||87168|Hb Arthropod (ectoparasite) Id|87.55|46.4|65.66|70.04|74.42|78.8|74.42|70.74|63.04|59.25|0|87.55|6.13|6.41|4.46|71.66|5.82|5.67|6.25|4.7|65.66|68.38|4.4|4.78|4.4|9.99|9.99|5.28|4.28|4.46|9.99|4.78|4.7|4.78|0|0|0|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|87.55
HOSP OP|0306 - LAB/BACT-MICRO||87169|WORM IDENTIFICATION|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|6.13|6.41|4.46|86.76|5.82|5.67|6.25|4.74|79.5|82.79|4.44|4.83|4.44|9.99|9.99|5.28|4.32|4.46|9.99|4.83|4.74|4.83|0|0|0|3.27|4.31|4.31|4.44|4.31|7.76|4.31|4.44|0|106
HOSP OP|0306 - LAB/BACT-MICRO||87329|Hb Giardia|36.5|19.34|27.38|29.2|31.03|32.85|31.03|29.49|26.28|24.7|0|36.5|17.18|17.98|12.49|29.88|16.33|15.89|17.53|13.18|27.38|28.51|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|13.42|13.18|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|36.5
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-EYE|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|12.35|12.92|8.98|49.11|11.73|11.42|12.6|9.48|45|46.86|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|60
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-ROUTINE|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|12.35|12.92|8.98|54.02|11.73|11.42|12.6|9.48|49.5|51.55|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|66
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-LOWER RESP. (RT USE ONLY)|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.35|12.92|8.98|54.84|11.73|11.42|12.6|9.48|50.25|52.33|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|67
HOSP OP|0306 - LAB/BACT-MICRO||87205|SMEAR-GRAM STAIN|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|6.13|6.41|4.46|28.65|5.82|5.67|6.25|4.7|26.25|27.34|4.4|4.78|4.4|9.99|9.99|5.28|4.28|4.46|9.99|4.78|4.7|4.78|0|0|0|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|35
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-WOUND|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|12.35|12.92|8.98|52.38|11.73|11.42|12.6|9.48|48|49.98|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|64
HOSP OP|0306 - LAB/BACT-MICRO||87103|CULT-FUNGUS BLOOD|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|26.39|27.62|19.19|52.38|25.08|24.41|26.93|22.51|48|49.98|21.07|22.92|21.07|43.96|43.96|20.69|20.5|19.64|43.96|22.92|22.51|22.92|0|0|0|14.09|20.46|20.46|21.07|20.46|36.83|20.46|21.07|0|64
HOSP OP|0306 - LAB/BACT-MICRO||87086|CULT-URINE|53|28.09|39.75|42.4|45.05|47.7|45.05|42.82|38.16|35.87|0|53|11.57|12.11|8.41|43.38|11|10.7|11.81|8.88|39.75|41.39|8.31|9.04|8.31|18.98|18.98|10.13|8.09|8.48|18.98|9.04|8.88|9.04|0|0|0|6.18|8.07|8.07|8.31|8.07|14.53|8.07|8.31|0|53
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-CATH TIP|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|12.35|12.92|8.98|53.2|11.73|11.42|12.6|9.48|48.75|50.77|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|65
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-THROAT|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|9.49|9.94|6.9|17.19|9.02|8.78|9.69|7.29|15.75|16.4|6.83|7.43|6.83|15.99|15.99|8.36|6.64|7.14|15.99|7.42|7.29|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|21
HOSP OP|0306 - LAB/BACT-MICRO||87187|Hb Mic Drug Each|50.03|26.52|37.52|40.02|42.53|45.03|42.53|40.42|36.02|33.86|0|50.03|50.03|50.03|37.68|40.95|49.25|47.92|50.03|44.19|37.52|39.07|41.38|44.99|41.38|50.03|50.03|40.5|40.25|38.39|50.03|44.99|44.19|44.99|0|0|0|27.68|40.17|40.17|41.38|40.17|50.03|40.17|41.38|0|50.03
HOSP OP|0306 - LAB/BACT-MICRO||87186|MIC Aerobic (MAYO)|89.64|47.51|67.23|71.71|76.19|80.68|76.19|72.43|64.54|60.67|0|89.64|12.4|12.97|9.01|73.37|11.78|11.46|12.65|9.52|67.23|70.01|8.91|9.69|8.91|20.98|20.98|10.57|8.67|9.37|20.98|9.69|9.52|9.69|0|0|0|6.62|8.65|8.65|8.91|8.65|15.57|8.65|8.91|0|89.64
HOSP OP|0306 - LAB/BACT-MICRO||87181|MIC ANAEROBIC (MAYO)|25.98|13.77|19.49|20.78|22.08|23.38|22.08|20.99|18.71|17.58|0|25.98|6.8|7.11|4.94|21.26|6.46|6.29|6.93|5.23|19.49|20.29|4.89|5.32|4.89|10.99|10.99|5.72|4.76|4.91|10.99|5.32|5.23|5.32|0|0|0|3.62|4.75|4.75|4.89|4.75|8.55|4.75|4.89|0|25.98
HOSP OP|0306 - LAB/BACT-MICRO||87186|MIC YEAST (MAYO)|195.88|103.82|146.91|156.7|166.5|176.29|166.5|158.27|141.03|132.57|0|195.88|12.4|12.97|9.01|160.33|11.78|11.46|12.65|9.52|146.91|152.98|8.91|9.69|8.91|20.98|20.98|10.57|8.67|9.37|20.98|9.69|9.52|9.69|0|0|0|6.62|8.65|8.65|8.91|8.65|15.57|8.65|8.91|0|195.88
HOSP OP|0306 - LAB/BACT-MICRO||87186|SUSCEPTIBILITY|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|12.4|12.97|9.01|41.74|11.78|11.46|12.65|9.52|38.25|39.83|8.91|9.69|8.91|20.98|20.98|10.57|8.67|9.37|20.98|9.69|9.52|9.69|0|0|0|6.62|8.65|8.65|8.91|8.65|15.57|8.65|8.91|0|51
HOSP OP|0306 - LAB/BACT-MICRO||87185|BETA LACTAMASE|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|6.8|7.11|4.94|27.83|6.46|6.29|6.93|5.23|25.5|26.55|4.89|5.32|4.89|10.99|10.99|5.72|4.76|4.91|10.99|5.32|5.23|5.32|0|0|0|3.62|4.75|4.75|4.89|4.75|8.55|4.75|4.89|0|34
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-TISSUE|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.35|12.92|8.98|54.84|11.73|11.42|12.6|9.48|50.25|52.33|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|67
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-MRSA|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|9.49|9.94|6.9|26.19|9.02|8.78|9.69|7.29|24|24.99|6.83|7.43|6.83|15.99|15.99|8.36|6.64|7.14|15.99|7.42|7.29|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|32
HOSP OP|0306 - LAB/BACT-MICRO||87206|SMEAR AFB (MDH)|27.1|14.36|20.33|21.68|23.04|24.39|23.04|21.9|19.51|18.34|0|27.1|7.73|8.09|5.62|22.18|7.34|7.15|7.89|5.93|20.33|21.17|5.55|6.04|5.55|12.99|12.99|6.6|5.4|5.8|12.99|6.04|5.93|6.04|0|0|0|4.12|5.39|5.39|5.55|5.39|9.7|5.39|5.55|0|27.1
HOSP OP|0306 - LAB/BACT-MICRO||87210|KOH PREP|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.51|7.86|5.46|33.56|7.14|6.94|7.66|5.82|30.75|32.02|5.99|6.52|5.99|11.99|11.99|5.72|5.83|5.36|11.99|5.92|5.82|5.92|0|0|0|4|5.82|5.82|5.99|5.82|10.48|5.82|5.99|0|41
HOSP OP|0306 - LAB/BACT-MICRO||87040|CULT-BLOOD|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|14.8|15.48|10.76|65.48|14.06|13.68|15.09|11.35|60|62.48|10.63|11.56|10.63|24.98|24.98|12.77|10.34|11.16|24.98|11.55|11.35|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|80
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-VAG/CERVIX|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|12.35|12.92|8.98|49.93|11.73|11.42|12.6|9.48|45.75|47.64|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|61
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-GROUP B STREP|36|19.08|27|28.8|30.6|32.4|30.6|29.09|25.92|24.36|0|36|9.49|9.94|6.9|29.47|9.02|8.78|9.69|7.29|27|28.12|6.83|7.43|6.83|15.99|15.99|8.36|6.64|7.14|15.99|7.42|7.29|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|36
HOSP OP|0306 - LAB/BACT-MICRO||87252|Hb Culture Viral; Respiratory|56.44|29.91|42.33|45.15|47.97|50.8|47.97|45.6|40.64|38.2|0|56.44|37.37|39.11|27.17|46.2|35.52|34.56|38.13|28.68|42.33|44.08|26.85|29.2|26.85|56.44|56.44|32.58|26.12|27.68|56.44|29.2|28.68|29.2|0|0|0|19.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|56.44
HOSP OP|0306 - LAB/BACT-MICRO||87633|Hb Viral Respiratory Panel|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|416.78|0|0|0|0|0|0|0|0|0|0|0|424.28|416.78|424.28|0|0|0|0|0|0|0|0|0|0|0|0|424.28
HOSP OP|0306 - LAB/BACT-MICRO||87252|CULT-VIRAL NON-RESP|57.91|30.69|43.43|46.33|49.22|52.12|49.22|46.79|41.7|39.19|0|57.91|37.37|39.11|27.17|47.4|35.52|34.56|38.13|28.68|43.43|45.23|26.85|29.2|26.85|57.91|57.91|32.58|26.12|27.68|57.91|29.2|28.68|29.2|0|0|0|19.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|57.91
HOSP OP|0306 - LAB/BACT-MICRO||87798|BORDETELLA PERTUSSIS PCR|44.9|23.8|33.68|35.92|38.17|40.41|38.17|36.28|32.33|30.39|0|44.9|44.9|44.9|36.57|36.75|44.9|44.9|44.9|38.6|33.68|35.07|36.14|39.3|36.14|44.9|44.9|43.59|35.16|37.05|44.9|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|44.9|35.09|36.14|0|44.9
HOSP OP|0306 - LAB/BACT-MICRO||87624|Hb Hpv High Risk With 16/18 Genotyping|163|86.39|122.25|130.4|138.55|146.7|138.55|131.7|117.36|110.32|0|163|50.3|52.64|36.57|133.42|47.8|46.52|51.32|38.6|122.25|127.3|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|163
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-EAR|108.92|57.73|81.69|87.14|92.58|98.03|92.58|88.01|78.42|73.72|0|108.92|12.35|12.92|8.98|89.15|11.73|11.42|12.6|9.48|81.69|85.07|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|108.92
HOSP OP|0306 - LAB/BACT-MICRO||87491|Hb Chlamydia Trachomatis Pcr Swab|129|68.37|96.75|103.2|109.65|116.1|109.65|104.23|92.88|87.31|0|129|50.3|52.64|36.57|105.59|47.8|46.52|51.32|38.6|96.75|100.75|36.14|39.3|36.14|129|129|61.2|35.16|124.1|129|39.29|38.6|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|129
HOSP OP|0306 - LAB/BACT-MICRO||87591|Hb Neisseria Gonorrhoeae Pcr Swab|129|68.37|96.75|103.2|109.65|116.1|109.65|104.23|92.88|87.31|0|129|50.3|52.64|36.57|105.59|47.8|46.52|51.32|38.6|96.75|100.75|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|129
HOSP OP|0306 - LAB/BACT-MICRO||87491|Hb Chlamydia Trachomatis Pcr Urine|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|50.3|52.64|36.57|106.41|47.8|46.52|51.32|38.6|97.5|101.53|36.14|39.3|36.14|130|130|61.2|35.16|124.1|130|39.29|38.6|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|130
HOSP OP|0306 - LAB/BACT-MICRO||87591|Hb Neisseria Gonorrhoeae Pcr Urine|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|50.3|52.64|36.57|106.41|47.8|46.52|51.32|38.6|97.5|101.53|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|130
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-BODY FLUID (>10 ML)|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.35|12.92|8.98|54.84|11.73|11.42|12.6|9.48|50.25|52.33|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|67
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-BODY FLUID (<10 ML)|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|12.35|12.92|8.98|49.93|11.73|11.42|12.6|9.48|45.75|47.64|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|61
HOSP OP|0306 - LAB/BACT-MICRO||87102|CULT-FUNGUS OTHER|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|12.05|12.61|8.76|54.02|11.45|11.14|12.29|9.25|49.5|51.55|8.66|9.42|8.66|19.98|19.98|10.57|8.43|8.93|19.98|9.42|9.25|9.42|0|0|0|6.44|8.41|8.41|8.66|8.41|15.14|8.41|8.66|0|66
HOSP OP|0306 - LAB/BACT-MICRO||87075|CULT-ANAEROBE|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|13.57|14.2|9.87|59.75|12.9|12.55|13.85|10.42|54.75|57.01|9.75|10.61|9.75|22.98|22.98|11.89|9.49|10.27|22.98|10.61|10.42|10.61|0|0|0|7.25|9.47|9.47|9.75|9.47|17.05|9.47|9.75|0|73
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-SPINAL FLUID|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|12.35|12.92|8.98|49.11|11.73|11.42|12.6|9.48|45|46.86|8.88|9.65|8.88|19.98|19.98|10.57|8.64|8.93|19.98|9.65|9.48|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|60
HOSP OP|0306 - LAB/BACT-MICRO||87116|CULT-TB includes AFB SMEAR|47.1|24.96|35.33|37.68|40.04|42.39|40.04|38.06|33.91|31.88|0|47.1|15.48|16.2|11.26|38.55|14.71|14.32|15.8|11.88|35.33|36.79|11.12|12.1|11.12|25.98|25.98|13.65|10.82|11.61|25.98|12.09|11.88|12.09|0|0|0|8.27|10.8|10.8|11.12|10.8|19.44|10.8|11.12|0|47.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86359|T CELL TOTAL|21.63|11.46|16.22|17.3|18.39|19.47|18.39|17.48|15.57|14.64|0|21.63|21.63|21.63|21.63|17.7|21.63|21.63|21.63|41.5|16.22|16.89|21.63|21.63|21.63|21.63|21.63|21.63|21.63|21.63|21.63|42.25|41.5|42.25|0|0|0|21.2|21.63|21.63|21.63|21.63|21.63|21.63|21.63|0|42.25
HOSP OP|0302 - LAB/IMMUNOLOGY||86355|Hb B Cell Total|21.63|11.46|16.22|17.3|18.39|19.47|18.39|17.48|15.57|14.64|0|21.63|21.63|21.63|21.63|17.7|21.63|21.63|21.63|41.5|16.22|16.89|21.63|21.63|21.63|21.63|21.63|21.63|21.63|21.63|21.63|42.25|41.5|42.25|0|0|0|21.2|21.63|21.63|21.63|21.63|21.63|21.63|21.63|0|42.25
HOSP OP|0302 - LAB/IMMUNOLOGY||86357|NK CELLS TOTAL|21.62|11.46|16.22|17.3|18.38|19.46|18.38|17.47|15.57|14.63|0|21.62|21.62|21.62|21.62|17.7|21.62|21.62|21.62|41.5|16.22|16.89|21.62|21.62|21.62|21.62|21.62|21.62|21.62|21.62|21.62|42.25|41.5|42.25|0|0|0|21.19|21.62|21.62|21.62|21.62|21.62|21.62|21.62|0|42.25
HOSP OP|0300 - LABORATORY||89051|BF CELL COUNT|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|7.89|8.26|5.74|35.2|7.5|7.3|8.05|6.16|32.25|33.58|5.77|6.27|5.77|12.99|12.99|7.04|5.61|5.8|12.99|6.27|6.16|6.27|0|0|0|4.21|5.6|5.6|5.77|5.6|10.08|5.6|5.77|0|43
HOSP OP|0302 - LAB/IMMUNOLOGY||86360|ABSOLUTE CD4/CD8 (H/S RATIO)|25.45|13.49|19.09|20.36|21.63|22.91|21.63|20.56|18.32|17.22|0|25.45|25.45|25.45|25.45|20.83|25.45|25.45|25.45|51.68|19.09|19.88|25.45|25.45|25.45|25.45|25.45|25.45|25.45|25.45|25.45|52.61|51.68|52.61|0|0|0|24.94|25.45|25.45|25.45|25.45|25.45|25.45|25.45|0|52.61
HOSP OP|0305 - LAB/HEMATOLOGY||85210|FACTOR  2 ASSAY|92.09|48.81|69.07|73.67|78.28|82.88|78.28|74.41|66.3|62.33|0|92.09|18.61|19.48|13.54|75.38|17.69|17.21|18.99|14.28|69.07|71.92|13.37|14.54|13.37|30.97|30.97|16.29|13.01|13.84|30.97|14.54|14.28|14.54|0|0|0|9.94|12.98|12.98|13.37|12.98|23.36|12.98|13.37|0|92.09
HOSP OP|0305 - LAB/HEMATOLOGY||85220|FACTOR  5 ASSAY|93.15|49.37|69.86|74.52|79.18|83.84|79.18|75.27|67.07|63.04|0|93.15|25.3|26.47|18.39|76.24|24.04|23.39|25.81|19.42|69.86|72.75|18.18|19.77|18.18|41.96|41.96|22.01|17.69|18.75|41.96|19.77|19.42|19.77|0|0|0|13.51|17.65|17.65|18.18|17.65|31.77|17.65|18.18|0|93.15
HOSP OP|0305 - LAB/HEMATOLOGY||85230|FACTOR  7 ASSAY|96.33|51.05|72.25|77.06|81.88|86.7|81.88|77.83|69.36|65.2|0|96.33|25.66|26.85|18.66|78.85|24.39|23.73|26.18|19.69|72.25|75.23|18.44|20.05|18.44|42.96|42.96|22.45|17.94|19.2|42.96|20.04|19.69|20.04|0|0|0|13.7|17.9|17.9|18.44|17.9|32.22|17.9|18.44|0|96.33
HOSP OP|0305 - LAB/HEMATOLOGY||85250|FACTOR  9 ASSAY|110.56|58.6|82.92|88.45|93.98|99.5|93.98|89.33|79.6|74.83|0|110.56|27.3|28.57|19.85|90.49|25.94|25.24|27.86|20.94|82.92|86.35|19.61|21.32|19.61|44.96|44.96|23.77|19.08|20.09|44.96|21.32|20.94|21.32|0|0|0|14.58|19.04|19.04|19.61|19.04|34.27|19.04|19.61|0|110.56
HOSP OP|0305 - LAB/HEMATOLOGY||85260|FACTOR 10 ASSAY|106.94|56.68|80.21|85.55|90.9|96.25|90.9|86.41|77|72.38|0|106.94|25.66|26.85|18.66|87.53|24.39|23.73|26.18|19.69|80.21|83.52|18.44|20.05|18.44|42.96|42.96|22.45|17.94|19.2|42.96|20.04|19.69|20.04|0|0|0|13.7|17.9|17.9|18.44|17.9|32.22|17.9|18.44|0|106.94
HOSP OP|0302 - LAB/IMMUNOLOGY||85290|Hb Factor 13 Activity|209.2|110.88|156.9|167.36|177.82|188.28|177.82|169.03|150.62|141.59|0|209.2|23.41|24.5|17.02|171.23|22.25|21.65|23.89|17.97|156.9|163.39|16.83|18.3|16.83|38.96|38.96|20.25|16.37|17.41|38.96|18.29|17.97|18.29|0|0|0|12.5|16.34|16.34|16.83|16.34|29.41|16.34|16.83|0|209.2
HOSP OP|0305 - LAB/HEMATOLOGY||85025|CBC / DIFF|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|11.13|11.65|8.09|49.11|10.58|10.3|11.36|7.77|45|46.86|8|8.7|8|17.98|17.98|9.69|7.79|8.04|17.98|7.91|7.77|7.91|0|0|0|5.95|7.77|7.77|8|7.77|13.99|7.77|8|0|60
HOSP OP|0305 - LAB/HEMATOLOGY||85240|FACTOR  8 ASSAY|98.46|52.18|73.85|78.77|83.69|88.61|83.69|79.56|70.89|66.64|0|98.46|25.66|26.85|18.66|80.59|24.39|23.73|26.18|19.69|73.85|76.9|18.44|20.05|18.44|42.96|42.96|22.45|17.94|19.2|42.96|20.04|19.69|20.04|0|0|0|13.7|17.9|17.9|18.44|17.9|32.22|17.9|18.44|0|98.46
HOSP OP|0305 - LAB/HEMATOLOGY||85670|THROMBIN TIME|45|23.85|33.75|36|38.25|40.5|38.25|36.36|32.4|30.46|0|45|8.27|8.65|6.01|36.83|7.86|7.65|8.43|6.35|33.75|35.15|5.94|6.46|5.94|13.99|13.99|7.04|5.78|6.25|13.99|6.46|6.35|6.46|0|0|0|4.42|5.77|5.77|5.94|5.77|10.39|5.77|5.94|0|45
HOSP OP|0310 - PATHOLOGY LAB||88280|A'DDL KARYOTYPE NEOPLASTIC|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|32|32|31.39|26.19|32|32|32|36.82|24|24.99|32|32|32|32|32|32|32|32|32|37.48|36.82|37.48|0|0|0|23.06|32|32|32|32|32|32|32|0|37.48
HOSP OP|0302 - LAB/IMMUNOLOGY||86332|CIQ BINDING ASSAY|136.3|72.24|102.23|109.04|115.86|122.67|115.86|110.13|98.14|92.25|0|136.3|34.93|36.56|25.4|111.56|33.2|32.31|35.65|26.81|102.23|106.45|25.1|27.29|25.1|57.95|57.95|30.38|24.42|25.89|57.95|27.29|26.81|27.29|0|0|0|18.66|24.37|24.37|25.1|24.37|43.87|24.37|25.1|0|136.3
HOSP OP|0305 - LAB/HEMATOLOGY||85004|DIFFERENTIAL|28|14.84|21|22.4|23.8|25.2|23.8|22.62|20.16|18.95|0|28|9.26|9.69|6.73|22.92|8.8|8.57|9.45|7.12|21|21.87|6.66|7.25|6.66|14.99|14.99|7.92|6.48|6.7|14.99|7.25|7.12|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|28
HOSP OP|0310 - PATHOLOGY LAB||88185|PI LINKED A'DDL MARKER|13.94|7.39|10.46|11.15|11.85|12.55|0|11.26|10.04|9.43|0|13.94|13.94|0|13.94|11.41|13.94|13.94|0|143.82|10.46|10.89|0|0|0|0|0|0|0|0|0|146.41|143.82|68.29|0|0|0|13.66|0|0|23.32|0|0|13.94|0|0|146.41
HOSP OP|0310 - PATHOLOGY LAB||89190|Hb Eosinophil Smear Nasal|83.37|44.19|62.53|66.7|70.86|75.03|70.86|67.36|60.03|56.42|0|83.37|7.47|7.82|5.43|68.24|7.1|6.91|7.62|6.37|62.53|65.11|5.96|6.48|5.96|11.99|11.99|5.72|5.8|5.36|11.99|6.48|6.37|6.48|0|0|0|3.99|5.79|5.79|5.96|5.79|10.42|5.79|5.96|0|83.37
HOSP OP|0310 - PATHOLOGY LAB||88271|Hb Dna Probe First Set|110.75|58.7|83.06|88.6|94.14|99.68|94.14|89.49|79.74|74.96|0|110.75|30.7|32.13|22.32|90.65|29.18|28.39|31.33|23.56|83.06|86.5|22.06|23.99|22.06|50.95|50.95|26.86|21.46|22.77|50.95|23.98|23.56|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|110.75
HOSP OP|0300 - LABORATORY||89051|SF ROUTINE EXAM|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|7.89|8.26|5.74|35.2|7.5|7.3|8.05|6.16|32.25|33.58|5.77|6.27|5.77|12.99|12.99|7.04|5.61|5.8|12.99|6.27|6.16|6.27|0|0|0|4.21|5.6|5.6|5.77|5.6|10.08|5.6|5.77|0|43
HOSP OP|0305 - LAB/HEMATOLOGY||85014|HEMATOCRIT|19|10.07|14.25|15.2|16.15|17.1|16.15|15.35|13.68|12.86|0|19|3.39|3.55|2.47|15.55|3.22|3.14|3.46|2.37|14.25|14.84|2.44|2.65|2.44|5.99|5.99|3.08|2.37|2.68|5.99|2.41|2.37|2.41|0|0|0|1.81|2.37|2.37|2.44|2.37|4.27|2.37|2.44|0|19
HOSP OP|0300 - LABORATORY||89060|SF CRYSTAL EXAM|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|37.49|10.73|27.26|45.84|35.63|34.67|10.46|99.19|42|43.74|7.55|8.21|7.55|50.95|50.95|22.45|7.34|22.77|50.95|100.98|99.19|47.1|0|0|0|20.02|7.33|7.33|7.55|7.33|13.19|7.33|7.55|0|100.98
HOSP OP|0300 - LABORATORY||89050|CSF CELL COUNT|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|6.77|7.09|4.92|30.28|6.44|6.26|6.91|5.19|27.75|28.9|4.86|5.29|4.86|10.99|10.99|5.72|4.73|4.91|10.99|5.28|5.19|5.28|0|0|0|3.61|4.72|4.72|4.86|4.72|8.5|4.72|4.86|0|37
HOSP OP|0306 - LAB/BACT-MICRO||87207|MALARIA SMEAR|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|37.49|8.99|27.26|38.47|35.63|34.67|8.77|30.33|35.25|36.71|6.17|6.71|6.17|47|47|22.45|6|22.77|47|30.88|30.33|14.4|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|47
HOSP OP|0306 - LAB/BACT-MICRO||87207|FILARIA SMEAR|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|37.49|8.99|27.26|38.47|35.63|34.67|8.77|30.33|35.25|36.71|6.17|6.71|6.17|47|47|22.45|6|22.77|47|30.88|30.33|14.4|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|47
HOSP OP|0310 - PATHOLOGY LAB||88185|FLOW CYTOMETRY EA ADD'L MARKER|54.18|28.72|40.64|43.34|46.05|48.76|0|43.78|39.01|36.67|0|54.18|49.74|0|36.17|44.35|47.27|46|0|143.82|40.64|42.31|0|0|0|0|0|0|0|0|0|146.41|143.82|68.29|0|0|0|26.57|0|0|23.32|0|0|22.64|0|0|146.41
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|IGFBP-3|46.2|24.49|34.65|36.96|39.27|41.58|39.27|37.33|33.26|31.27|0|46.2|22.28|23.31|16.2|37.81|21.17|20.6|22.73|17.27|34.65|36.08|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|46.2
HOSP OP|0305 - LAB/HEMATOLOGY||85557|OSMOTIC FRAG-RBC|128.04|67.86|96.03|102.43|108.83|115.24|108.83|103.46|92.19|86.66|0|128.04|19.14|20.03|13.92|104.8|18.19|17.7|19.53|14.7|96.03|100|13.76|14.96|13.76|31.97|31.97|16.73|13.39|14.28|31.97|14.96|14.7|14.96|0|0|0|10.22|13.36|13.36|13.76|13.36|24.05|13.36|13.76|0|128.04
HOSP OP|0305 - LAB/HEMATOLOGY||85730|PTT|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|8.6|9|6.26|38.47|8.18|7.96|8.78|6.61|35.25|36.71|6.19|6.73|6.19|13.99|13.99|7.48|6.02|6.25|13.99|6.73|6.61|6.73|0|0|0|4.59|6.01|6.01|6.19|6.01|10.82|6.01|6.19|0|47
HOSP OP|0302 - LAB/IMMUNOLOGY||86671|S. CEREVISIAE IgA|48.57|25.74|36.43|38.86|41.28|43.71|41.28|39.24|34.97|32.87|0|48.57|17.57|18.39|12.78|39.75|16.7|16.25|17.93|13.48|36.43|37.93|12.62|13.72|12.62|28.97|28.97|15.41|12.27|12.95|28.97|13.72|13.48|13.72|0|0|0|9.38|12.25|12.25|12.62|12.25|22.05|12.25|12.62|0|48.57
HOSP OP|0302 - LAB/IMMUNOLOGY||86671|Hb S. Cerevisiae Igg|48.57|25.74|36.43|38.86|41.28|43.71|41.28|39.24|34.97|32.87|0|48.57|17.57|18.39|12.78|39.75|16.7|16.25|17.93|13.48|36.43|37.93|12.62|13.72|12.62|28.97|28.97|15.41|12.27|12.95|28.97|13.72|13.48|13.72|0|0|0|9.38|12.25|12.25|12.62|12.25|22.05|12.25|12.62|0|48.57
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|NSA|48.56|25.74|36.42|38.85|41.28|43.7|41.28|39.24|34.96|32.87|0|48.56|37.49|18.08|27.26|39.75|35.63|34.67|17.63|56.65|36.42|37.93|12.41|13.5|12.41|48.56|48.56|22.45|12.07|22.77|48.56|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0305 - LAB/HEMATOLOGY||85130|FACTOR 10 CHROMOGENIC|93|49.29|69.75|74.4|79.05|83.7|79.05|75.14|66.96|62.94|0|93|17.04|17.83|12.39|76.12|16.2|15.76|17.38|13.08|69.75|72.63|12.25|13.32|12.25|27.97|27.97|14.97|11.91|12.5|27.97|13.32|13.08|13.32|0|0|0|9.1|11.89|11.89|12.25|11.89|21.4|11.89|12.25|0|93
HOSP OP|0310 - PATHOLOGY LAB||88237|TISSUE CULTURE NEOPLASTIC|314.1|166.47|235.58|251.28|266.99|282.69|266.99|253.79|226.15|212.58|0|314.1|185.44|194.06|134.84|257.09|176.24|171.49|189.21|158.13|235.58|245.31|148.06|161|148.06|306.72|306.72|157.61|144.04|137.04|306.72|160.98|158.13|160.98|0|0|0|99.07|143.75|143.75|148.06|143.75|258.75|143.75|148.06|0|314.1
HOSP OP|0310 - PATHOLOGY LAB||88264|CHROMOSOMES HEME DISORDERS|308.1|163.29|231.08|246.48|261.89|277.29|261.89|248.94|221.83|208.52|0|308.1|186.55|195.22|135.64|252.18|177.29|172.52|190.34|159.07|231.08|240.63|148.95|161.96|148.95|308.1|308.1|155.41|144.9|137.94|308.1|161.93|159.07|161.93|0|0|0|99.66|144.61|144.61|148.95|144.61|260.3|144.61|148.95|0|308.1
HOSP OP|0305 - LAB/HEMATOLOGY||85379|D DIMER QUANT|79|41.87|59.25|63.2|67.15|71.1|67.15|63.83|56.88|53.47|0|79|14.59|15.27|10.61|64.66|13.87|13.49|14.89|11.2|59.25|61.7|10.49|11.4|10.49|23.98|23.98|12.77|10.2|10.71|23.98|11.4|11.2|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|79
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|ANCA (p & c)|48.22|25.56|36.17|38.58|40.99|43.4|40.99|38.96|34.72|32.64|0|48.22|37.49|18.08|27.26|39.47|35.63|34.67|17.63|56.65|36.17|37.66|12.41|13.5|12.41|48.22|48.22|22.45|12.07|22.77|48.22|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|Hb Proteinase 3 (pr3) Antibody|40.92|21.69|30.69|32.74|34.78|36.83|34.78|33.06|29.46|27.69|0|40.92|16.52|17.29|12.02|33.49|15.71|15.28|16.86|11.53|30.69|31.96|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|40.92
HOSP OP|0301 - LAB/CHEMISTRY||82955|Hb Glucose-6-phosphate Dehydrogenase Rbc|55.07|29.19|41.3|44.06|46.81|49.56|46.81|44.5|39.65|37.27|0|55.07|13.89|14.54|10.1|45.07|13.2|12.85|14.18|10.67|41.3|43.01|9.99|10.86|9.99|22.98|22.98|11.89|9.72|10.27|22.98|10.86|10.67|10.86|0|0|0|7.42|9.7|9.7|9.99|9.7|17.46|9.7|9.99|0|55.07
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|PLATELET ANTIBODY|100.93|53.49|75.7|80.74|85.79|90.84|85.79|81.55|72.67|68.31|0|100.93|26.33|27.55|19.14|82.61|25.02|24.35|26.86|20.21|75.7|78.83|18.92|20.57|18.92|43.96|43.96|22.89|18.41|19.64|43.96|20.57|20.21|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|100.93
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|HEPARIN-PF4 (HIT) AB|69.23|36.69|51.92|55.38|58.85|62.31|58.85|55.94|49.85|46.85|0|69.23|26.33|27.55|19.14|56.66|25.02|24.35|26.86|20.21|51.92|54.07|18.92|20.57|18.92|43.96|43.96|22.89|18.41|19.64|43.96|20.57|20.21|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|69.23
HOSP OP|0302 - LAB/IMMUNOLOGY||82747|FOLATE RBC|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.42|0|0|0|0|0|0|0|0|0|0|0|19.77|19.42|19.77|0|0|0|0|0|0|0|0|0|0|0|0|19.77
HOSP OP|0305 - LAB/HEMATOLOGY||85049|PLATELET COUNT|36|19.08|27|28.8|30.6|32.4|30.6|29.09|25.92|24.36|0|36|6.41|6.71|4.66|29.47|6.09|5.93|6.54|4.93|27|28.12|4.61|5.02|4.61|10.99|10.99|5.72|4.49|4.91|10.99|5.02|4.93|5.02|0|0|0|3.42|4.48|4.48|4.61|4.48|8.06|4.48|4.61|0|36
HOSP OP|0305 - LAB/HEMATOLOGY||85384|FIBRINOGEN|69|36.57|51.75|55.2|58.65|62.1|58.65|55.75|49.68|46.7|0|69|12.54|13.12|9.12|56.48|11.92|11.6|12.79|10.69|51.75|53.89|10.01|10.89|10.01|20.98|20.98|10.57|9.74|9.37|20.98|10.88|10.69|10.88|0|0|0|6.69|9.72|9.72|10.01|9.72|17.5|9.72|10.01|0|69
HOSP OP|0305 - LAB/HEMATOLOGY||85460|KLEIHAUER BETKE|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|11.08|11.6|8.06|49.93|10.53|10.25|11.31|8.5|45.75|47.64|7.96|8.66|7.96|17.98|17.98|9.69|7.75|8.04|17.98|8.65|8.5|8.65|0|0|0|5.92|7.73|7.73|7.96|7.73|13.91|7.73|7.96|0|61
HOSP OP|0305 - LAB/HEMATOLOGY||85610|PROTIME & INR|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.64|5.9|4.1|25.37|5.36|5.21|5.75|4.29|23.25|24.21|4.42|4.8|4.42|8.99|8.99|4.84|4.3|4.02|8.99|4.37|4.29|4.37|0|0|0|3|4.29|4.29|4.42|4.29|7.72|4.29|4.42|0|31
HOSP OP|0310 - PATHOLOGY LAB||88262|Hb Chromosome Analysis; 15-20 Cells Blood|175|92.75|131.25|140|148.75|157.5|148.75|141.4|126|118.44|0|175|175|175|129.9|143.24|169.79|165.22|175|138.04|131.25|136.68|129.25|140.55|129.25|175|175|155.41|125.74|132.13|175|140.52|138.04|140.52|0|0|0|95.45|125.49|125.49|129.25|125.49|175|125.49|129.25|0|175
HOSP OP|0305 - LAB/HEMATOLOGY||85045|RETICULOCYTE COUNT|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|5.73|5.99|4.16|26.19|5.44|5.3|5.84|4.39|24|24.99|4.11|4.47|4.11|8.99|8.99|4.84|4|4.02|8.99|4.47|4.39|4.47|0|0|0|3.05|3.99|3.99|4.11|3.99|7.18|3.99|4.11|0|32
HOSP OP|0310 - PATHOLOGY LAB||88230|Hb Chromosome Tissue Culture; Blood|224.2|118.83|168.15|179.36|190.57|201.78|190.57|181.15|161.42|151.74|0|224.2|166.98|174.74|121.41|183.51|158.69|154.42|170.37|128.14|168.15|175.1|119.98|130.47|119.98|224.2|224.2|145.28|116.72|123.65|224.2|130.45|128.14|130.45|0|0|0|89.21|116.49|116.49|119.98|116.49|209.68|116.49|119.98|0|224.2
HOSP OP|0305 - LAB/HEMATOLOGY||85652|SED RATE|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|3.87|4.05|2.81|17.19|3.68|3.58|3.95|2.97|15.75|16.4|2.78|3.02|2.78|5.99|5.99|3.52|2.71|2.68|5.99|3.02|2.97|3.02|0|0|0|2.06|2.7|2.7|2.78|2.7|4.86|2.7|2.78|0|21
HOSP OP|0305 - LAB/HEMATOLOGY||85048|WBC (WHITE BLOOD COUNT)|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|3.64|3.81|2.65|16.37|3.46|3.36|3.71|2.79|15|15.62|2.62|2.84|2.62|5.99|5.99|3.08|2.55|2.68|5.99|2.84|2.79|2.84|0|0|0|1.94|2.54|2.54|2.62|2.54|4.57|2.54|2.62|0|20
HOSP OP|0302 - LAB/IMMUNOLOGY||86200|CCP ANTIBODY|40.32|21.37|30.24|32.26|34.27|36.29|34.27|32.58|29.03|27.29|0|40.32|18.56|19.43|13.5|33|17.64|17.17|18.94|14.25|30.24|31.49|13.34|14.5|13.34|30.97|30.97|16.29|12.98|13.84|30.97|14.51|14.25|14.51|0|0|0|9.92|12.95|12.95|13.34|12.95|23.31|12.95|13.34|0|40.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86021|GRANULOCYTE (NEUTROPHIL) ATBY|101.48|53.78|76.11|81.18|86.26|91.33|86.26|82|73.07|68.68|0|101.48|21.58|22.59|15.69|83.06|20.51|19.96|22.03|16.56|76.11|79.26|15.5|16.86|15.5|35.97|35.97|18.93|15.08|16.07|35.97|16.86|16.56|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|101.48
HOSP OP|0310 - PATHOLOGY LAB||88271|Hb Dna Probe Each (cll)|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|30.7|32.13|22.32|30.28|29.18|28.39|31.33|23.56|27.75|28.9|22.06|23.99|22.06|37|37|26.86|21.46|22.77|37|23.98|23.56|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|37|21.42|22.06|0|37
HOSP OP|0300 - LABORATORY||36415|VENIPUNCTURE|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|3.87|7|2.81|17.19|3.68|3.58|6.83|3|15.75|16.4|3.09|3.36|3.09|4|4|1.76|3.01|1.79|4|3.05|3|3.05|0|0|0|2.06|3|3|3.09|3|5.4|3|3.09|0|21
HOSP OP|0301 - LAB/CHEMISTRY||83986|BF PH|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|5.13|5.37|3.73|13.1|4.88|4.75|5.24|3.58|12|12.5|3.69|4.01|3.69|8.99|8.99|4.4|3.59|4.02|8.99|3.64|3.58|3.64|0|0|0|2.74|3.58|3.58|3.69|3.58|6.44|3.58|3.69|0|16
HOSP OP|0305 - LAB/HEMATOLOGY||85660|SICKLE CELL SCREEN|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|7.89|8.26|5.74|35.2|7.5|7.3|8.05|6.06|32.25|33.58|5.68|6.17|5.68|12.99|12.99|7.04|5.52|5.8|12.99|6.17|6.06|6.17|0|0|0|4.21|5.51|5.51|5.68|5.51|9.92|5.51|5.68|0|43
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88313|Hb Prussian Blue St|114|60.42|85.5|91.2|96.9|102.6|96.9|92.11|82.08|77.16|0|114|113.8|62.84|82.75|93.31|108.16|105.25|61.27|99.19|85.5|89.03|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|100.98|99.19|47.1|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|114
HOSP OP|0305 - LAB/HEMATOLOGY||85303|PROTEIN C CHROMOGENIC|108|57.24|81|86.4|91.8|97.2|91.8|87.26|77.76|73.09|0|108|19.83|20.75|14.42|88.4|18.84|18.34|20.23|15.22|81|84.35|14.26|15.5|14.26|32.97|32.97|17.17|13.87|14.73|32.97|15.49|15.22|15.49|0|0|0|10.59|13.84|13.84|14.26|13.84|24.91|13.84|14.26|0|108
HOSP OP|0305 - LAB/HEMATOLOGY||85300|ANTITHROMBIN III ACTIVITY|91|48.23|68.25|72.8|77.35|81.9|77.35|73.53|65.52|61.59|0|91|16.99|17.78|12.35|74.48|16.15|15.71|17.34|13.04|68.25|71.07|12.21|13.27|12.21|27.97|27.97|14.97|11.87|12.5|27.97|13.27|13.04|13.27|0|0|0|9.07|11.85|11.85|12.21|11.85|21.33|11.85|12.21|0|91
HOSP OP|0305 - LAB/HEMATOLOGY||85613|Hb Drvvt - Mayo|20.73|10.99|15.55|16.58|17.62|18.66|17.62|16.75|14.93|14.03|0|20.73|13.73|14.36|9.98|16.97|13.04|12.69|14|10.54|15.55|16.19|9.87|10.73|9.87|20.73|20.73|11.89|9.6|10.27|20.73|10.73|10.54|10.73|0|0|0|7.33|9.58|9.58|9.87|9.58|17.24|9.58|9.87|0|20.73
HOSP OP|0305 - LAB/HEMATOLOGY||85240|VW FACTOR 8 ACTIVITY|68.7|36.41|51.53|54.96|58.4|61.83|58.4|55.51|49.46|46.5|0|68.7|25.66|26.85|18.66|56.23|24.39|23.73|26.18|19.69|51.53|53.65|18.44|20.05|18.44|42.96|42.96|22.45|17.94|19.2|42.96|20.04|19.69|20.04|0|0|0|13.7|17.9|17.9|18.44|17.9|32.22|17.9|18.44|0|68.7
HOSP OP|0305 - LAB/HEMATOLOGY||85245|RISTOCETIN COFACTOR|65.75|34.85|49.31|52.6|55.89|59.18|55.89|53.13|47.34|44.5|0|65.75|32.88|34.41|23.91|53.82|31.25|30.41|33.55|25.23|49.31|51.35|23.63|25.69|23.63|54.95|54.95|28.62|22.99|24.55|54.95|25.68|25.23|25.68|0|0|0|17.56|22.94|22.94|23.63|22.94|41.29|22.94|23.63|0|65.75
HOSP OP|0305 - LAB/HEMATOLOGY||85246|VON WILLEBRAND FACTOR ATGN|58.79|31.16|44.09|47.03|49.97|52.91|49.97|47.5|42.33|39.79|0|58.79|32.88|34.41|23.91|48.12|31.25|30.41|33.55|25.23|44.09|45.91|23.63|25.69|23.63|54.95|54.95|28.62|22.99|24.55|54.95|25.68|25.23|25.68|0|0|0|17.56|22.94|22.94|23.63|22.94|41.29|22.94|23.63|0|58.79
HOSP OP|0305 - LAB/HEMATOLOGY||85246|VON WILLEBRAND ANTIGEN|63.23|33.51|47.42|50.58|53.75|56.91|53.75|51.09|45.53|42.79|0|63.23|32.88|34.41|23.91|51.75|31.25|30.41|33.55|25.23|47.42|49.38|23.63|25.69|23.63|54.95|54.95|28.62|22.99|24.55|54.95|25.68|25.23|25.68|0|0|0|17.56|22.94|22.94|23.63|22.94|41.29|22.94|23.63|0|63.23
HOSP OP|0310 - PATHOLOGY LAB||88275|FISH-CLL PANEL|136.73|72.47|102.55|109.38|116.22|123.06|116.22|110.48|98.45|92.54|0|136.73|66.04|69.11|48.02|111.91|62.76|61.07|67.38|56.31|102.55|106.79|52.73|57.33|52.73|108.9|108.9|51.51|51.29|48.66|108.9|57.32|56.31|57.32|0|0|0|35.28|51.19|51.19|52.73|51.19|92.14|51.19|52.73|0|136.73
HOSP OP|0310 - PATHOLOGY LAB||88271|FISH DNA PROBES NAD|117.61|62.33|88.21|94.09|99.97|105.85|99.97|95.03|84.68|79.6|0|117.61|30.7|32.13|22.32|96.26|29.18|28.39|31.33|23.56|88.21|91.85|22.06|23.99|22.06|50.95|50.95|26.86|21.46|22.77|50.95|23.98|23.56|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|117.61
HOSP OP|0301 - LAB/CHEMISTRY||82595|CRYOGLOBULINSERUM|21.14|11.2|15.86|16.91|17.97|19.03|17.97|17.08|15.22|14.31|0|21.14|9.26|9.69|6.73|17.3|8.8|8.57|9.45|7.12|15.86|16.51|6.66|7.25|6.66|14.99|14.99|7.92|6.48|6.7|14.99|7.25|7.12|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|21.14
HOSP OP|0301 - LAB/CHEMISTRY||82585|CRYOFIBRINOGENPLASMA|28.13|14.91|21.1|22.5|23.91|25.32|23.91|22.73|20.25|19.04|0|28.13|18.24|19.09|13.26|23.02|17.34|16.87|18.61|15.55|21.1|21.97|14.56|15.84|14.56|28.13|28.13|14.09|14.17|13.39|28.13|15.83|15.55|15.83|0|0|0|9.74|14.14|14.14|14.56|14.14|25.45|14.14|14.56|0|28.13
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|Hb Myeloperoxidase (mpo) Antibody|40.93|21.69|30.7|32.74|34.79|36.84|34.79|33.07|29.47|27.7|0|40.93|16.52|17.29|12.02|33.5|15.71|15.28|16.86|11.53|30.7|31.97|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|40.93
HOSP OP|0301 - LAB/CHEMISTRY||82731|FETAL FIBRONECTIN|304|161.12|228|243.2|258.4|273.6|258.4|245.63|218.88|205.75|0|304|92.33|96.62|67.13|248.82|87.74|85.38|94.2|70.85|228|237.42|66.34|72.14|66.34|152.86|152.86|80.13|64.54|68.3|152.86|72.13|70.85|72.13|0|0|0|49.32|64.41|64.41|66.34|64.41|115.94|64.41|66.34|0|304
HOSP OP|0305 - LAB/HEMATOLOGY||85347|ACTIVE CLOT TIME|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|6.1|6.39|4.44|27.83|5.8|5.64|6.23|4.71|25.5|26.55|4.41|4.79|4.41|9.99|9.99|5.28|4.29|4.46|9.99|4.79|4.71|4.79|0|0|0|3.26|4.28|4.28|4.41|4.28|7.7|4.28|4.41|0|34
HOSP OP|0305 - LAB/HEMATOLOGY||85027|CBC (HGBHCTWBCRBCPLATE*|50|26.5|37.5|40|42.5|45|42.5|40.4|36|33.84|0|50|9.26|9.69|6.73|40.93|8.8|8.57|9.45|7.12|37.5|39.05|6.66|7.25|6.66|14.99|14.99|7.92|6.48|6.7|14.99|7.25|7.12|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|50
HOSP OP|0301 - LAB/CHEMISTRY||84315|BF SPECIFIC GRAVITY|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|4.23|4.43|3.08|18.83|4.02|3.91|4.32|3.61|17.25|17.96|3.38|3.67|3.38|6.99|6.99|3.52|3.29|3.12|6.99|3.67|3.61|3.67|0|0|0|2.26|3.28|3.28|3.38|3.28|5.9|3.28|3.38|0|23
HOSP OP|0301 - LAB/CHEMISTRY||84166|ELECTROPHORESIS URINE|121|64.13|90.75|96.8|102.85|108.9|102.85|97.77|87.12|81.89|0|121|37.49|26.74|27.26|99.04|35.63|34.67|26.07|40.28|90.75|94.5|18.36|19.97|18.36|50.95|50.95|22.45|17.87|22.77|50.95|41|40.28|19.12|0|0|0|20.02|17.83|17.83|18.36|17.83|32.09|17.83|18.36|0|121
HOSP OP|0301 - LAB/CHEMISTRY||82705|FAT QUAL FECAL|35.9|19.03|26.93|28.72|30.52|32.31|30.52|29.01|25.85|24.3|0|35.9|7.3|7.64|5.31|29.38|6.94|6.75|7.45|5.61|26.93|28.04|5.25|5.71|5.25|11.99|11.99|6.16|5.11|5.36|11.99|5.71|5.61|5.71|0|0|0|3.9|5.1|5.1|5.25|5.1|9.18|5.1|5.25|0|35.9
HOSP OP|0301 - LAB/CHEMISTRY||82340|CALCIUM URINE 24 HR|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|8.64|9.05|6.28|32.74|8.21|7.99|8.82|6.63|30|31.24|6.21|6.75|6.21|13.99|13.99|7.48|6.04|6.25|13.99|6.75|6.63|6.75|0|0|0|4.61|6.03|6.03|6.21|6.03|10.85|6.03|6.21|0|40
HOSP OP|0301 - LAB/CHEMISTRY||82384|CATECHOLAMINES URINE 24 HR|47.03|24.93|35.27|37.62|39.98|42.33|39.98|38|33.86|31.83|0|47.03|36.2|37.88|26.32|38.49|34.4|33.48|36.93|27.78|35.27|36.73|26.01|28.28|26.01|47.03|47.03|31.7|25.3|26.78|47.03|28.28|27.78|28.28|0|0|0|19.34|25.25|25.25|26.01|25.25|45.45|25.25|26.01|0|47.03
HOSP OP|0301 - LAB/CHEMISTRY||84540|UREA NITROGEN URINE 24 HR|101|53.53|75.75|80.8|85.85|90.9|85.85|81.61|72.72|68.36|0|101|7.17|7.51|5.22|82.67|6.82|6.63|7.32|6.12|75.75|78.88|5.73|6.23|5.73|11.99|11.99|5.72|5.57|5.36|11.99|6.23|6.12|6.23|0|0|0|3.83|5.56|5.56|5.73|5.56|10.01|5.56|5.73|0|101
HOSP OP|0301 - LAB/CHEMISTRY||82525|COPPER URINE 24 HR|63.01|33.4|47.26|50.41|53.56|56.71|53.56|50.91|45.37|42.65|0|63.01|17.79|18.62|12.94|51.57|16.91|16.45|18.15|13.65|47.26|49.21|12.78|13.9|12.78|28.97|28.97|15.41|12.43|12.95|28.97|13.9|13.65|13.9|0|0|0|9.5|12.41|12.41|12.78|12.41|22.34|12.41|12.78|0|63.01
HOSP OP|0301 - LAB/CHEMISTRY||82570|CREATININE URINE RANDOM|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|7.42|7.76|5.39|28.65|7.05|6.86|7.57|5.18|26.25|27.34|5.34|5.8|5.34|11.99|11.99|6.6|5.19|5.36|11.99|5.27|5.18|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|35
HOSP OP|0301 - LAB/CHEMISTRY||83497|HIAA-5|50.72|26.88|38.04|40.58|43.11|45.65|43.11|40.98|36.52|34.33|0|50.72|18.49|19.35|13.44|41.51|17.57|17.1|18.87|14.19|38.04|39.61|13.29|14.45|13.29|30.97|30.97|16.29|12.93|13.84|30.97|14.45|14.19|14.45|0|0|0|9.87|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|50.72
HOSP OP|0301 - LAB/CHEMISTRY||83070|HEMOSIDERIN UA|60.87|32.26|45.65|48.7|51.74|54.78|51.74|49.18|43.83|41.2|0|60.87|6.8|7.11|4.94|49.82|6.46|6.29|6.93|5.23|45.65|47.54|4.89|5.32|4.89|10.99|10.99|5.72|4.76|4.91|10.99|5.32|5.23|5.32|0|0|0|3.62|4.75|4.75|4.89|4.75|8.55|4.75|4.89|0|60.87
HOSP OP|0307 - LAB-UROLOGY||81015|MICROSCOPIC UA|22|11.66|16.5|17.6|18.7|19.8|18.7|17.78|15.84|14.89|0|22|4.37|4.58|3.18|18.01|4.16|4.04|4.47|3.36|16.5|17.18|3.14|3.42|3.14|6.99|6.99|3.96|3.06|3.12|6.99|3.42|3.36|3.42|0|0|0|2.33|3.05|3.05|3.14|3.05|5.49|3.05|3.14|0|22
HOSP OP|0301 - LAB/CHEMISTRY||83935|OSMOLALITYURINE|53|28.09|39.75|42.4|45.05|47.7|45.05|42.82|38.16|35.87|0|53|9.77|10.22|7.1|43.38|9.28|9.03|9.96|7.5|39.75|41.39|7.02|7.64|7.02|15.99|15.99|8.36|6.83|7.14|15.99|7.64|7.5|7.64|0|0|0|5.21|6.82|6.82|7.02|6.82|12.28|6.82|7.02|0|53
HOSP OP|0301 - LAB/CHEMISTRY||82436|CHLORIDE URINE RANDOM|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|7.42|7.76|5.39|28.65|7.05|6.86|7.57|6.33|26.25|27.34|5.92|6.44|5.92|11.99|11.99|6.16|5.76|5.36|11.99|6.44|6.33|6.44|0|0|0|3.96|5.75|5.75|5.92|5.75|10.35|5.75|5.92|0|35
HOSP OP|0301 - LAB/CHEMISTRY||84133|POTASSIUM URINE RANDOM|33|17.49|24.75|26.4|28.05|29.7|28.05|26.66|23.76|22.33|0|33|6.18|6.47|4.49|27.01|5.87|5.71|6.31|5.2|24.75|25.77|4.87|5.3|4.87|9.99|9.99|5.28|4.74|4.46|9.99|5.29|5.2|5.29|0|0|0|3.3|4.73|4.73|4.87|4.73|8.51|4.73|4.87|0|33
HOSP OP|0307 - LAB-UROLOGY||81025|HCG URINE|63|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|11.11|11.62|8.08|51.57|10.56|10.27|11.33|9.47|47.25|49.2|8.87|9.64|8.87|17.98|17.98|8.81|8.63|8.04|17.98|9.64|9.47|9.64|0|0|0|5.93|8.61|8.61|8.87|8.61|15.5|8.61|8.87|0|63
HOSP OP|0301 - LAB/CHEMISTRY||84300|SODIUM URINE RANDOM|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|6.97|7.29|5.07|30.28|6.62|6.44|7.11|5.57|27.75|28.9|5.21|5.67|5.21|11.99|11.99|6.16|5.07|5.36|11.99|5.67|5.57|5.67|0|0|0|3.72|5.06|5.06|5.21|5.06|9.11|5.06|5.21|0|37
HOSP OP|0301 - LAB/CHEMISTRY||83874|MYOGLOBIN URINE QUALITATIVE|101|53.53|75.75|80.8|85.85|90.9|85.85|81.61|72.72|68.36|0|101|18.51|19.37|13.46|82.67|17.59|17.12|18.89|14.21|75.75|78.88|13.31|14.47|13.31|30.97|30.97|16.29|12.95|13.84|30.97|14.47|14.21|14.47|0|0|0|9.89|12.92|12.92|13.31|12.92|23.26|12.92|13.31|0|101
HOSP OP|0301 - LAB/CHEMISTRY||83945|OXALATE URINE 24 HR|45.21|23.96|33.91|36.17|38.43|40.69|38.43|36.53|32.55|30.6|0|45.21|18.64|19.51|13.55|37|17.72|17.24|19.02|15.9|33.91|35.31|14.88|16.18|14.88|30.97|30.97|15.85|14.48|13.84|30.97|16.19|15.9|16.19|0|0|0|9.96|14.45|14.45|14.88|14.45|26.01|14.45|14.88|0|45.21
HOSP OP|0301 - LAB/CHEMISTRY||83874|MYOGLOBIN URINE QUANT|45.03|23.87|33.77|36.02|38.28|40.53|38.28|36.38|32.42|30.48|0|45.03|18.51|19.37|13.46|36.86|17.59|17.12|18.89|14.21|33.77|35.17|13.31|14.47|13.31|30.97|30.97|16.29|12.95|13.84|30.97|14.47|14.21|14.47|0|0|0|9.89|12.92|12.92|13.31|12.92|23.26|12.92|13.31|0|45.03
HOSP OP|0307 - LAB-UROLOGY||81002|Hb Specific Gravity Urine|11|5.83|8.25|8.8|9.35|9.9|9.35|8.89|7.92|7.44|0|11|4.49|4.7|3.26|9|4.27|4.15|4.58|3.83|8.25|8.59|3.58|3.9|3.58|6.99|6.99|3.52|3.49|3.12|6.99|3.9|3.83|3.9|0|0|0|2.4|3.48|3.48|3.58|3.48|6.26|3.48|3.58|0|11
HOSP OP|0301 - LAB/CHEMISTRY||82135|AMINOLEVULINIC ACID (ALA) URINE|94.47|50.07|70.85|75.58|80.3|85.02|80.3|76.33|68.02|63.94|0|94.47|23.58|24.68|17.15|77.32|22.41|21.81|24.06|18.1|70.85|73.78|16.94|18.42|16.94|38.96|38.96|20.69|16.48|17.41|38.96|18.43|18.1|18.43|0|0|0|12.59|16.45|16.45|16.94|16.45|29.61|16.45|16.94|0|94.47
HOSP OP|0301 - LAB/CHEMISTRY||84377|REDUCING SUBSTANCES|76.63|40.61|57.47|61.3|65.14|68.97|65.14|61.92|55.17|51.86|0|76.63|7.88|8.25|5.73|62.72|7.49|7.29|8.04|6.05|57.47|59.85|5.67|6.16|5.67|12.99|12.99|7.04|5.51|5.8|12.99|6.16|6.05|6.16|0|0|0|4.21|5.5|5.5|5.67|5.5|9.9|5.5|5.67|0|76.63
HOSP OP|0301 - LAB/CHEMISTRY||84120|PORPHYRIN URINE 24 HR|36.16|19.16|27.12|28.93|30.74|32.54|30.74|29.22|26.04|24.47|0|36.16|21.09|22.07|15.34|29.6|20.05|19.51|21.52|16.18|27.12|28.24|15.15|16.48|15.15|34.97|34.97|18.49|14.74|15.62|34.97|16.47|16.18|16.47|0|0|0|11.26|14.71|14.71|15.15|14.71|26.48|14.71|15.15|0|36.16
HOSP OP|0306 - LAB/BACT-MICRO||87210|WET PREP EXAM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.51|7.86|5.46|33.56|7.14|6.94|7.66|5.82|30.75|32.02|5.99|6.52|5.99|11.99|11.99|5.72|5.83|5.36|11.99|5.92|5.82|5.92|0|0|0|4|5.82|5.82|5.99|5.82|10.48|5.82|5.99|0|41
HOSP OP|0301 - LAB/CHEMISTRY||83835|METANEPHRINES URINE 24 HR|43.69|23.16|32.77|34.95|37.14|39.32|37.14|35.3|31.46|29.57|0|43.69|24.28|25.41|17.65|35.76|23.07|22.45|24.77|18.63|32.77|34.12|17.45|18.97|17.45|39.96|39.96|21.13|16.97|17.86|39.96|18.97|18.63|18.97|0|0|0|12.97|16.94|16.94|17.45|16.94|30.49|16.94|17.45|0|43.69
HOSP OP|0301 - LAB/CHEMISTRY||82271|GASTROCCULT|38|20.14|28.5|30.4|32.3|34.2|32.3|30.7|27.36|25.72|0|38|6.86|7.18|4.99|31.1|6.52|6.35|7|5.32|28.5|29.68|5.48|5.96|5.48|10.99|10.99|5.28|5.33|4.91|10.99|5.42|5.32|5.42|0|0|0|3.66|5.32|5.32|5.48|5.32|9.58|5.32|5.48|0|38
HOSP OP|0301 - LAB/CHEMISTRY||82043|MICROALBUMIN URINE RANDOM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|8.28|8.67|6.02|33.56|7.87|7.66|8.45|5.78|30.75|32.02|5.95|6.47|5.95|13.99|13.99|7.04|5.79|6.25|13.99|5.88|5.78|5.88|0|0|0|4.42|5.78|5.78|5.95|5.78|10.4|5.78|5.95|0|41
HOSP OP|0301 - LAB/CHEMISTRY||84110|PORPHOBILINOGEN URINE QUANT|25.9|13.73|19.43|20.72|22.02|23.31|22.02|20.93|18.65|17.53|0|25.9|12.1|12.66|8.8|21.2|11.5|11.19|12.34|9.28|19.43|20.23|8.69|9.45|8.69|19.98|19.98|10.57|8.46|8.93|19.98|9.45|9.28|9.45|0|0|0|6.46|8.44|8.44|8.69|8.44|15.19|8.44|8.69|0|25.9
HOSP OP|0301 - LAB/CHEMISTRY||83986|PH STOOL|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|5.13|5.37|3.73|18.83|4.88|4.75|5.24|3.58|17.25|17.96|3.69|4.01|3.69|8.99|8.99|4.4|3.59|4.02|8.99|3.64|3.58|3.64|0|0|0|2.74|3.58|3.58|3.69|3.58|6.44|3.58|3.69|0|23
HOSP OP|0301 - LAB/CHEMISTRY||83919|ORGANIC ACID URINE|76.74|40.67|57.56|61.39|65.23|69.07|65.23|62.01|55.25|51.94|0|76.74|23.58|24.68|17.15|62.81|22.41|21.81|24.06|18.1|57.56|59.93|16.94|18.42|16.94|38.96|38.96|20.69|16.48|17.41|38.96|18.43|18.1|18.43|0|0|0|12.59|16.45|16.45|16.94|16.45|29.61|16.45|16.94|0|76.74
HOSP OP|0301 - LAB/CHEMISTRY||83825|MERCURY URINE|16.93|8.97|12.7|13.54|14.39|15.24|14.39|13.68|12.19|11.46|0|16.93|16.93|16.93|16.93|13.86|16.93|16.93|16.93|17.89|12.7|13.22|16.75|16.93|16.75|16.93|16.93|16.93|16.29|16.93|16.93|18.21|17.89|18.21|0|0|0|12.45|16.26|16.26|16.75|16.26|16.93|16.26|16.75|0|18.21
HOSP OP|0306 - LAB/BACT-MICRO||87205|EOSINOPHIL SMEAR URINE|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|6.13|6.41|4.46|27.83|5.82|5.67|6.25|4.7|25.5|26.55|4.4|4.78|4.4|9.99|9.99|5.28|4.28|4.46|9.99|4.78|4.7|4.78|0|0|0|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|34
HOSP OP|0301 - LAB/CHEMISTRY||82175|ARSENIC  URINE|18.74|9.93|14.06|14.99|15.93|16.87|15.93|15.14|13.49|12.68|0|18.74|18.74|18.74|18.74|15.34|18.74|18.74|18.74|20.87|14.06|14.64|18.74|18.74|18.74|18.74|18.74|18.74|18.74|18.74|18.74|21.25|20.87|21.25|0|0|0|14.52|18.74|18.74|18.74|18.74|18.74|18.74|18.74|0|21.25
HOSP OP|0301 - LAB/CHEMISTRY||83655|LEAD  URINE|14.15|7.5|10.61|11.32|12.03|12.74|12.03|11.43|10.19|9.58|0|14.15|14.15|14.15|12.62|11.58|14.15|14.15|14.15|12.11|10.61|11.05|12.47|13.56|12.47|14.15|14.15|14.15|12.13|12.95|14.15|12.33|12.11|12.33|0|0|0|9.27|12.11|12.11|12.47|12.11|14.15|12.11|12.47|0|14.15
HOSP OP|0301 - LAB/CHEMISTRY||82300|CADMIUM URINE|21.54|11.42|16.16|17.23|18.31|19.39|18.31|17.4|15.51|14.58|0|21.54|21.54|21.54|21.54|17.63|21.54|21.54|21.54|26|16.16|16.82|21.54|21.54|21.54|21.54|21.54|21.54|21.54|21.54|21.54|26.47|26|26.47|0|0|0|17.72|21.54|21.54|21.54|21.54|21.54|21.54|21.54|0|26.47
HOSP OP|0301 - LAB/CHEMISTRY||84585|VMA 24 HR URINE|46.54|24.67|34.91|37.23|39.56|41.89|39.56|37.6|33.51|31.5|0|46.54|22.21|23.25|16.15|38.09|21.11|20.54|22.67|17.05|34.91|36.35|15.97|17.36|15.97|36.97|36.97|19.37|15.53|16.52|36.97|17.36|17.05|17.36|0|0|0|11.87|15.5|15.5|15.97|15.5|27.9|15.5|15.97|0|46.54
HOSP OP|0310 - PATHOLOGY LAB||88312|SPECIAL STAIN I|207|109.71|155.25|165.6|175.95|186.3|175.95|167.26|149.04|140.1|0|207|128.54|99.74|93.47|169.43|122.17|118.88|97.24|99.19|155.25|161.67|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|100.98|99.19|47.1|0|0|83.8|68.67|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|207
HOSP OP|0302 - LAB/IMMUNOLOGY||86140|C REACTIVE PROTEIN|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|7.42|7.76|5.39|30.28|7.05|6.86|7.57|5.7|27.75|28.9|5.34|5.8|5.34|11.99|11.99|6.6|5.19|5.36|11.99|5.8|5.7|5.8|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|37
HOSP OP|0302 - LAB/IMMUNOLOGY||86141|C REACTIVE PROTEIN-HIGH SENS.|85|45.05|63.75|68|72.25|76.5|72.25|68.68|61.2|57.53|0|85|18.56|19.43|13.5|69.57|17.64|17.17|18.94|14.25|63.75|66.39|13.34|14.5|13.34|30.97|30.97|16.29|12.98|13.84|30.97|14.51|14.25|14.51|0|0|0|9.92|12.95|12.95|13.34|12.95|23.31|12.95|13.34|0|85
HOSP OP|0302 - LAB/IMMUNOLOGY||86308|Hb Infectious Mononucleosis|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.42|7.76|5.39|33.56|7.05|6.86|7.57|5.18|30.75|32.02|5.34|5.8|5.34|11.99|11.99|6.6|5.19|5.36|11.99|5.27|5.18|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86038|ANA SCREEN|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|17.32|18.13|12.6|49.11|16.47|16.02|17.68|13.3|45|46.86|12.45|13.54|12.45|28.97|28.97|14.97|12.11|12.95|28.97|13.54|13.3|13.54|0|0|0|9.25|12.09|12.09|12.45|12.09|21.76|12.09|12.45|0|60
HOSP OP|0302 - LAB/IMMUNOLOGY||86812|HLA B27|62.93|33.35|47.2|50.34|53.49|56.64|53.49|50.85|45.31|42.59|0|62.93|36.98|38.7|26.89|51.51|35.15|34.2|37.73|28.39|47.2|49.15|26.58|28.91|26.58|60.95|60.95|32.14|25.86|27.23|60.95|28.9|28.39|28.9|0|0|0|19.76|25.81|25.81|26.58|25.81|46.46|25.81|26.58|0|62.93
HOSP OP|0302 - LAB/IMMUNOLOGY||86592|Hb Rpr Syphilis Activity Test|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|6.13|6.41|4.46|26.19|5.82|5.67|6.25|4.7|24|24.99|4.4|4.78|4.4|9.99|9.99|5.28|4.28|4.46|9.99|4.78|4.7|4.78|0|0|5.33|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|32
HOSP OP|0302 - LAB/IMMUNOLOGY||86780|Hb Syphilis Tppa Confirmation|61.71|32.71|46.28|49.37|52.45|55.54|52.45|49.86|44.43|41.77|0|61.71|18.98|19.86|13.8|50.51|18.03|17.55|19.36|13.24|46.28|48.2|13.64|14.83|13.64|30.97|30.97|16.29|13.27|13.84|30.97|13.48|13.24|13.48|0|0|16.48|10.13|13.24|13.24|13.64|13.24|23.83|13.24|13.64|0|61.71
HOSP OP|0302 - LAB/IMMUNOLOGY||86631|CHLAMYDIA PNEUMO IgG|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|13.23|13|13.23|0|0|10.06|9.05|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|13.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86631|CHLAMYDIA TRACHOMATIS IgG|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|13.23|13|13.23|0|0|10.06|9.05|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|13.23
HOSP OP|0302 - LAB/IMMUNOLOGY||87389|Hiv 1 & 2 Antigen And Antibody Screen|96|50.88|72|76.8|81.6|86.4|81.6|77.57|69.12|64.97|0|96|34.51|36.11|25.09|78.58|32.8|31.91|35.21|24.08|72|74.98|24.8|26.97|24.8|56.95|56.95|29.94|24.13|25.44|56.95|24.51|24.08|24.51|0|0|0|18.44|24.08|24.08|24.8|24.08|43.34|24.08|24.8|0|96
HOSP OP|0306 - LAB/BACT-MICRO||87536|HIV-1 RNA PCR QUANT|121|64.13|90.75|96.8|102.85|108.9|102.85|97.77|87.12|81.89|0|121|121|121|88.69|99.04|115.92|112.8|121|93.61|90.75|94.5|87.65|95.31|87.65|121|121|106.1|85.27|90.17|121|95.29|93.61|95.29|0|0|0|65.16|85.1|85.1|87.65|85.1|121|85.1|87.65|0|121
HOSP OP|0306 - LAB/BACT-MICRO||87517|HEP B DNA QUANT|143.2|75.9|107.4|114.56|121.72|128.88|121.72|115.71|103.1|96.92|0|143.2|61.4|64.26|44.65|117.21|58.36|56.79|62.65|47.12|107.4|111.84|44.13|47.98|44.13|101.91|101.91|53.27|42.93|45.53|101.91|47.97|47.12|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|143.2
HOSP OP|0306 - LAB/BACT-MICRO||87522|Hb Hepatitis C Virus Rna Detect/quant|124.77|66.13|93.58|99.82|106.05|112.29|106.05|100.81|89.83|84.44|0|124.77|61.4|64.26|44.65|102.12|58.36|56.79|62.65|47.12|93.58|97.45|44.13|47.98|44.13|101.91|101.91|53.27|42.93|45.53|101.91|47.97|47.12|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|124.77
HOSP OP|0302 - LAB/IMMUNOLOGY||86317|TETANUS IMMUNE STATUS|55.58|29.46|41.69|44.46|47.24|50.02|47.24|44.91|40.02|37.62|0|55.58|21.48|22.48|15.62|45.49|20.41|19.86|21.92|16.49|41.69|43.41|15.44|16.79|15.44|35.97|35.97|18.49|15.02|16.07|35.97|16.79|16.49|16.79|0|0|0|11.47|14.99|14.99|15.44|14.99|26.98|14.99|15.44|0|55.58
HOSP OP|0302 - LAB/IMMUNOLOGY||86632|CHLAMYDIA PNEUMO IgM|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13.95|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|14.2|13.95|14.2|0|0|10.06|9.71|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|14.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86632|CHLAMYDIA PSITTACI IgM|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13.95|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|14.2|13.95|14.2|0|0|10.06|9.71|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|14.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86632|CHLAMYDIA TRACHOMATIS IgM|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13.95|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|14.2|13.95|14.2|0|0|10.06|9.71|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|14.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86160|COMPLEMENT C'3|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|17.2|18|12.5|46.65|16.34|15.9|17.55|13.2|42.75|44.52|12.36|13.44|12.36|28.97|28.97|14.97|12.02|12.95|28.97|13.44|13.2|13.44|0|0|0|9.18|12|12|12.36|12|21.6|12|12.36|0|57
HOSP OP|0300 - LABORATORY||87904|HIV1 PHENOTYPING NUCLEIC ACID|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.68|0|0|0|0|0|0|0|0|0|0|0|29.2|28.68|29.2|0|0|0|0|0|0|0|0|0|0|0|0|29.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86753|E. HISTOLYTICA AB|59.6|31.59|44.7|47.68|50.66|53.64|50.66|48.16|42.91|40.34|0|59.6|17.75|18.58|12.91|48.78|16.87|16.42|18.12|13.63|44.7|46.55|12.76|13.88|12.76|28.97|28.97|15.41|12.41|12.95|28.97|13.88|13.63|13.88|0|0|0|9.48|12.39|12.39|12.76|12.39|22.3|12.39|12.76|0|59.6
HOSP OP|0302 - LAB/IMMUNOLOGY||86753|BABESIA MICROTI IgG|39.1|20.72|29.33|31.28|33.24|35.19|33.24|31.59|28.15|26.46|0|39.1|17.75|18.58|12.91|32|16.87|16.42|18.12|13.63|29.33|30.54|12.76|13.88|12.76|28.97|28.97|15.41|12.41|12.95|28.97|13.88|13.63|13.88|0|0|0|9.48|12.39|12.39|12.76|12.39|22.3|12.39|12.76|0|39.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86682|TOXOCARA ABY ELISA|154.2|81.73|115.65|123.36|131.07|138.78|131.07|124.59|111.02|104.36|0|154.2|18.64|19.51|13.55|126.21|17.72|17.24|19.02|14.31|115.65|120.43|13.4|14.57|13.4|30.97|30.97|16.29|13.04|13.84|30.97|14.57|14.31|14.57|0|0|0|9.96|13.01|13.01|13.4|13.01|23.42|13.01|13.4|0|154.2
HOSP OP|0306 - LAB/BACT-MICRO||87901|HIV1 GENOTYPING|364.3|193.08|273.23|291.44|309.66|327.87|309.66|294.35|262.3|246.56|0|364.3|364.3|364.3|268.31|298.18|350.7|341.26|364.3|283.2|273.23|284.52|265.17|288.34|265.17|364.3|364.3|320.95|257.96|273.2|364.3|288.3|283.2|288.3|0|0|0|197.14|257.45|257.45|265.17|257.45|364.3|257.45|265.17|0|364.3
HOSP OP|0302 - LAB/IMMUNOLOGY||86692|Hb Hepatitis Delta Virus Antibody|142.63|75.59|106.97|114.1|121.24|128.37|121.24|115.25|102.69|96.53|0|142.63|24.6|25.74|17.89|116.74|23.38|22.75|25.1|18.88|106.97|111.39|17.67|19.22|17.67|40.96|40.96|21.57|17.19|18.3|40.96|19.22|18.88|19.22|0|0|0|13.14|17.16|17.16|17.67|17.16|30.89|17.16|17.67|0|142.63
HOSP OP|0302 - LAB/IMMUNOLOGY||86706|HEP Bs ANTIBODY|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|15.39|16.11|11.19|49.93|14.63|14.23|15.71|11.81|45.75|47.64|11.06|12.03|11.06|25.98|25.98|13.21|10.76|11.61|25.98|12.02|11.81|12.02|0|0|0|8.22|10.74|10.74|11.06|10.74|19.33|10.74|11.06|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86704|HEP Bc TOTAL ABY|36.56|19.38|27.42|29.25|31.08|32.9|31.08|29.54|26.32|24.74|0|36.56|17.27|18.08|12.56|29.92|16.42|15.97|17.63|13.26|27.42|28.55|12.41|13.5|12.41|28.97|28.97|14.97|12.07|12.95|28.97|13.5|13.26|13.5|0|0|0|9.22|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|36.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86705|HEP Bc IGM ABY|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|16.87|17.66|12.27|54.84|16.04|15.6|17.22|12.95|50.25|52.33|12.12|13.18|12.12|27.97|27.97|14.53|11.79|12.5|27.97|13.18|12.95|13.18|0|0|0|9.01|11.77|11.77|12.12|11.77|21.19|11.77|12.12|0|67
HOSP OP|0302 - LAB/IMMUNOLOGY||86709|HEP A IGM ABY|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|16.14|16.89|11.73|49.11|15.34|14.92|16.47|12.39|45|46.86|11.6|12.61|11.6|26.98|26.98|14.09|11.28|12.05|26.98|12.61|12.39|12.61|0|0|0|8.61|11.26|11.26|11.6|11.26|20.27|11.26|11.6|0|60
HOSP OP|0306 - LAB/BACT-MICRO||87350|HEP Be ANTIGEN|42.26|22.4|31.7|33.81|35.92|38.03|35.92|34.15|30.43|28.6|0|42.26|16.52|17.29|12.02|34.59|15.71|15.28|16.86|12.68|31.7|33.01|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|12.91|12.68|12.91|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|42.26
HOSP OP|0306 - LAB/BACT-MICRO||87389|HIV 1/2 RAPID SCREEN|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|34.51|36.11|25.09|41.74|32.8|31.91|35.21|24.08|38.25|39.83|24.8|26.97|24.8|51|51|29.94|24.13|25.44|51|24.51|24.08|24.51|0|0|0|18.44|24.08|24.08|24.8|24.08|43.34|24.08|24.8|0|51
HOSP OP|0306 - LAB/BACT-MICRO||87385|HISTOPLASMA AGN URINE|103.76|54.99|77.82|83.01|88.2|93.38|88.2|83.84|74.71|70.22|0|103.76|17.18|17.98|12.49|84.93|16.33|15.89|17.53|14.58|77.82|81.04|13.65|14.84|13.65|27.97|27.97|14.97|13.28|12.5|27.97|14.84|14.58|14.84|0|0|0|9.17|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|103.76
HOSP OP|0306 - LAB/BACT-MICRO||87385|HISTOPLASMA AGN SERUM|143.2|75.9|107.4|114.56|121.72|128.88|121.72|115.71|103.1|96.92|0|143.2|17.18|17.98|12.49|117.21|16.33|15.89|17.53|14.58|107.4|111.84|13.65|14.84|13.65|27.97|27.97|14.97|13.28|12.5|27.97|14.84|14.58|14.84|0|0|0|9.17|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|143.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86215|DNASE B ANTIBODY|27.13|14.38|20.35|21.7|23.06|24.42|23.06|21.92|19.53|18.36|0|27.13|18.99|19.87|13.81|22.21|18.05|17.56|19.37|14.58|20.35|21.19|13.65|14.84|13.65|27.13|27.13|16.73|13.28|13.84|27.13|14.84|14.58|14.84|0|0|0|10.14|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|27.13
HOSP OP|0302 - LAB/IMMUNOLOGY||86631|CHLAMYDIA PSITTACI IgG|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|13.23|13|13.23|0|0|10.06|9.05|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|13.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86708|HEP A TOTAL ABY|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|17.75|18.58|12.91|55.66|16.87|16.42|18.12|13.63|51|53.11|12.76|13.88|12.76|28.97|28.97|15.41|12.41|12.95|28.97|13.88|13.63|13.88|0|0|0|9.48|12.39|12.39|12.76|12.39|22.3|12.39|12.76|0|68
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|HTLV-I/II ANTIBODY|44.23|23.44|33.17|35.38|37.6|39.81|37.6|35.74|31.85|29.93|0|44.23|18.46|19.32|13.42|36.2|17.54|17.07|18.84|14.17|33.17|34.54|13.27|14.43|13.27|30.97|30.97|15.85|12.91|13.84|30.97|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|44.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86707|HEP Be ANTIBODY|40.15|21.28|30.11|32.12|34.13|36.14|34.13|32.44|28.91|27.17|0|40.15|16.58|17.35|12.05|32.86|15.75|15.33|16.92|12.73|30.11|31.36|11.92|12.96|11.92|26.98|26.98|14.53|11.59|12.05|26.98|12.96|12.73|12.96|0|0|0|8.85|11.57|11.57|11.92|11.57|20.83|11.57|11.92|0|40.15
HOSP OP|0302 - LAB/IMMUNOLOGY||80074|HEP A/B/C PANEL|174|92.22|130.5|139.2|147.9|156.6|147.9|140.59|125.28|117.76|0|174|68.28|71.46|49.65|142.42|64.89|63.15|69.67|52.39|130.5|135.89|49.06|53.35|49.06|112.9|112.9|59.43|47.73|50.44|112.9|53.33|52.39|53.33|0|0|0|36.48|47.63|47.63|49.06|47.63|85.73|47.63|49.06|0|174
HOSP OP|0302 - LAB/IMMUNOLOGY||86735|Hb Mumps Ab Igm|48.26|25.58|36.2|38.61|41.02|43.43|41.02|38.99|34.75|32.66|0|48.26|18.71|19.58|13.6|39.5|17.78|17.3|19.09|14.36|36.2|37.69|13.44|14.62|13.44|30.97|30.97|16.29|13.08|13.84|30.97|14.62|14.36|14.62|0|0|0|9.99|13.05|13.05|13.44|13.05|23.49|13.05|13.44|0|48.26
HOSP OP|0302 - LAB/IMMUNOLOGY||86735|Hb Mumps Igg Immune|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|18.71|19.58|13.6|55.66|17.78|17.3|19.09|14.36|51|53.11|13.44|14.62|13.44|30.97|30.97|16.29|13.08|13.84|30.97|14.62|14.36|14.62|0|0|0|9.99|13.05|13.05|13.44|13.05|23.49|13.05|13.44|0|68
HOSP OP|0302 - LAB/IMMUNOLOGY||86720|Hb Leptospira Ab Igm By Dot Blot|87.2|46.22|65.4|69.76|74.12|78.48|74.12|70.46|62.78|59.02|0|87.2|20.9|21.87|15.2|71.37|19.86|19.33|21.32|17.82|65.4|68.1|16.69|18.14|16.69|34.97|34.97|16.29|16.23|15.62|34.97|18.14|17.82|18.14|0|0|0|11.16|16.2|16.2|16.69|16.2|29.16|16.2|16.69|0|87.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86160|COMPLEMENT C'4|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|17.2|18|12.5|55.66|16.34|15.9|17.55|13.2|51|53.11|12.36|13.44|12.36|28.97|28.97|14.97|12.02|12.95|28.97|13.44|13.2|13.44|0|0|0|9.18|12|12|12.36|12|21.6|12|12.36|0|68
HOSP OP|0302 - LAB/IMMUNOLOGY||86060|ASO TITER|43.73|23.18|32.8|34.98|37.17|39.36|37.17|35.33|31.49|29.6|0|43.73|10.46|10.95|7.61|35.79|9.94|9.68|10.68|8.03|32.8|34.15|7.52|8.18|7.52|16.98|16.98|9.25|7.31|7.59|16.98|8.17|8.03|8.17|0|0|0|5.58|7.3|7.3|7.52|7.3|13.14|7.3|7.52|0|43.73
HOSP OP|0306 - LAB/BACT-MICRO||87340|HEP Bs ANTIGEN|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|14.81|15.5|10.77|49.93|14.07|13.7|15.11|11.36|45.75|47.64|10.64|11.57|10.64|24.98|24.98|12.77|10.35|11.16|24.98|11.56|11.36|11.56|0|0|0|7.91|10.33|10.33|10.64|10.33|18.59|10.33|10.64|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86803|HEP C ANTIBODY|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|20.45|21.4|14.87|61.39|19.43|18.91|20.87|14.27|56.25|58.58|14.7|15.98|14.7|33.97|33.97|17.61|14.3|15.18|33.97|14.53|14.27|14.53|0|0|0|10.92|14.27|14.27|14.7|14.27|25.69|14.27|14.7|0|75
HOSP OP|0301 - LAB/CHEMISTRY||83516|MITOCHONDRIAL M2 ANTIBODY|34.02|18.03|25.52|27.22|28.92|30.62|28.92|27.49|24.49|23.02|0|34.02|16.52|17.29|12.02|27.85|15.71|15.28|16.86|11.53|25.52|26.57|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|34.02
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|SMOOTH MUSCLE ANTIBODY|36.85|19.53|27.64|29.48|31.32|33.17|31.32|29.77|26.53|24.94|0|36.85|36.85|18.08|27.26|30.16|35.63|34.67|17.63|56.65|27.64|28.78|12.41|13.5|12.41|36.85|36.85|22.45|12.07|22.77|36.85|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||86606|ASPERGILLUS FUMIGATUS IGG|44.47|23.57|33.35|35.58|37.8|40.02|37.8|35.93|32.02|30.1|0|44.47|21.58|22.59|15.69|36.4|20.51|19.96|22.03|16.56|33.35|34.73|15.5|16.86|15.5|35.97|35.97|18.93|15.08|16.07|35.97|16.86|16.56|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|44.47
HOSP OP|0301 - LAB/CHEMISTRY||83520|C1 ESTERASE INHIBITOR FUNCTION|70.82|37.53|53.12|56.66|60.2|63.74|60.2|57.22|50.99|47.93|0|70.82|22.28|23.31|16.2|57.97|21.17|20.6|22.73|17.27|53.12|55.31|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|70.82
HOSP OP|0302 - LAB/IMMUNOLOGY||86162|COMPLEMENT (CH50) TOTAL|39.35|20.86|29.51|31.48|33.45|35.42|33.45|31.79|28.33|26.63|0|39.35|29.13|30.48|21.18|32.21|27.68|26.94|29.72|22.35|29.51|30.73|20.93|22.76|20.93|39.35|39.35|25.53|20.36|21.43|39.35|22.75|22.35|22.75|0|0|0|15.55|20.32|20.32|20.93|20.32|36.58|20.32|20.93|0|39.35
HOSP OP|0302 - LAB/IMMUNOLOGY||83883|C1 ESTERASE INHIBITOR ANTIGEN|46.8|24.8|35.1|37.44|39.78|42.12|39.78|37.81|33.7|31.67|0|46.8|19.49|20.4|14.17|38.31|18.52|18.03|19.89|14.96|35.1|36.55|14.01|15.23|14.01|31.97|31.97|17.17|13.63|14.28|31.97|15.23|14.96|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|24.48|13.6|14.01|0|46.8
HOSP OP|0302 - LAB/IMMUNOLOGY||86738|MYCOPLASMA PNEUMO IgG|23.69|12.56|17.77|18.95|20.14|21.32|20.14|19.14|17.06|16.03|0|23.69|18.98|19.86|13.8|19.39|18.03|17.55|19.36|14.56|17.77|18.5|13.64|14.83|13.64|23.69|23.69|16.29|13.27|13.84|23.69|14.82|14.56|14.82|0|0|0|10.13|13.24|13.24|13.64|13.24|23.69|13.24|13.64|0|23.69
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|RAST-MISC SINGLE|10.64|5.64|7.98|8.51|9.04|9.58|9.04|8.6|7.66|7.2|0|10.64|7.48|7.83|5.44|8.71|7.11|6.92|7.63|5.74|7.98|8.31|5.38|5.85|5.38|10.64|10.64|6.6|5.23|5.36|10.64|5.84|5.74|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|10.64
HOSP OP|0302 - LAB/IMMUNOLOGY||86762|RUBELLA IMMUNE STATUS|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|20.63|21.59|15|59.75|19.6|19.08|21.05|15.83|54.75|57.01|14.82|16.12|14.82|33.97|33.97|18.05|14.42|15.18|33.97|16.11|15.83|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|73
HOSP OP|0302 - LAB/IMMUNOLOGY||86592|Hb Syphilis Csf|43.04|22.81|32.28|34.43|36.58|38.74|36.58|34.78|30.99|29.13|0|43.04|6.13|6.41|4.46|35.23|5.82|5.67|6.25|4.7|32.28|33.61|4.4|4.78|4.4|9.99|9.99|5.28|4.28|4.46|9.99|4.78|4.7|4.78|0|0|5.33|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|43.04
HOSP OP|0302 - LAB/IMMUNOLOGY||86778|TOXOPLASMA IgM|49|25.97|36.75|39.2|41.65|44.1|41.65|39.59|35.28|33.16|0|49|20.65|21.61|15.02|40.11|19.63|19.1|21.07|15.85|36.75|38.27|14.84|16.14|14.84|33.97|33.97|18.05|14.44|15.18|33.97|16.14|15.85|16.14|0|0|0|11.03|14.41|14.41|14.84|14.41|25.94|14.41|14.84|0|49
HOSP OP|0302 - LAB/IMMUNOLOGY||86777|Hb Toxoplasma Igg|52|27.56|39|41.6|44.2|46.8|44.2|42.02|37.44|35.19|0|52|20.63|21.59|15|42.56|19.6|19.08|21.05|15.83|39|40.61|14.82|16.12|14.82|33.97|33.97|18.05|14.42|15.18|33.97|16.11|15.83|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|52
HOSP OP|0301 - LAB/CHEMISTRY||83873|CSF MYELIN PROTEIN|53.45|28.33|40.09|42.76|45.43|48.11|45.43|43.19|38.48|36.17|0|53.45|24.66|25.81|17.93|43.75|23.44|22.81|25.16|18.92|40.09|41.74|17.72|19.26|17.72|40.96|40.96|21.57|17.23|18.3|40.96|19.26|18.92|19.26|0|0|0|13.17|17.2|17.2|17.72|17.2|30.96|17.2|17.72|0|53.45
HOSP OP|0302 - LAB/IMMUNOLOGY||86738|MYCOPLASMA PNEUMO IgM|23.69|12.56|17.77|18.95|20.14|21.32|20.14|19.14|17.06|16.03|0|23.69|18.98|19.86|13.8|19.39|18.03|17.55|19.36|14.56|17.77|18.5|13.64|14.83|13.64|23.69|23.69|16.29|13.27|13.84|23.69|14.82|14.56|14.82|0|0|0|10.13|13.24|13.24|13.64|13.24|23.69|13.24|13.64|0|23.69
HOSP OP|0306 - LAB/BACT-MICRO||87338|H. PYLORI STOOL ANTIGEN|65.31|34.61|48.98|52.25|55.51|58.78|55.51|52.77|47.02|44.2|0|65.31|20.61|21.57|14.99|53.46|19.59|19.06|21.03|14.38|48.98|51.01|14.81|16.11|14.81|33.97|33.97|18.05|14.41|15.18|33.97|14.64|14.38|14.64|0|0|0|11|14.38|14.38|14.81|14.38|25.88|14.38|14.81|0|65.31
HOSP OP|0306 - LAB/BACT-MICRO||87493|C. DIFFICILE TOXIN BY PCR|157|83.21|117.75|125.6|133.45|141.3|133.45|126.86|113.04|106.26|0|157|50.3|52.64|36.57|128.5|47.8|46.52|51.32|41|117.75|122.62|38.39|41.74|38.39|82.93|82.93|43.59|37.34|37.05|82.93|41.74|41|41.74|0|0|0|26.87|37.27|37.27|38.39|37.27|67.09|37.27|38.39|0|157
HOSP OP|0302 - LAB/IMMUNOLOGY||86713|LEGIONELLA PNEUMOPHILIA ABY|47.61|25.23|35.71|38.09|40.47|42.85|40.47|38.47|34.28|32.22|0|47.61|21.93|22.95|15.95|38.97|20.84|20.28|22.38|16.83|35.71|37.18|15.76|17.14|15.76|35.97|35.97|18.93|15.33|16.07|35.97|17.13|16.83|17.13|0|0|0|11.71|15.3|15.3|15.76|15.3|27.54|15.3|15.76|0|47.61
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|SMOOTH MUSCLE ANTIBODY|20.72|10.98|15.54|16.58|17.61|18.65|17.61|16.74|14.92|14.02|0|20.72|20.72|18.08|20.72|16.96|20.72|20.72|17.63|56.65|15.54|16.18|12.41|13.5|12.41|20.72|20.72|20.72|12.07|20.72|20.72|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|20.72|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|MITOCHONDRIAL ANTIBODY|17.88|9.48|13.41|14.3|15.2|16.09|15.2|14.45|12.87|12.1|0|17.88|16.52|17.29|12.02|14.63|15.71|15.28|16.86|11.53|13.41|13.96|11.88|12.91|11.88|17.88|17.88|14.53|11.55|12.05|17.88|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|17.88|11.53|11.88|0|17.88
HOSP OP|0302 - LAB/IMMUNOLOGY||86757|SPOTTED FEVER GROUP IgM|34.89|18.49|26.17|27.91|29.66|31.4|29.66|28.19|25.12|23.61|0|34.89|27.75|29.04|20.18|28.56|26.37|25.66|28.31|21.29|26.17|27.25|19.93|21.67|19.93|34.89|34.89|24.21|19.39|20.53|34.89|21.67|21.29|21.67|0|0|0|14.82|19.35|19.35|19.93|19.35|34.83|19.35|19.93|0|34.89
HOSP OP|0302 - LAB/IMMUNOLOGY||86757|SPOTTED FEVER GROUP IgG|34.88|18.49|26.16|27.9|29.65|31.39|29.65|28.18|25.11|23.61|0|34.88|27.75|29.04|20.18|28.55|26.37|25.66|28.31|21.29|26.16|27.24|19.93|21.67|19.93|34.88|34.88|24.21|19.39|20.53|34.88|21.67|21.29|21.67|0|0|0|14.82|19.35|19.35|19.93|19.35|34.83|19.35|19.93|0|34.88
HOSP OP|0302 - LAB/IMMUNOLOGY||86787|V. ZOSTER IgM STATUS|39.2|20.78|29.4|31.36|33.32|35.28|33.32|31.67|28.22|26.53|0|39.2|18.46|19.32|13.42|32.09|17.54|17.07|18.84|14.17|29.4|30.62|13.27|14.43|13.27|30.97|30.97|15.85|12.91|13.84|30.97|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|39.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86787|Hb V. Zoster Igg Immune|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|18.46|19.32|13.42|59.75|17.54|17.07|18.84|14.17|54.75|57.01|13.27|14.43|13.27|30.97|30.97|15.85|12.91|13.84|30.97|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|73
HOSP OP|0302 - LAB/IMMUNOLOGY||86645|Hb Cmv Igm Antibodies|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|24.15|25.27|17.56|38.47|22.95|22.33|24.64|18.54|35.25|36.71|17.36|18.87|17.36|39.96|39.96|21.13|16.88|17.86|39.96|18.87|18.54|18.87|0|0|0|12.9|16.85|16.85|17.36|16.85|30.33|16.85|17.36|0|47
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|Hb Gbm Igg Atby|41.27|21.87|30.95|33.02|35.08|37.14|35.08|33.35|29.71|27.93|0|41.27|22.28|23.31|16.2|33.78|21.17|20.6|22.73|17.27|30.95|32.23|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|41.27
HOSP OP|0302 - LAB/IMMUNOLOGY||86644|Hb Cmv Igg Antibodies|50|26.5|37.5|40|42.5|45|42.5|40.4|36|33.84|0|50|20.63|21.59|15|40.93|19.6|19.08|21.05|15.83|37.5|39.05|14.82|16.12|14.82|33.97|33.97|18.05|14.42|15.18|33.97|16.11|15.83|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|50
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|HANTAVIRUS IgG|96.94|51.38|72.71|77.55|82.4|87.25|82.4|78.33|69.8|65.61|0|96.94|18.46|19.32|13.42|79.35|17.54|17.07|18.84|14.17|72.71|75.71|13.27|14.43|13.27|30.97|30.97|15.85|12.91|13.84|30.97|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|96.94
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|HANTAVIRUS IgM|96.95|51.38|72.71|77.56|82.41|87.26|82.41|78.34|69.8|65.62|0|96.95|18.46|19.32|13.42|79.35|17.54|17.07|18.84|14.17|72.71|75.72|13.27|14.43|13.27|30.97|30.97|15.85|12.91|13.84|30.97|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|96.95
HOSP OP|0302 - LAB/IMMUNOLOGY||86695|Hb Hsv-1 Igg|50|26.5|37.5|40|42.5|45|42.5|40.4|36|33.84|0|50|18.9|19.78|13.74|40.93|17.96|17.48|19.29|14.51|37.5|39.05|13.59|14.77|13.59|30.97|30.97|16.29|13.22|13.84|30.97|14.77|14.51|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|23.74|13.19|13.59|0|50
HOSP OP|0302 - LAB/IMMUNOLOGY||86696|Hb Hsv-2 Igg|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|27.75|29.04|20.18|59.75|26.37|25.66|28.31|21.29|54.75|57.01|19.93|21.67|19.93|45.96|45.96|24.21|19.39|20.53|45.96|21.67|21.29|21.67|0|0|0|14.82|19.35|19.35|19.93|19.35|34.83|19.35|19.93|0|73
HOSP OP|0302 - LAB/IMMUNOLOGY||86622|BRUCELLA AB IgG|35.2|18.66|26.4|28.16|29.92|31.68|29.92|28.44|25.34|23.82|0|35.2|12.8|13.39|9.3|28.81|12.16|11.83|13.06|9.82|26.4|27.49|9.2|10|9.2|20.98|20.98|11.01|8.95|9.37|20.98|10|9.82|10|0|0|0|6.83|8.93|8.93|9.2|8.93|16.07|8.93|9.2|0|35.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86622|BRUCELLA AB IgM|35.2|18.66|26.4|28.16|29.92|31.68|29.92|28.44|25.34|23.82|0|35.2|12.8|13.39|9.3|28.81|12.16|11.83|13.06|9.82|26.4|27.49|9.2|10|9.2|20.98|20.98|11.01|8.95|9.37|20.98|10|9.82|10|0|0|0|6.83|8.93|8.93|9.2|8.93|16.07|8.93|9.2|0|35.2
HOSP OP|0306 - LAB/BACT-MICRO||87430|STREP THROAT SCREEN|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|21.68|22.69|15.77|53.2|20.61|20.05|22.12|18.49|48.75|50.77|17.31|18.83|17.31|35.97|35.97|17.17|16.84|16.07|35.97|18.82|18.49|18.82|0|0|0|11.58|16.81|16.81|17.31|16.81|30.26|16.81|17.31|0|65
HOSP OP|0302 - LAB/IMMUNOLOGY||86663|EBV EARLY ATGN|39.32|20.84|29.49|31.46|33.42|35.39|33.42|31.77|28.31|26.61|0|39.32|18.81|19.68|13.68|32.18|17.88|17.39|19.19|14.43|29.49|30.71|13.51|14.69|13.51|30.97|30.97|16.29|13.15|13.84|30.97|14.69|14.43|14.69|0|0|0|10.04|13.12|13.12|13.51|13.12|23.62|13.12|13.51|0|39.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|Hb Lyme Disease Antibody Screen Igg|94|49.82|70.5|75.2|79.9|84.6|79.9|75.95|67.68|63.62|0|94|24.41|25.54|17.75|76.94|23.2|22.57|24.9|17.03|70.5|73.41|17.54|19.07|17.54|39.96|39.96|21.13|17.06|17.86|39.96|17.34|17.03|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|94
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|Hb Lyme Disease Antibody Screen Igm|94|49.82|70.5|75.2|79.9|84.6|79.9|75.95|67.68|63.62|0|94|24.41|25.54|17.75|76.94|23.2|22.57|24.9|17.03|70.5|73.41|17.54|19.07|17.54|39.96|39.96|21.13|17.06|17.86|39.96|17.34|17.03|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|94
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|LYME TOTAL ANTIBODY|51.49|27.29|38.62|41.19|43.77|46.34|43.77|41.6|37.07|34.85|0|51.49|24.41|25.54|17.75|42.14|23.2|22.57|24.9|17.03|38.62|40.21|17.54|19.07|17.54|39.96|39.96|21.13|17.06|17.86|39.96|17.34|17.03|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|51.49
HOSP OP|0302 - LAB/IMMUNOLOGY||86617|LYME IgG WESTERN BLOT|22.58|11.97|16.94|18.06|19.19|20.32|19.19|18.24|16.26|15.28|0|22.58|22.2|22.58|16.14|18.48|21.1|20.53|22.58|17.04|16.94|17.63|15.95|17.35|15.95|22.58|22.58|19.37|15.52|16.52|22.58|17.35|17.04|17.35|0|0|0|11.86|15.49|15.49|15.95|15.49|22.58|15.49|15.95|0|22.58
HOSP OP|0302 - LAB/IMMUNOLOGY||86617|LYME IgM WESTERN BLOT|22.58|11.97|16.94|18.06|19.19|20.32|19.19|18.24|16.26|15.28|0|22.58|22.2|22.58|16.14|18.48|21.1|20.53|22.58|17.04|16.94|17.63|15.95|17.35|15.95|22.58|22.58|19.37|15.52|16.52|22.58|17.35|17.04|17.35|0|0|0|11.86|15.49|15.49|15.95|15.49|22.58|15.49|15.95|0|22.58
HOSP OP|0306 - LAB/BACT-MICRO||87449|STREP PNEUMO URINE ATGN DET|42|22.26|31.5|33.6|35.7|37.8|35.7|33.94|30.24|28.43|0|42|17.18|17.98|12.49|34.38|16.33|15.89|17.53|11.98|31.5|32.8|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|12.2|11.98|12.2|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|42
HOSP OP|0302 - LAB/IMMUNOLOGY||86710|INFLUENZA A IgG|28.12|14.9|21.09|22.5|23.9|25.31|23.9|22.72|20.25|19.03|0|28.12|19.43|20.33|14.13|23.02|18.46|17.97|19.82|14.91|21.09|21.96|13.96|15.18|13.96|28.12|28.12|16.73|13.58|14.28|28.12|15.18|14.91|15.18|0|0|0|10.38|13.55|13.55|13.96|13.55|24.39|13.55|13.96|0|28.12
HOSP OP|0302 - LAB/IMMUNOLOGY||86710|INFLUENZA B IgG|26.45|14.02|19.84|21.16|22.48|23.81|22.48|21.37|19.04|17.9|0|26.45|19.43|20.33|14.13|21.65|18.46|17.97|19.82|14.91|19.84|20.66|13.96|15.18|13.96|26.45|26.45|16.73|13.58|14.28|26.45|15.18|14.91|15.18|0|0|0|10.38|13.55|13.55|13.96|13.55|24.39|13.55|13.96|0|26.45
HOSP OP|0302 - LAB/IMMUNOLOGY||86710|INFLUENZA A IgM|28.12|14.9|21.09|22.5|23.9|25.31|23.9|22.72|20.25|19.03|0|28.12|19.43|20.33|14.13|23.02|18.46|17.97|19.82|14.91|21.09|21.96|13.96|15.18|13.96|28.12|28.12|16.73|13.58|14.28|28.12|15.18|14.91|15.18|0|0|0|10.38|13.55|13.55|13.96|13.55|24.39|13.55|13.96|0|28.12
HOSP OP|0302 - LAB/IMMUNOLOGY||86710|INFLUENZA B IgM|26.44|14.01|19.83|21.15|22.47|23.8|22.47|21.36|19.04|17.89|0|26.44|19.43|20.33|14.13|21.64|18.46|17.97|19.82|14.91|19.83|20.65|13.96|15.18|13.96|26.44|26.44|16.73|13.58|14.28|26.44|15.18|14.91|15.18|0|0|0|10.38|13.55|13.55|13.96|13.55|24.39|13.55|13.96|0|26.44
HOSP OP|0302 - LAB/IMMUNOLOGY||86147|Hb Cardiolipin Antibody Igg|72|38.16|54|57.6|61.2|64.8|61.2|58.18|51.84|48.73|0|72|36.48|38.18|26.53|58.93|34.67|33.74|37.23|28|54|56.23|26.21|28.5|26.21|59.95|59.95|31.7|25.5|26.78|59.95|28.5|28|28.5|0|0|0|19.49|25.45|25.45|26.21|25.45|45.81|25.45|26.21|0|72
HOSP OP|0302 - LAB/IMMUNOLOGY||86147|Hb Cardiolipin Antibody Igm|72|38.16|54|57.6|61.2|64.8|61.2|58.18|51.84|48.73|0|72|36.48|38.18|26.53|58.93|34.67|33.74|37.23|28|54|56.23|26.21|28.5|26.21|59.95|59.95|31.7|25.5|26.78|59.95|28.5|28|28.5|0|0|0|19.49|25.45|25.45|26.21|25.45|45.81|25.45|26.21|0|72
HOSP OP|0302 - LAB/IMMUNOLOGY||86665|EBV VIRAL CAPSID  IgG|14.64|7.76|10.98|11.71|12.44|13.18|12.44|11.83|10.54|9.91|0|14.64|14.64|14.64|14.64|11.98|14.64|14.64|14.64|19.95|10.98|11.43|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|20.31|19.95|20.31|0|0|0|13.89|14.64|14.64|14.64|14.64|14.64|14.64|14.64|0|20.31
HOSP OP|0302 - LAB/IMMUNOLOGY||86664|Hb Ebv Nuclear Agn Igg|14.64|7.76|10.98|11.71|12.44|13.18|12.44|11.83|10.54|9.91|0|14.64|14.64|14.64|14.64|11.98|14.64|14.64|14.64|16.82|10.98|11.43|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|17.12|16.82|17.12|0|0|0|11.7|14.64|14.64|14.64|14.64|14.64|14.64|14.64|0|17.12
HOSP OP|0302 - LAB/IMMUNOLOGY||86665|EBV VIRAL CAPSID IgM|14.64|7.76|10.98|11.71|12.44|13.18|12.44|11.83|10.54|9.91|0|14.64|14.64|14.64|14.64|11.98|14.64|14.64|14.64|19.95|10.98|11.43|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|20.31|19.95|20.31|0|0|0|13.89|14.64|14.64|14.64|14.64|14.64|14.64|14.64|0|20.31
HOSP OP|0302 - LAB/IMMUNOLOGY||86747|PARVOVIRUS B19 IgG|21.52|11.41|16.14|17.22|18.29|19.37|18.29|17.39|15.49|14.56|0|21.52|21.52|21.52|15.66|17.61|20.47|19.92|21.52|16.53|16.14|16.81|15.48|16.83|15.48|21.52|21.52|18.93|15.06|16.07|21.52|16.83|16.53|16.83|0|0|0|11.5|15.03|15.03|15.48|15.03|21.52|15.03|15.48|0|21.52
HOSP OP|0302 - LAB/IMMUNOLOGY||86747|PARVOVIRUS B19 IgM|21.53|11.41|16.15|17.22|18.3|19.38|18.3|17.4|15.5|14.57|0|21.53|21.53|21.53|15.66|17.62|20.47|19.92|21.53|16.53|16.15|16.81|15.48|16.83|15.48|21.53|21.53|18.93|15.06|16.07|21.53|16.83|16.53|16.83|0|0|0|11.5|15.03|15.03|15.48|15.03|21.53|15.03|15.48|0|21.53
HOSP OP|0302 - LAB/IMMUNOLOGY||86654|WESTERN EQUINE IgG/IgM|20.78|11.01|15.59|16.62|17.66|18.7|17.66|16.79|14.96|14.06|0|20.78|18.9|19.78|13.74|17.01|17.96|17.48|19.29|14.51|15.59|16.23|13.59|14.77|13.59|20.78|20.78|16.29|13.22|13.84|20.78|14.77|14.51|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|20.78|13.19|13.59|0|20.78
HOSP OP|0302 - LAB/IMMUNOLOGY||86651|LA CROSSE IgG/IgM|20.79|11.02|15.59|16.63|17.67|18.71|17.67|16.8|14.97|14.07|0|20.79|18.9|19.78|13.74|17.02|17.96|17.48|19.29|14.51|15.59|16.24|13.59|14.77|13.59|20.79|20.79|16.29|13.22|13.84|20.79|14.77|14.51|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|20.79|13.19|13.59|0|20.79
HOSP OP|0302 - LAB/IMMUNOLOGY||86652|EASTERN EQUINE IgG/IgM|20.79|11.02|15.59|16.63|17.67|18.71|17.67|16.8|14.97|14.07|0|20.79|18.9|19.78|13.74|17.02|17.96|17.48|19.29|14.51|15.59|16.24|13.59|14.77|13.59|20.79|20.79|16.29|13.22|13.84|20.79|14.77|14.51|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|20.79|13.19|13.59|0|20.79
HOSP OP|0302 - LAB/IMMUNOLOGY||86653|ST. LOUIS ENCEPH IgG/IgM|20.79|11.02|15.59|16.63|17.67|18.71|17.67|16.8|14.97|14.07|0|20.79|18.9|19.78|13.74|17.02|17.96|17.48|19.29|14.51|15.59|16.24|13.59|14.77|13.59|20.79|20.79|16.29|13.22|13.84|20.79|14.77|14.51|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|20.79|13.19|13.59|0|20.79
HOSP OP|0302 - LAB/IMMUNOLOGY||86609|MICROPOLYS. FAENI|25.52|13.53|19.14|20.42|21.69|22.97|21.69|20.62|18.37|17.27|0|25.52|18.46|19.32|13.42|20.89|17.54|17.07|18.84|14.17|19.14|19.93|13.27|14.43|13.27|25.52|25.52|15.85|12.91|13.84|25.52|14.43|14.17|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|25.52
HOSP OP|0302 - LAB/IMMUNOLOGY||86331|THERMO. VULGARIS|25.52|13.53|19.14|20.42|21.69|22.97|21.69|20.62|18.37|17.27|0|25.52|17.17|17.97|12.48|20.89|16.32|15.88|17.52|13.18|19.14|19.93|12.34|13.42|12.34|25.52|25.52|14.97|12|12.5|25.52|13.42|13.18|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|25.52
HOSP OP|0302 - LAB/IMMUNOLOGY||86606|ASPER. FUMIGATUS|28.47|15.09|21.35|22.78|24.2|25.62|24.2|23|20.5|19.27|0|28.47|21.58|22.59|15.69|23.3|20.51|19.96|22.03|16.56|21.35|22.24|15.5|16.86|15.5|28.47|28.47|18.93|15.08|16.07|28.47|16.86|16.56|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|28.47
HOSP OP|0350 - CT SCAN||76377|CT 3D RECON INDEPNT WRKSTN|767|406.51|575.25|613.6|651.95|690.3|0|619.74|552.24|519.11|0|767|767|0|605.81|627.79|767|767|0|0|575.25|599.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|730.1|0|0|33.61|0|0|32.63|0|0|767
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO MYCELIA-CF|18.5|9.8|13.88|14.8|15.73|16.65|15.73|14.95|13.32|12.52|0|18.5|17.91|18.5|13.02|15.14|17.02|16.56|18.27|15.17|13.88|14.45|14.2|15.44|14.2|18.5|18.5|15.41|13.82|13.39|18.5|15.44|15.17|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|18.5|13.79|14.2|0|18.5
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO MYCELIA-ID|18.51|9.81|13.88|14.81|15.73|16.66|15.73|14.96|13.33|12.53|0|18.51|17.91|18.51|13.02|15.15|17.02|16.56|18.27|15.17|13.88|14.46|14.2|15.44|14.2|18.51|18.51|15.41|13.82|13.39|18.51|15.44|15.17|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|18.51|13.79|14.2|0|18.51
HOSP OP|0302 - LAB/IMMUNOLOGY||86612|Hb Blastomyces Ab Immunodiffusion Serum|47.93|25.4|35.95|38.34|40.74|43.14|40.74|38.73|34.51|32.44|0|47.93|18.5|19.36|13.45|39.23|17.58|17.11|18.88|14.19|35.95|37.43|13.29|14.45|13.29|30.97|30.97|16.29|12.93|13.84|30.97|14.45|14.19|14.45|0|0|0|9.88|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|47.93
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO YEAST-CF|18.51|9.81|13.88|14.81|15.73|16.66|15.73|14.96|13.33|12.53|0|18.51|17.91|18.51|13.02|15.15|17.02|16.56|18.27|15.17|13.88|14.46|14.2|15.44|14.2|18.51|18.51|15.41|13.82|13.39|18.51|15.44|15.17|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|18.51|13.79|14.2|0|18.51
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES-CF IgG|12.55|6.65|9.41|10.04|10.67|11.3|10.67|10.14|9.04|8.49|0|12.55|12.55|12.55|11.96|10.27|12.55|12.55|12.55|12.62|9.41|9.8|11.81|12.55|11.81|12.55|12.55|12.55|11.49|12.05|12.55|12.85|12.62|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|12.55|11.47|11.81|0|12.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES-ID IgG|12.54|6.65|9.41|10.03|10.66|11.29|10.66|10.13|9.03|8.49|0|12.54|12.54|12.54|11.96|10.26|12.54|12.54|12.54|12.62|9.41|9.79|11.81|12.54|11.81|12.54|12.54|12.54|11.49|12.05|12.54|12.85|12.62|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|12.54|11.47|11.81|0|12.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86612|Hb Blastomyces Antibody By Eia Serum|69.5|36.83|52.13|55.6|59.08|62.55|59.08|56.16|50.04|47.04|0|69.5|18.5|19.36|13.45|56.89|17.58|17.11|18.88|14.19|52.13|54.28|13.29|14.45|13.29|30.97|30.97|16.29|12.93|13.84|30.97|14.45|14.19|14.45|0|0|0|9.88|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|69.5
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|Hb Coccidioides Antibody Screen Serum|51.84|27.48|38.88|41.47|44.06|46.66|44.06|41.89|37.32|35.09|0|51.84|16.45|17.21|11.96|42.43|15.63|15.21|16.78|12.62|38.88|40.49|11.81|12.85|11.81|26.98|26.98|14.53|11.49|12.05|26.98|12.85|12.62|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|20.65|11.47|11.81|0|51.84
HOSP OP|0306 - LAB/BACT-MICRO||87899|Hb Cryptococcus Antigen Titer Lfa|69.24|36.7|51.93|55.39|58.85|62.32|58.85|55.95|49.85|46.86|0|69.24|20.73|21.69|15.07|56.67|19.7|19.17|21.15|16.07|51.93|54.08|16.55|18|16.55|33.97|33.97|16.29|16.1|15.18|33.97|16.36|16.07|16.36|0|0|0|11.07|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|69.24
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIOIDES-ID IgM|12.55|6.65|9.41|10.04|10.67|11.3|10.67|10.14|9.04|8.49|0|12.55|12.55|12.55|11.96|10.27|12.55|12.55|12.55|12.62|9.41|9.8|11.81|12.55|11.81|12.55|12.55|12.55|11.49|12.05|12.55|12.85|12.62|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|12.55|11.47|11.81|0|12.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES CF - CSF|26.37|13.98|19.78|21.1|22.41|23.73|22.41|21.31|18.99|17.85|0|26.37|16.45|17.21|11.96|21.58|15.63|15.21|16.78|12.62|19.78|20.59|11.81|12.85|11.81|26.37|26.37|14.53|11.49|12.05|26.37|12.85|12.62|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|20.65|11.47|11.81|0|26.37
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES ID IgG - CSF|26.36|13.97|19.77|21.09|22.41|23.72|22.41|21.3|18.98|17.84|0|26.36|16.45|17.21|11.96|21.58|15.63|15.21|16.78|12.62|19.77|20.59|11.81|12.85|11.81|26.36|26.36|14.53|11.49|12.05|26.36|12.85|12.62|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|20.65|11.47|11.81|0|26.36
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES ID IgM - CSF|26.37|13.98|19.78|21.1|22.41|23.73|22.41|21.31|18.99|17.85|0|26.37|16.45|17.21|11.96|21.58|15.63|15.21|16.78|12.62|19.78|20.59|11.81|12.85|11.81|26.37|26.37|14.53|11.49|12.05|26.37|12.85|12.62|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|20.65|11.47|11.81|0|26.37
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO MYCELIAL CF - CSF|23.87|12.65|17.9|19.1|20.29|21.48|20.29|19.29|17.19|16.16|0|23.87|17.91|18.74|13.02|19.54|17.02|16.56|18.27|15.17|17.9|18.64|14.2|15.44|14.2|23.87|23.87|15.41|13.82|13.39|23.87|15.44|15.17|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|23.87|13.79|14.2|0|23.87
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO MYCELIAL ID - CSF|23.87|12.65|17.9|19.1|20.29|21.48|20.29|19.29|17.19|16.16|0|23.87|17.91|18.74|13.02|19.54|17.02|16.56|18.27|15.17|17.9|18.64|14.2|15.44|14.2|23.87|23.87|15.41|13.82|13.39|23.87|15.44|15.17|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|23.87|13.79|14.2|0|23.87
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO YEAST CF - CSF|23.87|12.65|17.9|19.1|20.29|21.48|20.29|19.29|17.19|16.16|0|23.87|17.91|18.74|13.02|19.54|17.02|16.56|18.27|15.17|17.9|18.64|14.2|15.44|14.2|23.87|23.87|15.41|13.82|13.39|23.87|15.44|15.17|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|23.87|13.79|14.2|0|23.87
HOSP OP|0302 - LAB/IMMUNOLOGY||86612|Hb Blastomyces Ab Immunodiffusion Csf|84.47|44.77|63.35|67.58|71.8|76.02|71.8|68.25|60.82|57.17|0|84.47|18.5|19.36|13.45|69.14|17.58|17.11|18.88|14.19|63.35|65.97|13.29|14.45|13.29|30.97|30.97|16.29|12.93|13.84|30.97|14.45|14.19|14.45|0|0|0|9.88|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|84.47
HOSP OP|0301 - LAB/CHEMISTRY||84157|CSF PROTEIN|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|5.25|5.49|3.82|23.74|4.99|4.86|5.35|4|21.75|22.65|4.12|4.48|4.12|8.99|8.99|4.4|4.01|4.02|8.99|4.07|4|4.07|0|0|0|2.8|4|4|4.12|4|7.2|4|4.12|0|29
HOSP OP|0301 - LAB/CHEMISTRY||82108|ALUMINUM|46.47|24.63|34.85|37.18|39.5|41.82|39.5|37.55|33.46|31.45|0|46.47|36.52|38.22|26.55|38.04|34.71|33.77|37.26|28.03|34.85|36.29|26.24|28.54|26.24|46.47|46.47|31.7|25.53|27.23|46.47|28.53|28.03|28.53|0|0|0|19.5|25.48|25.48|26.24|25.48|45.86|25.48|26.24|0|46.47
HOSP OP|0301 - LAB/CHEMISTRY||82105|AFP TUMOR MARKER|108|57.24|81|86.4|91.8|97.2|91.8|87.26|77.76|73.09|0|108|24.05|25.16|17.48|88.4|22.85|22.24|24.53|18.45|81|84.35|17.27|18.78|17.27|39.96|39.96|21.13|16.8|17.86|39.96|18.78|18.45|18.78|0|0|0|12.84|16.77|16.77|17.27|16.77|30.19|16.77|17.27|0|108
HOSP OP|0302 - LAB/IMMUNOLOGY||86332|RAJI CELL IMMUNE COMPLEX ASSAY|136.3|72.24|102.23|109.04|115.86|122.67|115.86|110.13|98.14|92.25|0|136.3|34.93|36.56|25.4|111.56|33.2|32.31|35.65|26.81|102.23|106.45|25.1|27.29|25.1|57.95|57.95|30.38|24.42|25.89|57.95|27.29|26.81|27.29|0|0|0|18.66|24.37|24.37|25.1|24.37|43.87|24.37|25.1|0|136.3
HOSP OP|0302 - LAB/IMMUNOLOGY||86332|C1Q BINDING|51.2|27.14|38.4|40.96|43.52|46.08|43.52|41.37|36.86|34.65|0|51.2|34.93|36.56|25.4|41.91|33.2|32.31|35.65|26.81|38.4|39.99|25.1|27.29|25.1|51.2|51.2|30.38|24.42|25.89|51.2|27.29|26.81|27.29|0|0|0|18.66|24.37|24.37|25.1|24.37|43.87|24.37|25.1|0|51.2
HOSP OP|0301 - LAB/CHEMISTRY||82542|FELBAMATE (FELBATOL)|59.35|31.46|44.51|47.48|50.45|53.42|50.45|47.95|42.73|40.17|0|59.35|31.08|32.52|22.6|48.58|29.53|28.74|31.71|26.5|44.51|46.35|24.81|26.98|24.81|51.95|51.95|24.21|24.14|23.21|51.95|26.98|26.5|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|59.35
HOSP OP|0301 - LAB/CHEMISTRY||80171|GABAPENTIN (NEURONTIN)|45.9|24.33|34.43|36.72|39.02|41.31|39.02|37.09|33.05|31.07|0|45.9|27.95|29.25|20.33|37.57|26.57|25.85|28.52|23.84|34.43|35.85|22.32|24.27|22.32|45.9|45.9|22.01|21.71|20.53|45.9|24.27|23.84|24.27|0|0|0|14.93|21.67|21.67|22.32|21.67|39.01|21.67|22.32|0|45.9
HOSP OP|0301 - LAB/CHEMISTRY||84586|V I PEPTIDE|79.57|42.17|59.68|63.66|67.63|71.61|67.63|64.29|57.29|53.85|0|79.57|50.65|53|36.83|65.13|48.13|46.84|51.68|38.86|59.68|62.14|36.39|39.57|36.39|79.57|79.57|44.03|35.4|37.5|79.57|39.56|38.86|39.56|0|0|0|27.05|35.33|35.33|36.39|35.33|63.59|35.33|36.39|0|79.57
HOSP OP|0301 - LAB/CHEMISTRY||84182|Hb 68 Kd (hsp-70) Antibodies|224.2|118.83|168.15|179.36|190.57|201.78|190.57|181.15|161.42|151.74|0|224.2|37.49|39.43|27.26|183.51|35.63|34.67|38.44|56.65|168.15|175.1|30.09|32.72|30.09|61.94|61.94|29.5|29.27|27.68|61.94|57.67|56.65|26.9|0|0|0|20.02|29.21|29.21|30.09|29.21|52.58|29.21|30.09|0|224.2
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|NEURON SPECIFIC ENOLASE CSF|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|22.28|23.31|16.2|54.54|21.17|20.6|22.73|17.27|49.97|52.04|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|66.63
HOSP OP|0301 - LAB/CHEMISTRY||83516|HB TISSUE TRANSGLUTAMINASE IGA|59|31.27|44.25|47.2|50.15|53.1|50.15|47.67|42.48|39.93|0|59|16.52|17.29|12.02|48.29|15.71|15.28|16.86|11.53|44.25|46.08|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|59
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Neuronal Nuclear Antibody Type 1|57.02|30.22|42.77|45.62|48.47|51.32|48.47|46.07|41.05|38.59|0|57.02|37.49|18.08|27.26|46.67|35.63|34.67|17.63|56.65|42.77|44.53|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||86256|HB NEURONAL NUCLEAR ANTIBODY TYPE 2|57.02|30.22|42.77|45.62|48.47|51.32|48.47|46.07|41.05|38.59|0|57.02|37.49|18.08|27.26|46.67|35.63|34.67|17.63|56.65|42.77|44.53|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Purkinje Cell Cytoplasmic Atby Type 1|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|56.65|36.71|38.23|12.41|13.5|12.41|48.95|48.95|22.45|12.07|22.77|48.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Amphiphysin|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|56.65|36.71|38.23|12.41|13.5|12.41|48.95|48.95|22.45|12.07|22.77|48.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Crmp-5 Igg|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|56.65|36.71|38.23|12.41|13.5|12.41|48.95|48.95|22.45|12.07|22.77|48.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0301 - LAB/CHEMISTRY||80180|MYCOPHENOLIC ACID|52.55|27.85|39.41|42.04|44.67|47.3|44.67|42.46|37.84|35.57|0|52.55|25.88|27.08|18.82|43.01|24.59|23.93|26.4|19.86|39.41|41.04|18.59|20.22|18.59|42.96|42.96|22.45|18.09|19.2|42.96|20.22|19.86|20.22|0|0|0|13.82|18.05|18.05|18.59|18.05|32.49|18.05|18.59|0|52.55
HOSP OP|0302 - LAB/IMMUNOLOGY||86341|GAD65 / ISLET CELL AB|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|30.41|31.82|22.11|54.54|28.9|28.12|31.02|25.93|49.97|52.04|24.28|26.4|24.28|49.96|49.96|24.65|23.62|22.32|49.96|26.4|25.93|26.4|0|0|0|16.24|23.57|23.57|24.28|23.57|42.43|23.57|24.28|0|66.63
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Purkinje Cell Cytoplasmic Atby Tr|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|56.65|36.71|38.23|12.41|13.5|12.41|48.95|48.95|22.45|12.07|22.77|48.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Neuronal Nuclear Antibody Type 3|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|37.49|18.08|27.26|46.65|35.63|34.67|17.63|56.65|42.75|44.52|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Purkinje Cell Cytoplasmic Atby Type 2|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|56.65|36.71|38.23|12.41|13.5|12.41|48.95|48.95|22.45|12.07|22.77|48.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0301 - LAB/CHEMISTRY||83835|METANEPHRINES PLASMA|43.47|23.04|32.6|34.78|36.95|39.12|36.95|35.12|31.3|29.42|0|43.47|24.28|25.41|17.65|35.58|23.07|22.45|24.77|18.63|32.6|33.95|17.45|18.97|17.45|39.96|39.96|21.13|16.97|17.86|39.96|18.97|18.63|18.97|0|0|0|12.97|16.94|16.94|17.45|16.94|30.49|16.94|17.45|0|43.47
HOSP OP|0301 - LAB/CHEMISTRY||82945|CSF GLUCOSE|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.64|5.9|4.1|25.37|5.36|5.21|5.75|4.32|23.25|24.21|4.05|4.4|4.05|8.99|8.99|4.84|3.94|4.02|8.99|4.4|4.32|4.4|0|0|0|3|3.93|3.93|4.05|3.93|7.07|3.93|4.05|0|31
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|PARANEOPLASTIC EVAL CSF|81.07|42.97|60.8|64.86|68.91|72.96|68.91|65.5|58.37|54.87|0|81.07|37.49|18.08|27.26|66.36|35.63|34.67|17.63|56.65|60.8|63.32|12.41|13.5|12.41|50.95|50.95|22.45|12.07|22.77|50.95|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|81.07
HOSP OP|0301 - LAB/CHEMISTRY||84270|SEX HORMONE BINDING GLOBULIN|38.07|20.18|28.55|30.46|32.36|34.26|32.36|30.76|27.41|25.77|0|38.07|31.15|32.6|22.65|31.16|29.61|28.81|31.79|23.9|28.55|29.73|22.38|24.34|22.38|38.07|38.07|27.3|21.77|23.21|38.07|24.33|23.9|24.33|0|0|0|16.64|21.73|21.73|22.38|21.73|38.07|21.73|22.38|0|38.07
HOSP OP|0301 - LAB/CHEMISTRY||84182|CRMP-5 WESTERN BLOT|132.6|70.28|99.45|106.08|112.71|119.34|112.71|107.14|95.47|89.74|0|132.6|37.49|39.43|27.26|108.53|35.63|34.67|38.44|56.65|99.45|103.56|30.09|32.72|30.09|61.94|61.94|29.5|29.27|27.68|61.94|57.67|56.65|26.9|0|0|0|20.02|29.21|29.21|30.09|29.21|52.58|29.21|30.09|0|132.6
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|STRIATIONAL ABY|56.81|30.11|42.61|45.45|48.29|51.13|48.29|45.9|40.9|38.45|0|56.81|22.28|23.31|16.2|46.5|21.17|20.6|22.73|17.27|42.61|44.37|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|56.81
HOSP OP|0301 - LAB/CHEMISTRY||80053|COMP METAB PROFILE|82|43.46|61.5|65.6|69.7|73.8|69.7|66.26|59.04|55.5|0|82|15.14|15.85|11.01|67.12|14.39|14.01|15.45|10.56|61.5|64.04|10.88|11.83|10.88|24.98|24.98|13.21|10.58|11.16|24.98|10.75|10.56|10.75|0|0|0|8.08|10.56|10.56|10.88|10.56|19.01|10.56|10.88|0|82
HOSP OP|0301 - LAB/CHEMISTRY||82820|Hb Oxygen Dissociation P50 Rbc|195.56|103.65|146.67|156.45|166.23|176|166.23|158.01|140.8|132.36|0|195.56|17.21|18.01|12.51|160.07|16.35|15.91|17.56|14.67|146.67|152.73|13.74|14.94|13.74|28.97|28.97|13.65|13.37|12.95|28.97|14.93|14.67|14.93|0|0|0|9.19|13.34|13.34|13.74|13.34|24.01|13.34|13.74|0|195.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86340|INTRINSIC FACTOR BLOCKING AB|46.68|24.74|35.01|37.34|39.68|42.01|39.68|37.72|33.61|31.59|0|46.68|21.61|22.61|15.71|38.21|20.54|19.98|22.04|16.59|35.01|36.46|15.53|16.89|15.53|35.97|35.97|18.93|15.11|16.07|35.97|16.89|16.59|16.89|0|0|0|11.54|15.08|15.08|15.53|15.08|27.14|15.08|15.53|0|46.68
HOSP OP|0301 - LAB/CHEMISTRY||82150|BF AMYLASE|49|25.97|36.75|39.2|41.65|44.1|41.65|39.59|35.28|33.16|0|49|9.29|9.72|6.75|40.11|8.83|8.59|9.48|6.48|36.75|38.27|6.67|7.26|6.67|14.99|14.99|7.92|6.49|6.7|14.99|6.6|6.48|6.6|0|0|0|4.96|6.48|6.48|6.67|6.48|11.66|6.48|6.67|0|49
HOSP OP|0301 - LAB/CHEMISTRY||82945|BF GLUCOSE|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.64|5.9|4.1|25.37|5.36|5.21|5.75|4.32|23.25|24.21|4.05|4.4|4.05|8.99|8.99|4.84|3.94|4.02|8.99|4.4|4.32|4.4|0|0|0|3|3.93|3.93|4.05|3.93|7.07|3.93|4.05|0|31
HOSP OP|0301 - LAB/CHEMISTRY||83615|BF LDH|38|20.14|28.5|30.4|32.3|34.2|32.3|30.7|27.36|25.72|0|38|8.66|9.06|6.29|31.1|8.23|8.01|8.83|6.64|28.5|29.68|6.22|6.76|6.22|13.99|13.99|7.48|6.05|6.25|13.99|6.76|6.64|6.76|0|0|0|4.62|6.04|6.04|6.22|6.04|10.87|6.04|6.22|0|38
HOSP OP|0301 - LAB/CHEMISTRY||82570|BF CREATININE|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|7.42|7.76|5.39|27.83|7.05|6.86|7.57|5.18|25.5|26.55|5.34|5.8|5.34|11.99|11.99|6.6|5.19|5.36|11.99|5.27|5.18|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|34
HOSP OP|0301 - LAB/CHEMISTRY||84520|BF UREA NITROGEN (BUN)|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|5.66|5.93|4.12|16.37|5.38|5.24|5.78|3.95|15|15.62|4.07|4.42|4.07|8.99|8.99|4.84|3.96|4.02|8.99|4.02|3.95|4.02|0|0|0|3.02|3.95|3.95|4.07|3.95|7.11|3.95|4.07|0|20
HOSP OP|0301 - LAB/CHEMISTRY||84478|BF TRIGLYCERIDE|28|14.84|21|22.4|23.8|25.2|23.8|22.62|20.16|18.95|0|28|8.23|8.61|5.98|22.92|7.82|7.61|8.39|5.74|21|21.87|5.91|6.43|5.91|13.99|13.99|7.04|5.75|6.25|13.99|5.84|5.74|5.84|0|0|7.15|4.4|5.74|5.74|5.91|5.74|10.33|5.74|5.91|0|28
HOSP OP|0301 - LAB/CHEMISTRY||82042|BF ALBUMIN|39|20.67|29.25|31.2|33.15|35.1|33.15|31.51|28.08|26.4|0|39|10.04|10.5|7.3|31.92|9.54|9.28|10.24|7.78|29.25|30.46|8.01|8.71|8.01|16.98|16.98|7.92|7.8|7.59|16.98|7.92|7.78|7.92|0|0|0|5.36|7.78|7.78|8.01|7.78|14|7.78|8.01|0|39
HOSP OP|0301 - LAB/CHEMISTRY||82247|BF BILIRUBIN|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.19|7.52|5.22|16.37|6.83|6.65|7.33|5.02|15|15.62|5.17|5.62|5.17|11.99|11.99|6.16|5.03|5.36|11.99|5.11|5.02|5.11|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|20
HOSP OP|0302 - LAB/IMMUNOLOGY||86146|Hb Beta-2-glycoprotein 1 Igm|58|30.74|43.5|46.4|49.3|52.2|49.3|46.86|41.76|39.25|0|58|36.48|38.18|26.53|47.47|34.67|33.74|37.23|28|43.5|45.3|26.21|28.5|26.21|58|58|31.7|25.5|26.78|58|28.5|28|28.5|0|0|0|19.49|25.45|25.45|26.21|25.45|45.81|25.45|26.21|0|58
HOSP OP|0306 - LAB/BACT-MICRO||87476|LYME DNA by PCR|26.58|14.09|19.94|21.26|22.59|23.92|22.59|21.48|19.14|17.99|0|26.58|26.58|26.58|26.58|21.76|26.58|26.58|26.58|38.6|19.94|20.76|26.58|26.58|26.58|26.58|26.58|26.58|26.58|26.58|26.58|39.29|38.6|39.29|0|0|0|26.05|26.58|26.58|26.58|26.58|26.58|26.58|26.58|0|39.29
HOSP OP|0301 - LAB/CHEMISTRY||80320|Hb Alcohol Urine|36.2|19.19|27.15|28.96|30.77|32.58|30.77|29.25|26.06|24.5|0|36.2|31.49|0|22.9|29.63|29.93|29.12|0|16.21|27.15|28.27|36.2|0|36.2|28.74|36.2|36.2|14.48|16.96|36.2|16.5|16.21|16.5|0|0|0|35.48|36.2|36.2|36.2|36.2|36.2|36.2|36.2|0|36.2
HOSP OP|0301 - LAB/CHEMISTRY||80199|GABITRIL/TIAGABINE|72.14|38.23|54.11|57.71|61.32|64.93|61.32|58.29|51.94|48.82|0|72.14|34.97|36.6|25.43|59.05|33.24|32.34|35.69|29.82|54.11|56.34|27.92|30.36|27.92|57.95|57.95|27.3|27.16|25.89|57.95|30.36|29.82|30.36|0|0|0|18.68|27.11|27.11|27.92|27.11|48.8|27.11|27.92|0|72.14
HOSP OP|0301 - LAB/CHEMISTRY||83520|TUMOR NECROSIS FACTOR-ALPHA|119.2|63.18|89.4|95.36|101.32|107.28|101.32|96.31|85.82|80.67|0|119.2|22.28|23.31|16.2|97.57|21.17|20.6|22.73|17.27|89.4|93.1|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|119.2
HOSP OP|0302 - LAB/IMMUNOLOGY||80184|PHENOBARBITAL UNBOUND|55.82|29.58|41.87|44.66|47.45|50.24|47.45|45.1|40.19|37.78|0|55.82|19.74|20.66|14.35|45.69|18.76|18.25|20.14|16.83|41.87|43.6|15.76|17.14|15.76|32.97|32.97|15.41|15.33|14.73|32.97|17.13|16.83|17.13|0|0|0|10.54|15.3|15.3|15.76|15.3|27.54|15.3|15.76|0|55.82
HOSP OP|0301 - LAB/CHEMISTRY||80342|OLANZAPINE (ZYPREXA)|85.4|45.26|64.05|68.32|72.59|76.86|72.59|69|61.49|57.8|0|85.4|31.49|0|22.9|69.9|29.93|29.12|0|26.56|64.05|66.7|85.4|0|85.4|44.96|44.96|85.4|34.16|20.09|44.96|27.04|26.56|27.04|0|0|0|78.86|85.4|85.4|85.4|85.4|85.4|85.4|85.4|0|85.4
HOSP OP|0301 - LAB/CHEMISTRY||80360|METHYLPHENIDATE (RITALIN)|75.09|39.8|56.32|60.07|63.83|67.58|63.83|60.67|54.06|50.82|0|75.09|31.49|0|22.9|61.46|29.93|29.12|0|26.5|56.32|58.65|75.09|0|75.09|47.96|47.96|75.09|30.04|21.43|47.96|26.98|26.5|26.98|0|0|0|73.59|75.09|75.09|75.09|75.09|75.09|75.09|75.09|0|75.09
HOSP OP|0301 - LAB/CHEMISTRY||80320|ETHYLENE GLYCOL|98.2|52.05|73.65|78.56|83.47|88.38|83.47|79.35|70.7|66.46|0|98.2|31.49|0|22.9|80.38|29.93|29.12|0|16.21|73.65|76.69|98.2|0|98.2|77.97|37.97|98.2|39.28|16.96|37.97|16.5|16.21|16.5|0|0|0|78.86|0|0|98.2|0|49.1|98.2|98.2|0|98.2
HOSP OP|0301 - LAB/CHEMISTRY||80320|ISOPROPYL ALCOHOL|92.2|48.87|69.15|73.76|78.37|82.98|78.37|74.5|66.38|62.4|0|92.2|31.49|0|22.9|75.47|29.93|29.12|0|16.21|69.15|72.01|92.2|0|92.2|73.21|37.97|92.2|36.88|16.96|37.97|16.5|16.21|16.5|0|0|0|78.86|92.2|92.2|92.2|92.2|92.2|92.2|92.2|0|92.2
HOSP OP|0301 - LAB/CHEMISTRY||80320|METHYL ALCOHOL|92.2|48.87|69.15|73.76|78.37|82.98|78.37|74.5|66.38|62.4|0|92.2|31.49|0|22.9|75.47|29.93|29.12|0|16.21|69.15|72.01|92.2|0|92.2|73.21|37.97|92.2|36.88|16.96|37.97|16.5|16.21|16.5|0|0|0|78.86|0|0|92.2|0|92.2|92.2|92.2|0|92.2
HOSP OP|0301 - LAB/CHEMISTRY||80299|FLECAINIDE (TAMBOCOR)|67.14|35.58|50.36|53.71|57.07|60.43|57.07|54.25|48.34|45.44|0|67.14|24.05|25.16|17.48|54.95|22.85|22.24|24.53|20.5|50.36|52.44|19.2|20.88|19.2|39.96|39.96|18.93|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|67.14
HOSP OP|0301 - LAB/CHEMISTRY||80342|QUETIAPINE (SEROQUEL)|74.18|39.32|55.64|59.34|63.05|66.76|63.05|59.94|53.41|50.21|0|74.18|31.49|0|22.9|60.72|29.93|29.12|0|26.56|55.64|57.93|74.18|0|74.18|44.96|44.96|74.18|29.67|20.09|44.96|27.04|26.56|27.04|0|0|0|72.7|74.18|74.18|74.18|74.18|74.18|74.18|74.18|0|74.18
HOSP OP|0302 - LAB/IMMUNOLOGY||86300|CA 27.29|136|72.08|102|108.8|115.6|122.4|115.6|109.89|97.92|92.04|0|136|29.84|31.23|21.7|111.32|28.36|27.59|30.45|22.89|102|106.22|21.43|23.31|21.43|48.96|48.96|25.97|20.85|21.87|48.96|23.3|22.89|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|136
HOSP OP|0301 - LAB/CHEMISTRY||80175|LAMOTRIGINE (LAMICTAL)|35.1|18.6|26.33|28.08|29.84|31.59|29.84|28.36|25.27|23.76|0|35.1|19|19.89|13.82|28.73|18.06|17.57|19.39|14.58|26.33|27.41|13.65|14.84|13.65|31.97|31.97|16.73|13.28|14.28|31.97|14.84|14.58|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|35.1
HOSP OP|0302 - LAB/IMMUNOLOGY||80165|VALPROIC ACID UNBOUND|55.82|29.58|41.87|44.66|47.45|50.24|47.45|45.1|40.19|37.78|0|55.82|19.41|20.32|14.12|45.69|18.45|17.95|19.81|14.89|41.87|43.6|13.95|15.16|13.95|31.97|31.97|16.73|13.57|14.28|31.97|15.16|14.89|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|55.82
HOSP OP|0301 - LAB/CHEMISTRY||80299|CITALOPRAM (CELEXA)|80.34|42.58|60.26|64.27|68.29|72.31|68.29|64.91|57.84|54.37|0|80.34|24.05|25.16|17.48|65.76|22.85|22.24|24.53|20.5|60.26|62.75|19.2|20.88|19.2|39.96|39.96|18.93|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|80.34
HOSP OP|0305 - LAB/HEMATOLOGY||85810|VISCOSITY SERUM|78.68|41.7|59.01|62.94|66.88|70.81|66.88|63.57|56.65|53.25|0|78.68|16.73|17.51|12.17|64.4|15.9|15.47|17.07|12.84|59.01|61.45|12.02|13.07|12.02|27.97|27.97|14.53|11.69|12.5|27.97|13.07|12.84|13.07|0|0|0|8.94|11.67|11.67|12.02|11.67|21.01|11.67|12.02|0|78.68
HOSP OP|0301 - LAB/CHEMISTRY||83090|HOMOCYSTEINE PLASMA|103|54.59|77.25|82.4|87.55|92.7|87.55|83.22|74.16|69.71|0|103|24.17|25.3|17.58|84.31|22.98|22.36|24.67|19.71|77.25|80.44|18.46|20.07|18.46|39.96|39.96|21.13|17.96|17.86|39.96|20.06|19.71|20.06|0|0|0|12.91|17.92|17.92|18.46|17.92|32.26|17.92|18.46|0|103
HOSP OP|0301 - LAB/CHEMISTRY||80342|RISPERIDONE (RISPERDAL)|84.38|44.72|63.29|67.5|71.72|75.94|71.72|68.18|60.75|57.11|0|84.38|31.49|0|22.9|69.07|29.93|29.12|0|26.56|63.29|65.9|84.38|0|84.38|44.96|44.96|84.38|33.75|20.09|44.96|27.04|26.56|27.04|0|0|0|78.86|84.38|84.38|84.38|84.38|84.38|84.38|84.38|0|84.38
HOSP OP|0301 - LAB/CHEMISTRY||80299|VENLAFAXINE (EFFEXOR)|80.34|42.58|60.26|64.27|68.29|72.31|68.29|64.91|57.84|54.37|0|80.34|24.05|25.16|17.48|65.76|22.85|22.24|24.53|20.5|60.26|62.75|19.2|20.88|19.2|39.96|39.96|18.93|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|80.34
HOSP OP|0306 - LAB/BACT-MICRO||87449|LEGIONELLA URINE ATGN DET|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|17.18|17.98|12.49|59.75|16.33|15.89|17.53|11.98|54.75|57.01|12.34|13.42|12.34|27.97|27.97|14.97|12|12.5|27.97|12.2|11.98|12.2|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|73
HOSP OP|0301 - LAB/CHEMISTRY||83615|LDH TOTAL|19.29|10.22|14.47|15.43|16.4|17.36|16.4|15.59|13.89|13.06|0|19.29|8.66|9.06|6.29|15.79|8.23|8.01|8.83|6.64|14.47|15.07|6.22|6.76|6.22|13.99|13.99|7.48|6.05|6.25|13.99|6.76|6.64|6.76|0|0|0|4.62|6.04|6.04|6.22|6.04|10.87|6.04|6.22|0|19.29
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|MODULATING AChR|79.56|42.17|59.67|63.65|67.63|71.6|67.63|64.28|57.28|53.85|0|79.56|23.74|24.84|17.26|65.12|22.56|21.95|24.22|20.24|59.67|62.14|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|79.56
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|ACHR BINDING ATBY|49.56|26.27|37.17|39.65|42.13|44.6|42.13|40.04|35.68|33.54|0|49.56|23.74|24.84|17.26|40.56|22.56|21.95|24.22|20.24|37.17|38.71|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|49.56
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|ACHR MODULATING ATBY|62.1|32.91|46.58|49.68|52.79|55.89|52.79|50.18|44.71|42.03|0|62.1|23.74|24.84|17.26|50.83|22.56|21.95|24.22|20.24|46.58|48.5|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|62.1
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|STRIATIONAL ATBY|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|22.28|23.31|16.2|38.47|21.17|20.6|22.73|17.27|35.25|36.71|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|47
HOSP OP|0301 - LAB/CHEMISTRY||83516|Hb Gliadin (deamidated) Peptide Atby Igg|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|16.52|17.29|12.02|55.66|15.71|15.28|16.86|11.53|51|53.11|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|68
HOSP OP|0301 - LAB/CHEMISTRY||83516|Hb Gliadin (deamidated) Peptide Atby Iga|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|16.52|17.29|12.02|54.84|15.71|15.28|16.86|11.53|50.25|52.33|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|67
HOSP OP|0301 - LAB/CHEMISTRY||80197|FK506-TACROLIMUS|41.45|21.97|31.09|33.16|35.23|37.31|35.23|33.49|29.84|28.05|0|41.45|19.69|20.6|14.31|33.93|18.71|18.21|20.09|15.1|31.09|32.37|14.14|15.38|14.14|32.97|32.97|17.17|13.76|14.73|32.97|15.37|15.1|15.37|0|0|0|10.51|13.73|13.73|14.14|13.73|24.71|13.73|14.14|0|41.45
HOSP OP|0301 - LAB/CHEMISTRY||83516|MAG ANTIBODY IGM (MAG / SGPG)|54.85|29.07|41.14|43.88|46.62|49.37|46.62|44.32|39.49|37.12|0|54.85|16.52|17.29|12.02|44.89|15.71|15.28|16.86|11.53|41.14|42.84|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|54.85
HOSP OP|0306 - LAB/BACT-MICRO||87496|CMV DNA by PCR|74.2|39.33|55.65|59.36|63.07|66.78|63.07|59.95|53.42|50.22|0|74.2|50.3|52.64|36.57|60.73|47.8|46.52|51.32|38.6|55.65|57.95|36.14|39.3|36.14|74.2|74.2|43.59|35.16|37.05|74.2|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|74.2
HOSP OP|0306 - LAB/BACT-MICRO||87798|PARVOVIRUS PCR|151.3|80.19|113.48|121.04|128.61|136.17|128.61|122.25|108.94|102.4|0|151.3|50.3|52.64|36.57|123.84|47.8|46.52|51.32|38.6|113.48|118.17|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|151.3
HOSP OP|0301 - LAB/CHEMISTRY||80201|TOPIRAMATE (TOPAMAX)|56.84|30.13|42.63|45.47|48.31|51.16|48.31|45.93|40.92|38.47|0|56.84|17.08|17.87|12.42|46.52|16.23|15.8|17.42|13.11|42.63|44.39|12.28|13.35|12.28|27.97|27.97|14.97|11.94|12.5|27.97|13.35|13.11|13.35|0|0|0|9.12|11.92|11.92|12.28|11.92|21.46|11.92|12.28|0|56.84
HOSP OP|0301 - LAB/CHEMISTRY||80183|OXCARBAZEPINE (TRILEPTAL)|61.94|32.83|46.46|49.55|52.65|55.75|52.65|50.05|44.6|41.92|0|61.94|19|19.89|13.82|50.7|18.06|17.57|19.39|14.58|46.46|48.38|13.65|14.84|13.65|31.97|31.97|16.73|13.28|14.28|31.97|14.84|14.58|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|61.94
HOSP OP|0301 - LAB/CHEMISTRY||80203|ZONISAMIDE (ZONEGRAN)|62.96|33.37|47.22|50.37|53.52|56.66|53.52|50.87|45.33|42.61|0|62.96|19|19.89|13.82|51.53|18.06|17.57|19.39|14.58|47.22|49.17|13.65|14.84|13.65|31.97|31.97|16.73|13.28|14.28|31.97|14.84|14.58|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|62.96
HOSP OP|0301 - LAB/CHEMISTRY||80177|LEVETIRACETAM (KEPPRA)|90.3|47.86|67.73|72.24|76.76|81.27|76.76|72.96|65.02|61.12|0|90.3|19|19.89|13.82|73.91|18.06|17.57|19.39|14.58|67.73|70.52|13.65|14.84|13.65|31.97|31.97|16.73|13.28|14.28|31.97|14.84|14.58|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|90.3
HOSP OP|0301 - LAB/CHEMISTRY||80335|MIRTAZAPINE (REMERON)|84.38|44.72|63.29|67.5|71.72|75.94|71.72|68.18|60.75|57.11|0|84.38|31.49|0|22.9|69.07|29.93|29.12|0|30.53|63.29|65.9|84.38|0|84.38|48.96|48.96|84.38|33.75|21.87|48.96|31.08|30.53|31.08|0|0|0|78.86|84.38|84.38|84.38|84.38|84.38|84.38|84.38|0|84.38
HOSP OP|0301 - LAB/CHEMISTRY||80368|ZOLPIDEM (AMBIEN)|108.86|57.7|81.65|87.09|92.53|97.97|92.53|87.96|78.38|73.68|0|108.86|31.49|0|22.9|89.1|29.93|29.12|0|23.35|81.65|85.02|108.86|0|108.86|57.95|57.95|108.86|43.54|25.89|57.95|23.77|23.35|23.77|0|0|0|78.86|108.86|108.86|108.86|108.86|108.86|108.86|108.86|0|108.86
HOSP OP|0301 - LAB/CHEMISTRY||82495|CHROMIUM SERUM|51.12|27.09|38.34|40.9|43.45|46.01|43.45|41.3|36.81|34.6|0|51.12|29.06|30.42|21.13|41.84|27.62|26.88|29.66|22.31|38.34|39.92|20.89|22.71|20.89|47.96|47.96|25.09|20.32|21.43|47.96|22.71|22.31|22.71|0|0|0|15.52|20.28|20.28|20.89|20.28|36.5|20.28|20.89|0|51.12
HOSP OP|0301 - LAB/CHEMISTRY||84255|SELENIUM SERUM|52.89|28.03|39.67|42.31|44.96|47.6|44.96|42.74|38.08|35.8|0|52.89|36.6|38.3|26.61|43.29|34.78|33.85|37.34|28.08|39.67|41.31|26.3|28.59|26.3|52.89|52.89|31.7|25.58|27.23|52.89|28.59|28.08|28.59|0|0|0|19.54|25.53|25.53|26.3|25.53|45.95|25.53|26.3|0|52.89
HOSP OP|0302 - LAB/IMMUNOLOGY||86316|CHROMOGRANIN A|40.17|21.29|30.13|32.14|34.14|36.15|34.14|32.46|28.92|27.19|0|40.17|29.84|31.23|21.7|32.88|28.36|27.59|30.45|22.89|30.13|31.37|21.43|23.31|21.43|40.17|40.17|25.97|20.85|21.87|40.17|23.3|22.89|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|40.17
HOSP OP|0301 - LAB/CHEMISTRY||82397|PTH RELATED PEP|56.11|29.74|42.08|44.89|47.69|50.5|47.69|45.34|40.4|37.98|0|56.11|20.24|21.18|14.72|45.93|19.24|18.72|20.65|15.53|42.08|43.82|14.54|15.81|14.54|33.97|33.97|17.61|14.15|15.18|33.97|15.81|15.53|15.81|0|0|0|10.81|14.12|14.12|14.54|14.12|25.42|14.12|14.54|0|56.11
HOSP OP|0302 - LAB/IMMUNOLOGY||86666|EHRLICHIA  CHAFFEENSIS  IgG|45.44|24.08|34.08|36.35|38.62|40.9|38.62|36.72|32.72|30.75|0|45.44|14.59|15.27|10.61|37.19|13.87|13.49|14.89|11.2|34.08|35.49|10.49|11.4|10.49|23.98|23.98|12.77|10.2|10.71|23.98|11.4|11.2|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|45.44
HOSP OP|0302 - LAB/IMMUNOLOGY||86666|ANAPLASMA PHAGOCYTO IgG|45.44|24.08|34.08|36.35|38.62|40.9|38.62|36.72|32.72|30.75|0|45.44|14.59|15.27|10.61|37.19|13.87|13.49|14.89|11.2|34.08|35.49|10.49|11.4|10.49|23.98|23.98|12.77|10.2|10.71|23.98|11.4|11.2|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|45.44
HOSP OP|0301 - LAB/CHEMISTRY||83880|BNP-BTYPE NA PEPTIDE|175|92.75|131.25|140|148.75|157.5|148.75|141.4|126|118.44|0|175|50.65|53|36.83|143.24|48.13|46.84|51.68|39.26|131.25|136.68|40.44|43.97|40.44|83.92|83.92|42.26|39.34|37.5|83.92|39.97|39.26|39.97|0|0|0|27.05|39.26|39.26|40.44|39.26|70.67|39.26|40.44|0|175
HOSP OP|0302 - LAB/IMMUNOLOGY||86638|Q FEVER PHASE 1 IgG|28.87|15.3|21.65|23.1|24.54|25.98|24.54|23.33|20.79|19.54|0|28.87|17.38|18.18|12.63|23.63|16.51|16.07|17.73|13.33|21.65|22.55|12.48|13.57|12.48|28.87|28.87|14.97|12.14|12.95|28.87|13.57|13.33|13.57|0|0|0|9.28|12.12|12.12|12.48|12.12|21.82|12.12|12.48|0|28.87
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|SCL 70 ANTIBODY|41.07|21.77|30.8|32.86|34.91|36.96|34.91|33.18|29.57|27.8|0|41.07|25.71|26.91|18.69|33.62|24.43|23.78|26.24|19.72|30.8|32.08|18.47|20.08|18.47|41.07|41.07|22.45|17.97|19.2|41.07|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|41.07
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|U1RNP ANTIBODY|43.32|22.96|32.49|34.66|36.82|38.99|36.82|35|31.19|29.32|0|43.32|25.71|26.91|18.69|35.46|24.43|23.78|26.24|19.72|32.49|33.83|18.47|20.08|18.47|42.96|42.96|22.45|17.97|19.2|42.96|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|43.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Sm ANTIBODY|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|25.71|26.91|18.69|49.93|24.43|23.78|26.24|19.72|45.75|47.64|18.47|20.08|18.47|42.96|42.96|22.45|17.97|19.2|42.96|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|SS-A/Ro ANTIBODY|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|25.71|26.91|18.69|49.93|24.43|23.78|26.24|19.72|45.75|47.64|18.47|20.08|18.47|42.96|42.96|22.45|17.97|19.2|42.96|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|SS-B/La ANTIBODY|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|25.71|26.91|18.69|49.93|24.43|23.78|26.24|19.72|45.75|47.64|18.47|20.08|18.47|42.96|42.96|22.45|17.97|19.2|42.96|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|JO1 ANTIBODY|41.07|21.77|30.8|32.86|34.91|36.96|34.91|33.18|29.57|27.8|0|41.07|25.71|26.91|18.69|33.62|24.43|23.78|26.24|19.72|30.8|32.08|18.47|20.08|18.47|41.07|41.07|22.45|17.97|19.2|41.07|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|41.07
HOSP OP|0301 - LAB/CHEMISTRY||80358|Hb Methadone Quant Serum|67.04|35.53|50.28|53.63|56.98|60.34|56.98|54.17|48.27|45.37|0|67.04|31.49|0|22.9|54.87|29.93|29.12|0|27.85|50.28|52.36|67.04|0|67.04|53.23|55.42|67.04|26.82|29.34|55.42|28.35|27.85|28.35|0|0|0|65.7|67.04|67.04|67.04|67.04|67.04|67.04|67.04|0|67.04
HOSP OP|0301 - LAB/CHEMISTRY||83921|METHYLMALONIC ACID (MMA)|68.66|36.39|51.5|54.93|58.36|61.79|58.36|55.48|49.44|46.47|0|68.66|27.36|28.63|19.89|56.2|26|25.3|27.91|23.33|51.5|53.62|21.85|23.76|21.85|44.96|44.96|21.57|21.25|20.09|44.96|23.75|23.33|23.75|0|0|0|14.61|21.21|21.21|21.85|21.21|38.18|21.21|21.85|0|68.66
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|HISTONE AUTOANTIBODY|42.2|22.37|31.65|33.76|35.87|37.98|35.87|34.1|30.38|28.56|0|42.2|16.52|17.29|12.02|34.54|15.71|15.28|16.86|11.53|31.65|32.96|11.88|12.91|11.88|26.98|26.98|14.53|11.55|12.05|26.98|11.74|11.53|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|42.2
HOSP OP|0301 - LAB/CHEMISTRY||84238|SOLUBLE TRANSFERRIN RECEPTOR|57.51|30.48|43.13|46.01|48.88|51.76|48.88|46.47|41.41|38.92|0|57.51|52.41|54.85|38.11|47.07|49.81|48.47|53.48|40.23|43.13|44.92|37.67|40.96|37.67|57.51|57.51|45.79|36.64|38.84|57.51|40.95|40.23|40.95|0|0|0|28|36.57|36.57|37.67|36.57|57.51|36.57|37.67|0|57.51
HOSP OP|0301 - LAB/CHEMISTRY||82010|BETA-HYDROXYBUTYRATE|52|27.56|39|41.6|44.2|46.8|44.2|42.02|37.44|35.19|0|52|11.71|12.26|8.52|42.56|11.13|10.83|11.95|8.17|39|40.61|8.42|9.15|8.42|18.98|18.98|10.13|8.19|8.48|18.98|8.32|8.17|8.32|0|0|0|6.25|8.17|8.17|8.42|8.17|14.71|8.17|8.42|0|52
HOSP OP|0302 - LAB/IMMUNOLOGY||86376|LIVER/ KIDNEY MICROSOME TYPE 1|48.48|25.69|36.36|38.78|41.21|43.63|41.21|39.17|34.91|32.81|0|48.48|20.86|21.83|15.17|39.68|19.82|19.29|21.28|16.01|36.36|37.86|14.99|16.3|14.99|34.97|34.97|18.05|14.58|15.62|34.97|16.3|16.01|16.3|0|0|0|11.14|14.55|14.55|14.99|14.55|26.19|14.55|14.99|0|48.48
HOSP OP|0301 - LAB/CHEMISTRY||80358|Hb Methadone Confirmation|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|31.49|0|22.9|40.68|29.93|29.12|0|27.85|37.28|38.82|49.7|0|49.7|39.46|41.08|49.7|19.88|21.75|41.08|28.35|27.85|28.35|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80324|AMPHETAMINE CONFIRMATION|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|31.49|0|22.9|40.68|29.93|29.12|0|26.5|37.28|38.82|49.7|0|49.7|39.46|41.08|49.7|19.88|21.75|41.08|26.98|26.5|26.98|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80345|Hb Barbiturate Confirmation|59.2|31.38|44.4|47.36|50.32|53.28|50.32|47.83|42.62|40.07|0|59.2|31.49|0|22.9|48.46|29.93|29.12|0|19.53|44.4|46.24|59.2|0|59.2|47|48.93|59.2|23.68|25.91|48.93|19.88|19.53|19.88|0|0|0|58.02|59.2|59.2|59.2|59.2|59.2|59.2|59.2|0|59.2
HOSP OP|0301 - LAB/CHEMISTRY||80361|OPIATES CONFIRMATION|17.7|9.38|13.28|14.16|15.05|15.93|15.05|14.3|12.74|11.98|0|17.7|17.7|0|17.7|14.49|17.7|17.7|0|35.21|13.28|13.82|17.7|0|17.7|14.05|14.63|17.7|7.08|7.75|14.63|35.84|35.21|35.84|0|0|0|17.35|17.7|17.7|17.7|17.7|17.7|17.7|17.7|0|35.84
HOSP OP|0301 - LAB/CHEMISTRY||83992|PCP CONFIRMATION|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|49.7|27.83|41.01|40.68|49.7|49.7|27.14|16.8|37.28|38.82|49.7|0|49.7|39.46|41.08|49.7|19.88|21.75|41.08|17.1|16.8|17.1|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Rohypnol (flunitrazepam) U*|86.42|45.8|64.82|69.14|73.46|77.78|73.46|69.83|62.22|58.49|0|86.42|83.4|86.42|60.64|70.73|79.26|77.13|85.1|68.35|64.82|67.49|64|69.6|64|86.42|86.42|72.64|62.26|61.6|86.42|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|86.42|62.14|64|0|86.42
HOSP OP|0301 - LAB/CHEMISTRY||80353|Hb Cocaine Confirmation|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|31.49|0|22.9|40.68|29.93|29.12|0|25.85|37.28|38.82|49.7|0|49.7|39.46|41.08|49.7|19.88|21.75|41.08|26.32|25.85|26.32|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Ghb (gamma-hydroxybut) Ur*|105.8|56.07|79.35|84.64|89.93|95.22|89.93|85.49|76.18|71.61|0|105.8|83.4|87.28|60.64|86.6|79.26|77.13|85.1|68.35|79.35|82.63|64|69.6|64|105.8|105.8|72.64|62.26|61.6|105.8|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|105.8|62.14|64|0|105.8
HOSP OP|0301 - LAB/CHEMISTRY||80365|OXYCODONE URINE|49.2|26.08|36.9|39.36|41.82|44.28|41.82|39.75|35.42|33.3|0|49.2|31.49|0|22.9|40.27|29.93|29.12|0|20.15|36.9|38.43|49.2|0|49.2|39.06|40.67|49.2|19.68|21.53|40.67|20.51|20.15|20.51|0|0|0|48.22|49.2|49.2|49.2|49.2|49.2|49.2|49.2|0|49.2
HOSP OP|0301 - LAB/CHEMISTRY||82261|BIOTINIDASE|71.25|37.76|53.44|57|60.56|64.13|60.56|57.57|51.3|48.22|0|71.25|24.17|25.3|17.58|58.32|22.98|22.36|24.67|18.56|53.44|55.65|17.38|18.89|17.38|39.96|39.96|21.13|16.9|17.86|39.96|18.89|18.56|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|71.25
HOSP OP|0301 - LAB/CHEMISTRY||82017|ACYLCARNITINE QUANT|77.23|40.93|57.92|61.78|65.65|69.51|65.65|62.4|55.61|52.27|0|77.23|24.17|25.3|17.58|63.21|22.98|22.36|24.67|18.56|57.92|60.32|17.38|18.89|17.38|39.96|39.96|21.13|16.9|17.86|39.96|18.89|18.56|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|77.23
HOSP OP|0301 - LAB/CHEMISTRY||84560|Hb Uric Acid Other Source|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|6.8|7.11|4.94|27.83|6.46|6.29|6.93|5.59|25.5|26.55|5.23|5.69|5.23|10.99|10.99|5.72|5.09|4.91|10.99|5.69|5.59|5.69|0|0|0|3.62|5.08|5.08|5.23|5.08|9.14|5.08|5.23|0|34
HOSP OP|0301 - LAB/CHEMISTRY||82379|CARNITINE|54.87|29.08|41.15|43.9|46.64|49.38|46.64|44.33|39.51|37.14|0|54.87|24.17|25.3|17.58|44.91|22.98|22.36|24.67|18.56|41.15|42.85|17.38|18.89|17.38|39.96|39.96|21.13|16.9|17.86|39.96|18.89|18.56|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|54.87
HOSP OP|0301 - LAB/CHEMISTRY||80158|CYCLOSPORINE|62.03|32.88|46.52|49.62|52.73|55.83|52.73|50.12|44.66|41.98|0|62.03|25.88|27.08|18.82|50.77|24.59|23.93|26.4|19.86|46.52|48.45|18.59|20.22|18.59|42.96|42.96|22.45|18.09|19.2|42.96|20.22|19.86|20.22|0|0|0|13.82|18.05|18.05|18.59|18.05|32.49|18.05|18.59|0|62.03
HOSP OP|0301 - LAB/CHEMISTRY||84630|ZINC SERUM|48.02|25.45|36.02|38.42|40.82|43.22|40.82|38.8|34.57|32.5|0|48.02|16.32|17.08|11.87|39.3|15.51|15.09|16.65|12.53|36.02|37.5|11.73|12.76|11.73|26.98|26.98|14.09|11.41|12.05|26.98|12.76|12.53|12.76|0|0|0|8.71|11.39|11.39|11.73|11.39|20.5|11.39|11.73|0|48.02
HOSP OP|0301 - LAB/CHEMISTRY||84482|T3 REVERSE|63.8|33.81|47.85|51.04|54.23|57.42|54.23|51.55|45.94|43.18|0|63.8|22.59|23.64|16.42|52.22|21.47|20.89|23.05|17.34|47.85|49.83|16.23|17.65|16.23|36.97|36.97|19.81|15.79|16.52|36.97|17.65|17.34|17.65|0|0|0|12.06|15.76|15.76|16.23|15.76|28.37|15.76|16.23|0|63.8
HOSP OP|0301 - LAB/CHEMISTRY||82150|AMYLASE SERUM|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|9.29|9.72|6.75|38.47|8.83|8.59|9.48|6.48|35.25|36.71|6.67|7.26|6.67|14.99|14.99|7.92|6.49|6.7|14.99|6.6|6.48|6.6|0|0|0|4.96|6.48|6.48|6.67|6.48|11.66|6.48|6.67|0|47
HOSP OP|0301 - LAB/CHEMISTRY||82634|DEOXYCORTISOL-11|59.1|31.32|44.33|47.28|50.24|53.19|50.24|47.75|42.55|40|0|59.1|41.96|43.92|30.51|48.37|39.88|38.81|42.82|32.21|44.33|46.16|30.16|32.79|30.16|59.1|59.1|36.54|29.34|31.25|59.1|32.79|32.21|32.79|0|0|0|22.42|29.28|29.28|30.16|29.28|52.7|29.28|30.16|0|59.1
HOSP OP|0301 - LAB/CHEMISTRY||84146|PROLACTIN SERUM|96|50.88|72|76.8|81.6|86.4|81.6|77.57|69.12|64.97|0|96|27.77|29.07|20.2|78.58|26.4|25.69|28.34|21.32|72|74.98|19.96|21.71|19.96|45.96|45.96|24.21|19.42|20.53|45.96|21.7|21.32|21.7|0|0|0|14.84|19.38|19.38|19.96|19.38|34.88|19.38|19.96|0|96
HOSP OP|0302 - LAB/IMMUNOLOGY||86335|IMMUNOFIX ELP URINE|163|86.39|122.25|130.4|138.55|146.7|138.55|131.7|117.36|110.32|0|163|37.49|44.02|27.26|133.42|35.63|34.67|42.92|56.65|122.25|127.3|30.23|32.87|30.23|69.94|69.94|36.54|29.41|31.25|69.94|57.67|56.65|26.9|0|0|0|20.02|29.35|29.35|30.23|29.35|52.83|29.35|30.23|0|163
HOSP OP|0301 - LAB/CHEMISTRY||84460|ALT (SGPT)|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.6|7.95|5.52|16.37|7.22|7.03|7.75|5.3|15|15.62|5.46|5.94|5.46|12.99|12.99|6.6|5.31|5.8|12.99|5.4|5.3|5.4|0|0|0|4.05|5.3|5.3|5.46|5.3|9.54|5.3|5.46|0|20
HOSP OP|0301 - LAB/CHEMISTRY||82310|CALCIUM SERUM|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|7.39|7.74|5.37|17.19|7.02|6.84|7.55|5.16|15.75|16.4|5.31|5.78|5.31|11.99|11.99|6.6|5.17|5.36|11.99|5.25|5.16|5.25|0|0|0|3.95|5.16|5.16|5.31|5.16|9.29|5.16|5.31|0|21
HOSP OP|0301 - LAB/CHEMISTRY||83695|LIPOPROTEIN a|40.52|21.48|30.39|32.42|34.44|36.47|34.44|32.74|29.17|27.42|0|40.52|18.56|19.43|13.5|33.17|17.64|17.17|18.94|15.75|30.39|31.65|14.75|16.04|14.75|30.97|30.97|16.29|14.35|13.84|30.97|16.03|15.75|16.03|0|0|0|9.92|14.32|14.32|14.75|14.32|25.78|14.32|14.75|0|40.52
HOSP OP|0301 - LAB/CHEMISTRY||82435|POCT CHLORIDE|36|19.08|27|28.8|30.6|32.4|30.6|29.09|25.92|24.36|0|36|6.59|6.9|4.79|29.47|6.26|6.1|6.73|4.6|27|28.12|4.74|5.15|4.74|10.99|10.99|5.72|4.61|4.91|10.99|4.68|4.6|4.68|0|0|0|3.51|4.6|4.6|4.74|4.6|8.28|4.6|4.74|0|36
HOSP OP|0301 - LAB/CHEMISTRY||80051|ELECTROLYTES|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|10.05|10.52|7.31|26.19|9.55|9.29|10.26|7.01|24|24.99|7.22|7.85|7.22|16.98|16.98|8.81|7.02|7.59|16.98|7.14|7.01|7.14|0|0|0|5.37|7.01|7.01|7.22|7.01|12.62|7.01|7.22|0|32
HOSP OP|0301 - LAB/CHEMISTRY||82550|CK TOTAL|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|9.33|9.76|6.78|28.65|8.86|8.63|9.52|6.51|26.25|27.34|6.71|7.29|6.71|14.99|14.99|7.92|6.52|6.7|14.99|6.63|6.51|6.63|0|0|0|4.98|6.51|6.51|6.71|6.51|11.72|6.51|6.71|0|35
HOSP OP|0301 - LAB/CHEMISTRY||80048|BASIC METAB PROFILE|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|12.13|12.69|8.82|53.2|11.52|11.21|12.37|8.46|48.75|50.77|8.71|9.48|8.71|19.98|19.98|10.57|8.48|8.93|19.98|8.61|8.46|8.61|0|0|0|6.48|8.46|8.46|8.71|8.46|15.23|8.46|8.71|0|65
HOSP OP|0301 - LAB/CHEMISTRY||84479|T3 UPTAKE|34.1|18.07|25.58|27.28|28.99|30.69|28.99|27.55|24.55|23.08|0|34.1|9.26|9.69|6.73|27.91|8.8|8.57|9.45|7.12|25.58|26.63|6.66|7.25|6.66|14.99|14.99|7.92|6.48|6.7|14.99|7.25|7.12|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|34.1
HOSP OP|0301 - LAB/CHEMISTRY||82380|CAROTENE|146.95|77.88|110.21|117.56|124.91|132.26|124.91|118.74|105.8|99.46|0|146.95|13.22|13.84|9.61|120.28|12.57|12.23|13.49|10.14|110.21|114.77|9.5|10.33|9.5|21.98|21.98|11.45|9.24|9.82|21.98|10.32|10.14|10.32|0|0|0|7.06|9.22|9.22|9.5|9.22|16.6|9.22|9.5|0|146.95
HOSP OP|0301 - LAB/CHEMISTRY||84445|THYROID STIMULATING IMMUNO-TSI|84.65|44.86|63.49|67.72|71.95|76.19|71.95|68.4|60.95|57.29|0|84.65|72.9|76.29|53.01|69.29|69.28|67.42|74.38|55.95|63.49|66.11|52.39|56.96|52.39|84.65|84.65|63.4|50.96|54.01|84.65|56.96|55.95|56.96|0|0|0|38.95|50.86|50.86|52.39|50.86|84.65|50.86|52.39|0|84.65
HOSP OP|0301 - LAB/CHEMISTRY||84439|T4 FREE|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|12.93|13.53|9.4|38.47|12.28|11.95|13.19|9.92|35.25|36.71|9.29|10.1|9.29|20.98|20.98|11.45|9.04|9.37|20.98|10.1|9.92|10.1|0|0|0|6.9|9.02|9.02|9.29|9.02|16.24|9.02|9.29|0|47
HOSP OP|0301 - LAB/CHEMISTRY||84588|ARGININE VASOPRESSIN|134.2|71.13|100.65|107.36|114.07|120.78|114.07|108.43|96.62|90.83|0|134.2|48.65|50.91|35.37|109.84|46.23|44.99|49.64|37.33|100.65|104.81|34.96|38.01|34.96|80.93|80.93|42.26|34.01|36.16|80.93|38|37.33|38|0|0|0|25.99|33.94|33.94|34.96|33.94|61.09|33.94|34.96|0|134.2
HOSP OP|0301 - LAB/CHEMISTRY||84681|C-PEPTIDE|39.05|20.7|29.29|31.24|33.19|35.15|33.19|31.55|28.12|26.43|0|39.05|29.84|31.23|21.7|31.96|28.36|27.59|30.45|22.89|29.29|30.5|21.43|23.31|21.43|39.05|39.05|25.97|20.85|21.87|39.05|23.3|22.89|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|39.05
HOSP OP|0301 - LAB/CHEMISTRY||82465|CHOLESTEROL|22|11.66|16.5|17.6|18.7|19.8|18.7|17.78|15.84|14.89|0|22|6.24|6.53|4.54|18.01|5.93|5.77|6.37|4.35|16.5|17.18|4.48|4.87|4.48|9.99|9.99|5.28|4.36|4.46|9.99|4.43|4.35|4.43|0|0|5.42|3.33|4.35|4.35|4.48|4.35|7.83|4.35|4.48|0|22
HOSP OP|0301 - LAB/CHEMISTRY||80076|LIVER PROFILE|63|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|11.71|12.26|8.52|51.57|11.13|10.83|11.95|8.99|47.25|49.2|8.42|9.15|8.42|18.98|18.98|10.13|8.19|8.48|18.98|9.15|8.99|9.15|0|0|0|6.25|8.17|8.17|8.42|8.17|14.71|8.17|8.42|0|63
HOSP OP|0301 - LAB/CHEMISTRY||83930|OSMOLALITY BLOOD|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|9.48|9.92|6.89|41.74|9.01|8.77|9.67|7.27|38.25|39.83|6.81|7.4|6.81|15.99|15.99|8.36|6.62|7.14|15.99|7.4|7.27|7.4|0|0|0|5.06|6.61|6.61|6.81|6.61|11.9|6.61|6.81|0|51
HOSP OP|0301 - LAB/CHEMISTRY||82482|ACETYLCHOLINESTERASE RBC|66.23|35.1|49.67|52.98|56.3|59.61|56.3|53.51|47.69|44.82|0|66.23|12.65|13.24|9.2|54.21|12.03|11.7|12.91|10.79|49.67|51.73|10.1|10.99|10.1|20.98|20.98|10.13|9.83|9.37|20.98|10.98|10.79|10.98|0|0|0|6.76|9.81|9.81|10.1|9.81|17.66|9.81|10.1|0|66.23
HOSP OP|0301 - LAB/CHEMISTRY||82977|GGTP (GAMMA-GTP)|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|10.32|10.8|7.5|25.37|9.81|9.54|10.53|7.2|23.25|24.21|7.42|8.06|7.42|16.98|16.98|8.81|7.21|7.59|16.98|7.33|7.2|7.33|0|0|0|5.5|7.2|7.2|7.42|7.2|12.96|7.2|7.42|0|31
HOSP OP|0301 - LAB/CHEMISTRY||80342|CLOZAPINE (CLOZARIL)|74.18|39.32|55.64|59.34|63.05|66.76|63.05|59.94|53.41|50.21|0|74.18|31.49|0|22.9|60.72|29.93|29.12|0|26.56|55.64|57.93|74.18|0|74.18|44.96|44.96|74.18|29.67|20.09|44.96|27.04|26.56|27.04|0|0|0|72.7|0|0|74.18|0|37.09|74.18|74.18|0|74.18
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Celiac Sprue (endomysial) Antibody|44.04|23.34|33.03|35.23|37.43|39.64|37.43|35.58|31.71|29.81|0|44.04|37.49|18.08|27.26|36.05|35.63|34.67|17.63|56.65|33.03|34.4|12.41|13.5|12.41|44.04|44.04|22.45|12.07|22.77|44.04|57.67|56.65|26.9|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.67
HOSP OP|0302 - LAB/IMMUNOLOGY||86334|IMMUNOFIX ELP SERUM|127|67.31|95.25|101.6|107.95|114.3|107.95|102.62|91.44|85.95|0|127|37.49|33.52|27.26|103.95|35.63|34.67|32.68|56.65|95.25|99.19|23.01|25.02|23.01|52.95|52.95|27.74|22.38|23.66|52.95|57.67|56.65|26.9|0|0|0|20.02|22.34|22.34|23.01|22.34|40.21|22.34|23.01|0|127
HOSP OP|0301 - LAB/CHEMISTRY||84132|POTASSIUM SERUM|20.24|10.73|15.18|16.19|17.2|18.22|17.2|16.35|14.57|13.7|0|20.24|6.59|6.9|4.79|16.57|6.26|6.1|6.73|4.76|15.18|15.81|4.9|5.33|4.9|10.99|10.99|5.72|4.77|4.91|10.99|4.85|4.76|4.85|0|0|0|3.51|4.76|4.76|4.9|4.76|8.57|4.76|4.9|0|20.24
HOSP OP|0301 - LAB/CHEMISTRY||84436|Hb T4 (thyroxine) Total|44.2|23.43|33.15|35.36|37.57|39.78|37.57|35.71|31.82|29.91|0|44.2|9.84|10.3|7.16|36.18|9.35|9.1|10.04|7.56|33.15|34.52|7.08|7.69|7.08|15.99|15.99|8.36|6.88|7.14|15.99|7.7|7.56|7.7|0|0|0|5.25|6.87|6.87|7.08|6.87|12.37|6.87|7.08|0|44.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|CENTROMERE ATBY|73.52|38.97|55.14|58.82|62.49|66.17|62.49|59.4|52.93|49.76|0|73.52|25.71|26.91|18.69|60.18|24.43|23.78|26.24|19.72|55.14|57.42|18.47|20.08|18.47|42.96|42.96|22.45|17.97|19.2|42.96|20.07|19.72|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|73.52
HOSP OP|0301 - LAB/CHEMISTRY||82533|CORTISOL SERUM|91|48.23|68.25|72.8|77.35|81.9|77.35|73.53|65.52|61.59|0|91|23.36|24.45|16.99|74.48|22.2|21.61|23.84|17.93|68.25|71.07|16.79|18.26|16.79|38.96|38.96|20.25|16.33|17.41|38.96|18.25|17.93|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|91
HOSP OP|0301 - LAB/CHEMISTRY||82533|ACTH STIM-30 MIN POST DOSE|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|23.36|24.45|16.99|61.39|22.2|21.61|23.84|17.93|56.25|58.58|16.79|18.26|16.79|38.96|38.96|20.25|16.33|17.41|38.96|18.25|17.93|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|75
HOSP OP|0301 - LAB/CHEMISTRY||82565|CREATININE SERUM|26|13.78|19.5|20.8|22.1|23.4|22.1|21.01|18.72|17.6|0|26|7.34|7.68|5.34|21.28|6.98|6.79|7.49|5.12|19.5|20.31|5.27|5.73|5.27|11.99|11.99|6.6|5.13|5.36|11.99|5.21|5.12|5.21|0|0|0|3.92|5.12|5.12|5.27|5.12|9.22|5.12|5.27|0|26
HOSP OP|0301 - LAB/CHEMISTRY||82533|ACTH STIM-60 MIN POST DOSE|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|23.36|24.45|16.99|61.39|22.2|21.61|23.84|17.93|56.25|58.58|16.79|18.26|16.79|38.96|38.96|20.25|16.33|17.41|38.96|18.25|17.93|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|75
HOSP OP|0301 - LAB/CHEMISTRY||84295|SODIUM SERUM|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|6.9|7.22|5.02|22.1|6.56|6.38|7.04|4.81|20.25|21.09|4.95|5.39|4.95|10.99|10.99|6.16|4.82|4.91|10.99|4.9|4.81|4.9|0|0|0|3.68|4.81|4.81|4.95|4.81|8.66|4.81|4.95|0|27
HOSP OP|0301 - LAB/CHEMISTRY||83690|LIPASE|48|25.44|36|38.4|40.8|43.2|40.8|38.78|34.56|32.49|0|48|9.87|10.33|7.18|39.29|9.38|9.13|10.07|7.58|36|37.49|7.1|7.72|7.1|15.99|15.99|8.81|6.9|7.14|15.99|7.72|7.58|7.72|0|0|0|5.27|6.89|6.89|7.1|6.89|12.4|6.89|7.1|0|48
HOSP OP|0301 - LAB/CHEMISTRY||84442|THYROXINE BINDING GLOBULIN|56.73|30.07|42.55|45.38|48.22|51.06|48.22|45.84|40.85|38.39|0|56.73|21.19|22.18|15.41|46.43|20.14|19.6|21.63|16.26|42.55|44.31|15.22|16.55|15.22|34.97|34.97|18.49|14.81|15.62|34.97|16.55|16.26|16.55|0|0|0|11.32|14.78|14.78|15.22|14.78|26.6|14.78|15.22|0|56.73
HOSP OP|0301 - LAB/CHEMISTRY||84443|TSH (THYROID STIM HORMONE)|104|55.12|78|83.2|88.4|93.6|88.4|84.03|74.88|70.39|0|104|24.08|25.2|17.51|85.12|22.89|22.27|24.57|16.8|78|81.22|17.3|18.82|17.3|39.96|39.96|21.13|16.83|17.86|39.96|17.1|16.8|17.1|0|0|0|12.87|16.8|16.8|17.3|16.8|30.24|16.8|17.3|0|104
HOSP OP|0301 - LAB/CHEMISTRY||82088|ALDOSTERONE SERUM|41.23|21.85|30.92|32.98|35.05|37.11|35.05|33.31|29.69|27.9|0|41.23|41.23|41.23|41.23|33.75|41.23|41.23|41.23|44.83|30.92|32.2|41.23|41.23|41.23|41.23|41.23|41.23|40.83|41.23|41.23|45.64|44.83|45.64|0|0|0|31.2|40.75|40.75|41.23|40.75|41.23|40.75|41.23|0|45.64
HOSP OP|0301 - LAB/CHEMISTRY||84165|ELECTROPHORESIS SERUM (SELP)|82|43.46|61.5|65.6|69.7|73.8|69.7|66.26|59.04|55.5|0|82|37.49|16.11|27.26|67.12|35.63|34.67|15.71|40.28|61.5|64.04|11.06|12.03|11.06|50.95|50.95|22.45|10.76|22.77|50.95|41|40.28|19.12|0|0|0|20.02|10.74|10.74|11.06|10.74|19.33|10.74|11.06|0|82
HOSP OP|0301 - LAB/CHEMISTRY||84480|T3 TOTAL|71|37.63|53.25|56.8|60.35|63.9|60.35|57.37|51.12|48.05|0|71|20.32|21.26|14.77|58.11|19.31|18.79|20.73|15.6|53.25|55.45|14.61|15.88|14.61|33.97|33.97|17.61|14.21|15.18|33.97|15.88|15.6|15.88|0|0|0|10.85|14.18|14.18|14.61|14.18|25.52|14.18|14.61|0|71
HOSP OP|0301 - LAB/CHEMISTRY||83625|LDH ISOENZYMES|27.36|14.5|20.52|21.89|23.26|24.62|23.26|22.11|19.7|18.52|0|27.36|18.34|19.2|13.34|22.39|17.43|16.96|18.72|14.07|20.52|21.37|13.17|14.32|13.17|27.36|27.36|15.85|12.82|13.39|27.36|14.32|14.07|14.32|0|0|0|9.8|12.79|12.79|13.17|12.79|23.02|12.79|13.17|0|27.36
HOSP OP|0301 - LAB/CHEMISTRY||82941|GASTRIN SERUM|42.16|22.34|31.62|33.73|35.84|37.94|35.84|34.07|30.36|28.53|0|42.16|25.27|26.45|18.38|34.51|24.02|23.37|25.79|19.39|31.62|32.93|18.16|19.75|18.16|41.96|41.96|22.01|17.67|18.75|41.96|19.74|19.39|19.74|0|0|0|13.5|17.63|17.63|18.16|17.63|31.73|17.63|18.16|0|42.16
HOSP OP|0301 - LAB/CHEMISTRY||84134|PREALBUMIN|72|38.16|54|57.6|61.2|64.8|61.2|58.18|51.84|48.73|0|72|20.91|21.88|15.2|58.93|19.87|19.34|21.33|16.05|54|56.23|15.03|16.34|15.03|34.97|34.97|18.05|14.62|15.62|34.97|16.34|16.05|16.34|0|0|0|11.17|14.59|14.59|15.03|14.59|26.26|14.59|15.03|0|72
HOSP OP|0301 - LAB/CHEMISTRY||82947|POCT GLUCOSE|25|13.25|18.75|20|21.25|22.5|21.25|20.2|18|16.92|0|25|5.64|5.9|4.1|20.46|5.36|5.21|5.75|3.93|18.75|19.53|4.05|4.4|4.05|8.99|8.99|4.84|3.94|4.02|8.99|4|3.93|4|0|0|4.9|3|3.93|3.93|4.05|3.93|7.07|3.93|4.05|0|25
HOSP OP|0301 - LAB/CHEMISTRY||82261|BIOTINIDASE DEFICIENCY|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|18.56|13.07|13.61|17.38|17.42|17.38|17.42|17.42|17.42|16.9|17.42|17.42|18.89|18.56|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|17.42|16.87|17.38|0|18.89
HOSP OP|0301 - LAB/CHEMISTRY||82803|POCT GASES ARTERIAL|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|33.63|35.19|24.45|135.05|31.96|31.1|34.31|28.68|123.75|128.87|26.85|29.2|26.85|55.95|55.95|26.42|26.12|25|55.95|29.2|28.68|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|165
HOSP OP|0301 - LAB/CHEMISTRY||83525|INSULIN SERUM|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|16.38|17.15|11.91|49.93|15.57|15.15|16.72|12.57|45.75|47.64|11.77|12.8|11.77|26.98|26.98|14.09|11.45|12.05|26.98|12.8|12.57|12.8|0|0|0|8.75|11.43|11.43|11.77|11.43|20.57|11.43|11.77|0|61
HOSP OP|0301 - LAB/CHEMISTRY||84466|TRANSFERRIN SERUM|53|28.09|39.75|42.4|45.05|47.7|45.05|42.82|38.16|35.87|0|53|18.29|19.14|13.3|43.38|17.38|16.92|18.66|14.04|39.75|41.39|13.14|14.29|13.14|29.97|29.97|15.85|12.79|13.39|29.97|14.29|14.04|14.29|0|0|0|9.77|12.76|12.76|13.14|12.76|22.97|12.76|13.14|0|53
HOSP OP|0301 - LAB/CHEMISTRY||82950|GLUCOSE GEST. SCREEN|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|6.8|7.11|4.94|22.1|6.46|6.29|6.93|4.75|20.25|21.09|4.89|5.32|4.89|10.99|10.99|5.72|4.76|4.91|10.99|4.84|4.75|4.84|0|0|5.9|3.62|4.75|4.75|4.89|4.75|8.55|4.75|4.89|0|27
HOSP OP|0301 - LAB/CHEMISTRY||83970|PTH INTACT|159|84.27|119.25|127.2|135.15|143.1|135.15|128.47|114.48|107.61|0|159|59.16|61.91|43.02|130.14|56.22|54.71|60.36|45.41|119.25|124.18|42.52|46.23|42.52|97.91|97.91|51.51|41.36|43.75|97.91|46.23|45.41|46.23|0|0|0|31.6|41.28|41.28|42.52|41.28|74.3|41.28|42.52|0|159
HOSP OP|0301 - LAB/CHEMISTRY||80069|RENAL FUNCTION|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.45|13.03|9.05|54.84|11.83|11.51|12.7|8.68|50.25|52.33|8.94|9.72|8.94|20.98|20.98|11.01|8.7|9.37|20.98|8.84|8.68|8.84|0|0|0|6.64|8.68|8.68|8.94|8.68|15.62|8.68|8.94|0|67
HOSP OP|0301 - LAB/CHEMISTRY||82800|PH BLOOD|77|40.81|57.75|61.6|65.45|69.3|65.45|62.22|55.44|52.11|0|77|14.19|14.85|10.32|63.02|13.49|13.12|14.48|12.1|57.75|60.14|11.33|12.32|11.33|23.98|23.98|11.01|11.02|10.71|23.98|12.32|12.1|12.32|0|0|0|7.57|11|11|11.33|11|19.8|11|11.33|0|77
HOSP OP|0301 - LAB/CHEMISTRY||82308|CALCITONIN|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|38.4|40.19|27.92|54.54|36.5|35.52|39.19|29.47|49.97|52.04|27.59|30|27.59|63.94|63.94|33.46|26.84|28.57|63.94|30|29.47|30|0|0|0|20.51|26.79|26.79|27.59|26.79|48.22|26.79|27.59|0|66.63
HOSP OP|0301 - LAB/CHEMISTRY||82232|BETA-2 MICROGLOBULIN|34.3|18.18|25.73|27.44|29.16|30.87|29.16|27.71|24.7|23.21|0|34.3|23.18|24.26|16.86|28.07|22.03|21.44|23.65|17.8|25.73|26.79|16.67|18.12|16.67|34.3|34.3|20.25|16.21|16.96|34.3|18.12|17.8|18.12|0|0|0|12.38|16.18|16.18|16.67|16.18|29.12|16.18|16.67|0|34.3
HOSP OP|0301 - LAB/CHEMISTRY||82652|VITAMIN D125 DIHYDROXY|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|42.35|30|31.24|39.66|40|39.66|40|40|40|38.58|40|40|43.11|42.35|43.11|0|0|0|29.48|38.5|38.5|39.66|38.5|40|38.5|39.66|0|43.11
HOSP OP|0301 - LAB/CHEMISTRY||82306|Hb 25-hydroxyvitamin D2 And D3|36.2|19.19|27.15|28.96|30.77|32.58|30.77|29.25|26.06|24.5|0|36.2|36.2|36.2|30.85|29.63|36.2|36.2|36.2|32.56|27.15|28.27|30.49|33.15|30.49|36.2|36.2|36.2|29.66|20.98|36.2|33.15|32.56|33.15|0|0|0|22.66|29.6|29.6|30.49|29.6|36.2|29.6|30.49|0|36.2
HOSP OP|0301 - LAB/CHEMISTRY||82104|A-1-A PHENOTYPE|36.2|19.19|27.15|28.96|30.77|32.58|30.77|29.25|26.06|24.5|0|36.2|20.73|21.69|15.07|29.63|19.7|19.17|21.15|15.91|27.15|28.27|14.89|16.2|14.89|33.97|33.97|18.05|14.49|15.18|33.97|16.2|15.91|16.2|0|0|0|11.07|14.46|14.46|14.89|14.46|26.03|14.46|14.89|0|36.2
HOSP OP|0301 - LAB/CHEMISTRY||82803|POCT GASES CAPILLARY|161|85.33|120.75|128.8|136.85|144.9|136.85|130.09|115.92|108.96|0|161|33.63|35.19|24.45|131.78|31.96|31.1|34.31|28.68|120.75|125.74|26.85|29.2|26.85|55.95|55.95|26.42|26.12|25|55.95|29.2|28.68|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|161
HOSP OP|0301 - LAB/CHEMISTRY||82239|BILE ACIDSTOTAL|44.45|23.56|33.34|35.56|37.78|40.01|37.78|35.92|32|30.08|0|44.45|24.55|25.69|17.85|36.38|23.33|22.7|25.05|18.83|33.34|34.72|17.63|19.17|17.63|40.96|40.96|21.57|17.15|18.3|40.96|19.17|18.83|19.17|0|0|0|13.11|17.12|17.12|17.63|17.12|30.82|17.12|17.63|0|44.45
HOSP OP|0301 - LAB/CHEMISTRY||83735|MAGNESIUM|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|9.6|10.04|6.98|35.2|9.12|8.88|9.79|7.37|32.25|33.58|6.9|7.5|6.9|15.99|15.99|8.36|6.71|7.14|15.99|7.5|7.37|7.5|0|0|0|5.12|6.7|6.7|6.9|6.7|12.06|6.7|6.9|0|43
HOSP OP|0301 - LAB/CHEMISTRY||82330|POCT CALCIUM IONIZED|76|40.28|57|60.8|64.6|68.4|64.6|61.41|54.72|51.44|0|76|19.61|20.52|14.26|62.21|18.64|18.13|20.01|13.68|57|59.36|14.09|15.32|14.09|32.97|32.97|17.17|13.71|14.73|32.97|13.93|13.68|13.93|0|0|0|10.48|13.68|13.68|14.09|13.68|24.62|13.68|14.09|0|76
HOSP OP|0301 - LAB/CHEMISTRY||84702|HCG TOTAL SERUM|92|48.76|69|73.6|78.2|82.8|78.2|74.34|66.24|62.27|0|92|21.58|22.59|15.69|75.3|20.51|19.96|22.03|16.56|69|71.85|15.5|16.86|15.5|35.97|35.97|18.93|15.08|16.07|35.97|16.86|16.56|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|92
HOSP OP|0301 - LAB/CHEMISTRY||84075|ALKALINE PHOSPHATASE|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.42|7.76|5.39|16.37|7.05|6.86|7.57|5.18|15|15.62|5.34|5.8|5.34|11.99|11.99|6.6|5.19|5.36|11.99|5.27|5.18|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|20
HOSP OP|0301 - LAB/CHEMISTRY||83001|FSH SERUM|97|51.41|72.75|77.6|82.45|87.3|82.45|78.38|69.84|65.65|0|97|26.64|27.88|19.37|79.39|25.32|24.64|27.18|18.58|72.75|75.76|19.14|20.81|19.14|43.96|43.96|23.33|18.62|19.64|43.96|18.91|18.58|18.91|0|0|0|14.23|18.58|18.58|19.14|18.58|33.44|18.58|19.14|0|97
HOSP OP|0301 - LAB/CHEMISTRY||84100|PHOSPHORUS SERUM|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|6.8|7.11|4.94|22.1|6.46|6.29|6.93|5.21|20.25|21.09|4.88|5.31|4.88|10.99|10.99|5.72|4.75|4.91|10.99|5.3|5.21|5.3|0|0|0|3.62|4.74|4.74|4.88|4.74|8.53|4.74|4.88|0|27
HOSP OP|0301 - LAB/CHEMISTRY||82103|ALPHA 1 ANTITRYPSIN|33.5|17.75|25.13|26.8|28.48|30.15|28.48|27.07|24.12|22.67|0|33.5|19.26|20.16|14|27.42|18.3|17.81|19.66|14.78|25.13|26.16|13.84|15.05|13.84|31.97|31.97|16.73|13.47|14.28|31.97|15.05|14.78|15.05|0|0|0|10.29|13.44|13.44|13.84|13.44|24.19|13.44|13.84|0|33.5
HOSP OP|0301 - LAB/CHEMISTRY||82164|ANGIOTENSION CONV ENZYME|38.71|20.52|29.03|30.97|32.9|34.84|32.9|31.28|27.87|26.2|0|38.71|20.92|21.9|15.21|31.68|19.89|19.35|21.35|16.06|29.03|30.23|15.04|16.35|15.04|34.97|34.97|18.05|14.63|15.62|34.97|16.35|16.06|16.35|0|0|0|11.17|14.6|14.6|15.04|14.6|26.28|14.6|15.04|0|38.71
HOSP OP|0301 - LAB/CHEMISTRY||82627|DHEA-S|33.2|17.6|24.9|26.56|28.22|29.88|28.22|26.83|23.9|22.47|0|33.2|31.88|33.2|23.18|27.17|30.29|29.48|32.53|24.45|24.9|25.93|22.9|24.9|22.9|33.2|33.2|27.74|22.27|23.66|33.2|24.89|24.45|24.89|0|0|0|17.02|22.23|22.23|22.9|22.23|33.2|22.23|22.9|0|33.2
HOSP OP|0301 - LAB/CHEMISTRY||84403|TESTOSTERONE TOTAL|112|59.36|84|89.6|95.2|100.8|95.2|90.5|80.64|75.8|0|112|37|38.72|26.9|91.67|35.16|34.22|37.75|28.39|84|87.47|26.58|28.91|26.58|60.95|60.95|32.14|25.86|27.23|60.95|28.9|28.39|28.9|0|0|0|19.76|25.81|25.81|26.58|25.81|46.46|25.81|26.58|0|112
HOSP OP|0301 - LAB/CHEMISTRY||82384|CATECHOLAMINES BLOOD|50.47|26.75|37.85|40.38|42.9|45.42|42.9|40.78|36.34|34.16|0|50.47|36.2|37.88|26.32|41.31|34.4|33.48|36.93|27.78|37.85|39.42|26.01|28.28|26.01|50.47|50.47|31.7|25.3|26.78|50.47|28.28|27.78|28.28|0|0|0|19.34|25.25|25.25|26.01|25.25|45.45|25.25|26.01|0|50.47
HOSP OP|0301 - LAB/CHEMISTRY||84080|ALKALINE PHOSPHATASE ISOENZYME|27.75|14.71|20.81|22.2|23.59|24.98|23.59|22.42|19.98|18.78|0|27.75|21.19|22.18|15.41|22.71|20.14|19.6|21.63|16.26|20.81|21.67|15.22|16.55|15.22|27.75|27.75|18.49|14.81|15.62|27.75|16.55|16.26|16.55|0|0|0|11.32|14.78|14.78|15.22|14.78|26.6|14.78|15.22|0|27.75
HOSP OP|0301 - LAB/CHEMISTRY||82157|ANDROSTENEDIONE|56.86|30.14|42.65|45.49|48.33|51.17|48.33|45.94|40.94|38.48|0|56.86|41.96|43.92|30.51|46.54|39.88|38.81|42.82|32.21|42.65|44.41|30.16|32.79|30.16|56.86|56.86|36.54|29.34|31.25|56.86|32.79|32.21|32.79|0|0|0|22.42|29.28|29.28|30.16|29.28|52.7|29.28|30.16|0|56.86
HOSP OP|0301 - LAB/CHEMISTRY||82378|CEA|105|55.65|78.75|84|89.25|94.5|89.25|84.84|75.6|71.06|0|105|27.18|28.44|19.76|85.94|25.83|25.14|27.73|20.86|78.75|82.01|19.53|21.24|19.53|44.96|44.96|23.77|19|20.09|44.96|21.24|20.86|21.24|0|0|0|14.51|18.96|18.96|19.53|18.96|34.13|18.96|19.53|0|105
HOSP OP|0301 - LAB/CHEMISTRY||83540|IRON SERUM|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|9.28|9.71|6.74|25.37|8.81|8.58|9.47|7.12|23.25|24.21|6.66|7.25|6.66|14.99|14.99|7.92|6.48|6.7|14.99|7.25|7.12|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|31
HOSP OP|0301 - LAB/CHEMISTRY||80178|LITHIUM|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|9.48|9.92|6.89|35.2|9.01|8.77|9.67|6.61|32.25|33.58|6.81|7.4|6.81|15.99|15.99|8.36|6.62|7.14|15.99|6.73|6.61|6.73|0|0|0|5.06|6.61|6.61|6.81|6.61|11.9|6.61|6.81|0|43
HOSP OP|0301 - LAB/CHEMISTRY||84450|AST (SGOT)|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.42|7.76|5.39|16.37|7.05|6.86|7.57|5.18|15|15.62|5.34|5.8|5.34|11.99|11.99|6.6|5.19|5.36|11.99|5.27|5.18|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|20
HOSP OP|0301 - LAB/CHEMISTRY||83036|HGB A1C / EAG (A1C)|48|25.44|36|38.4|40.8|43.2|40.8|38.78|34.56|32.49|0|48|13.92|14.57|10.12|39.29|13.23|12.87|14.21|9.71|36|37.49|10|10.88|10|22.98|22.98|12.33|9.73|10.27|22.98|9.88|9.71|9.88|0|0|0|7.44|9.71|9.71|10|9.71|17.48|9.71|10|0|48
HOSP OP|0301 - LAB/CHEMISTRY||82962|GLUCOSEWHOLE BLOOD POINT OF CARE|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|4.23|4.43|3.08|18.83|4.02|3.91|4.32|3.61|17.25|17.96|3.38|3.67|3.38|6.99|6.99|3.52|3.29|3.12|6.99|3.67|3.61|3.67|0|0|0|2.26|3.28|3.28|3.38|3.28|5.9|3.28|3.38|0|23
HOSP OP|0301 - LAB/CHEMISTRY||80170|GENTAMICIN TROUGH|122|64.66|91.5|97.6|103.7|109.8|103.7|98.58|87.84|82.57|0|122|23.48|24.57|17.07|99.86|22.31|21.71|23.96|18.02|91.5|95.28|16.87|18.35|16.87|38.96|38.96|20.25|16.41|17.41|38.96|18.34|18.02|18.34|0|0|0|12.53|16.38|16.38|16.87|16.38|29.48|16.38|16.87|0|122
HOSP OP|0301 - LAB/CHEMISTRY||80170|GENTAMICIN PEAK|124|65.72|93|99.2|105.4|111.6|105.4|100.19|89.28|83.92|0|124|23.48|24.57|17.07|101.49|22.31|21.71|23.96|18.02|93|96.84|16.87|18.35|16.87|38.96|38.96|20.25|16.41|17.41|38.96|18.34|18.02|18.34|0|0|0|12.53|16.38|16.38|16.87|16.38|29.48|16.38|16.87|0|124
HOSP OP|0301 - LAB/CHEMISTRY||82803|POCT GASES VENOUS|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|33.63|35.19|24.45|135.05|31.96|31.1|34.31|28.68|123.75|128.87|26.85|29.2|26.85|55.95|55.95|26.42|26.12|25|55.95|29.2|28.68|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|165
HOSP OP|0301 - LAB/CHEMISTRY||84432|THYROGLOBULIN|26.1|13.83|19.58|20.88|22.19|23.49|22.19|21.09|18.79|17.66|0|26.1|23.01|24.08|16.73|21.36|21.87|21.28|23.48|17.67|19.58|20.38|16.54|17.99|16.54|26.1|26.1|20.25|16.09|16.96|26.1|17.99|17.67|17.99|0|0|0|12.29|16.06|16.06|16.54|16.06|26.1|16.06|16.54|0|26.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86800|THYROGLOBULIN ANTIBODY|37.7|19.98|28.28|30.16|32.05|33.93|32.05|30.46|27.14|25.52|0|37.7|22.79|23.85|16.57|30.86|21.66|21.08|23.25|17.5|28.28|29.44|16.39|17.82|16.39|37.7|37.7|19.81|15.94|16.96|37.7|17.82|17.5|17.82|0|0|0|12.17|15.91|15.91|16.39|15.91|28.64|15.91|16.39|0|37.7
HOSP OP|0301 - LAB/CHEMISTRY||84478|TRIGLYCERIDES SERUM|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|8.23|8.61|5.98|23.74|7.82|7.61|8.39|5.74|21.75|22.65|5.91|6.43|5.91|13.99|13.99|7.04|5.75|6.25|13.99|5.84|5.74|5.84|0|0|7.15|4.4|5.74|5.74|5.91|5.74|10.33|5.74|5.91|0|29
HOSP OP|0301 - LAB/CHEMISTRY||84144|PROGESTERONE SERUM|96|50.88|72|76.8|81.6|86.4|81.6|77.57|69.12|64.97|0|96|29.9|31.29|21.74|78.58|28.42|27.65|30.51|22.95|72|74.98|21.49|23.36|21.49|49.96|49.96|25.97|20.9|22.32|49.96|23.36|22.95|23.36|0|0|0|15.98|20.86|20.86|21.49|20.86|37.55|20.86|21.49|0|96
HOSP OP|0301 - LAB/CHEMISTRY||84550|URIC ACID SERUM|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|6.48|6.78|4.71|17.19|6.15|5.99|6.61|4.52|15.75|16.4|4.66|5.06|4.66|10.99|10.99|5.72|4.53|4.91|10.99|4.6|4.52|4.6|0|0|0|3.46|4.52|4.52|4.66|4.52|8.14|4.52|4.66|0|21
HOSP OP|0301 - LAB/CHEMISTRY||82670|ESTRADIOL SERUM|122|64.66|91.5|97.6|103.7|109.8|103.7|98.58|87.84|82.57|0|122|40.04|41.9|29.12|99.86|38.06|37.03|40.85|30.73|91.5|95.28|28.78|31.29|28.78|65.94|65.94|34.78|28|29.46|65.94|31.28|30.73|31.28|0|0|0|21.39|27.94|27.94|28.78|27.94|50.29|27.94|28.78|0|122
HOSP OP|0301 - LAB/CHEMISTRY||83615|LDH TOTAL|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|8.66|9.06|6.29|28.65|8.23|8.01|8.83|6.64|26.25|27.34|6.22|6.76|6.22|13.99|13.99|7.48|6.05|6.25|13.99|6.76|6.64|6.76|0|0|0|4.62|6.04|6.04|6.22|6.04|10.87|6.04|6.22|0|35
HOSP OP|0301 - LAB/CHEMISTRY||84252|VITAMIN B2 / RIBOFLAVIN|63.89|33.86|47.92|51.11|54.31|57.5|54.31|51.62|46|43.24|0|63.89|29.01|30.36|21.1|52.29|27.57|26.83|29.6|22.26|47.92|49.9|20.85|22.67|20.85|47.96|47.96|25.09|20.28|21.43|47.96|22.66|22.26|22.66|0|0|0|15.5|20.24|20.24|20.85|20.24|36.43|20.24|20.85|0|63.89
HOSP OP|0301 - LAB/CHEMISTRY||84207|VITAMIN B6|56.91|30.16|42.68|45.53|48.37|51.22|48.37|45.98|40.98|38.52|0|56.91|40.27|42.15|29.28|46.58|38.28|37.25|41.1|30.91|42.68|44.45|28.94|31.47|28.94|56.91|56.91|35.22|28.16|29.91|56.91|31.47|30.91|31.47|0|0|0|21.51|28.1|28.1|28.94|28.1|50.58|28.1|28.94|0|56.91
HOSP OP|0301 - LAB/CHEMISTRY||82180|VITAMIN C (ASCORBIC ACID)|58.1|30.79|43.58|46.48|49.39|52.29|49.39|46.94|41.83|39.32|0|58.1|14.16|14.82|10.3|47.55|13.46|13.1|14.45|10.88|43.58|45.38|10.19|11.08|10.19|22.98|22.98|12.33|9.91|10.27|22.98|11.08|10.88|11.08|0|0|0|7.56|9.89|9.89|10.19|9.89|17.8|9.89|10.19|0|58.1
HOSP OP|0301 - LAB/CHEMISTRY||82390|CERULOPLASMIN|33.7|17.86|25.28|26.96|28.65|30.33|28.65|27.23|24.26|22.81|0|33.7|15.39|16.11|11.19|27.58|14.63|14.23|15.71|11.81|25.28|26.32|11.06|12.03|11.06|25.98|25.98|13.21|10.76|11.61|25.98|12.02|11.81|12.02|0|0|0|8.22|10.74|10.74|11.06|10.74|19.33|10.74|11.06|0|33.7
HOSP OP|0301 - LAB/CHEMISTRY||83010|HAPTOGLOBIN SERUM|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|18.02|18.86|13.1|54.84|17.13|16.67|18.39|13.84|50.25|52.33|12.96|14.09|12.96|29.97|29.97|15.85|12.61|13.39|29.97|14.09|13.84|14.09|0|0|0|9.62|12.58|12.58|12.96|12.58|22.64|12.58|12.96|0|67
HOSP OP|0301 - LAB/CHEMISTRY||83718|HDL CHOLESTEROL|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|11.74|12.29|8.54|27.83|11.16|10.86|11.98|8.19|25.5|26.55|8.44|9.17|8.44|18.98|18.98|10.13|8.21|8.48|18.98|8.34|8.19|8.34|0|0|0|6.27|8.19|8.19|8.44|8.19|14.74|8.19|8.44|0|34
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|AChR BINDING AB|57.45|30.45|43.09|45.96|48.83|51.71|48.83|46.42|41.36|38.88|0|57.45|23.74|24.84|17.26|47.02|22.56|21.95|24.22|20.24|43.09|44.87|18.95|20.61|18.95|38.96|38.96|18.49|18.44|17.41|38.96|20.6|20.24|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|57.45
HOSP OP|0301 - LAB/CHEMISTRY||83003|GROWTH HORMONE|43.7|23.16|32.78|34.96|37.15|39.33|37.15|35.31|31.46|29.58|0|43.7|23.89|25|17.37|35.77|22.71|22.09|24.38|18.34|32.78|34.13|17.17|18.67|17.17|39.96|39.96|20.69|16.7|17.86|39.96|18.67|18.34|18.67|0|0|0|12.76|16.67|16.67|17.17|16.67|30.01|16.67|17.17|0|43.7
HOSP OP|0301 - LAB/CHEMISTRY||82785|IGE|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|23.59|24.69|17.16|65.48|22.42|21.82|24.07|18.11|60|62.48|16.95|18.44|16.95|38.96|38.96|20.69|16.49|17.41|38.96|18.44|18.11|18.44|0|0|0|12.6|16.46|16.46|16.95|16.46|29.63|16.46|16.95|0|80
HOSP OP|0302 - LAB/IMMUNOLOGY||86337|INSULIN ANTIBODY|67.27|35.65|50.45|53.82|57.18|60.54|57.18|54.35|48.43|45.53|0|67.27|30.69|32.12|22.32|55.06|29.17|28.38|31.32|23.55|50.45|52.54|22.05|23.98|22.05|50.95|50.95|26.86|21.45|22.77|50.95|23.97|23.55|23.97|0|0|0|16.39|21.41|21.41|22.05|21.41|38.54|21.41|22.05|0|67.27
HOSP OP|0301 - LAB/CHEMISTRY||83051|PLASMA HEMOGLOBIN|42.87|22.72|32.15|34.3|36.44|38.58|36.44|34.64|30.87|29.01|0|42.87|10.47|10.96|7.62|35.09|9.96|9.69|10.69|8.04|32.15|33.48|15.57|8.19|15.57|16.98|16.98|9.25|7.32|7.59|16.98|8.18|8.04|8.18|0|0|0|5.59|7.31|7.31|7.53|7.31|27.22|7.31|7.53|0|42.87
HOSP OP|0301 - LAB/CHEMISTRY||84305|INSULIN-LIKE GROWTH FACTOR I|42.5|22.52|31.88|34|36.13|38.25|36.13|34.34|30.6|28.76|0|42.5|30.48|31.9|22.16|34.79|28.97|28.19|31.1|23.39|31.88|33.19|21.9|23.81|21.9|42.5|42.5|26.42|21.3|22.77|42.5|23.81|23.39|23.81|0|0|0|16.28|21.26|21.26|21.9|21.26|38.27|21.26|21.9|0|42.5
HOSP OP|0301 - LAB/CHEMISTRY||84590|VITAMIN A|46.24|24.51|34.68|36.99|39.3|41.62|39.3|37.36|33.29|31.3|0|46.24|16.64|17.42|12.1|37.85|15.82|15.39|16.98|12.77|34.68|36.11|11.96|13|11.96|27.97|27.97|14.53|11.63|12.5|27.97|13|12.77|13|0|0|0|8.89|11.61|11.61|11.96|11.61|20.9|11.61|11.96|0|46.24
HOSP OP|0301 - LAB/CHEMISTRY||83002|LUTENIZING HORMONE (LH)|85|45.05|63.75|68|72.25|76.5|72.25|68.68|61.2|57.53|0|85|26.54|27.77|19.29|69.57|25.22|24.54|27.08|18.52|63.75|66.39|19.08|20.74|19.08|43.96|43.96|22.89|18.56|19.64|43.96|18.85|18.52|18.85|0|0|0|14.17|18.52|18.52|19.08|18.52|33.34|18.52|19.08|0|85
HOSP OP|0301 - LAB/CHEMISTRY||82024|ACTH|42.47|22.51|31.85|33.98|36.1|38.22|36.1|34.32|30.58|28.74|0|42.47|42.47|42.47|40.25|34.76|42.47|42.47|42.47|42.48|31.85|33.17|39.78|42.47|39.78|42.47|42.47|42.47|38.7|41.07|42.47|43.24|42.48|43.24|0|0|0|29.57|38.62|38.62|39.78|38.62|42.47|38.62|39.78|0|43.24
HOSP OP|0302 - LAB/IMMUNOLOGY||86225|DNA AB DOUBLE-STRANDED|79|41.87|59.25|63.2|67.15|71.1|67.15|63.83|56.88|53.47|0|79|19.7|20.61|14.32|64.66|18.72|18.22|20.09|15.11|59.25|61.7|14.15|15.39|14.15|32.97|32.97|17.17|13.77|14.73|32.97|15.38|15.11|15.38|0|0|0|10.51|13.74|13.74|14.15|13.74|24.73|13.74|14.15|0|79
HOSP OP|0301 - LAB/CHEMISTRY||84244|RENIN LEVEL|39.49|20.93|29.62|31.59|33.57|35.54|33.57|31.91|28.43|26.73|0|39.49|31.53|32.99|22.92|32.32|29.96|29.16|32.17|24.19|29.62|30.84|22.65|24.63|22.65|39.49|39.49|27.3|22.03|23.21|39.49|24.63|24.19|24.63|0|0|0|16.84|21.99|21.99|22.65|21.99|39.49|21.99|22.65|0|39.49
HOSP OP|0301 - LAB/CHEMISTRY||82085|ALDOLASE|42.87|22.72|32.15|34.3|36.44|38.58|36.44|34.64|30.87|29.01|0|42.87|13.92|14.57|10.12|35.09|13.23|12.87|14.21|10.68|32.15|33.48|10|10.88|10|22.98|22.98|12.33|9.73|10.27|22.98|10.87|10.68|10.87|0|0|0|7.44|9.71|9.71|10|9.71|17.48|9.71|10|0|42.87
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|TRYPTASE SERUM|65.85|34.9|49.39|52.68|55.97|59.27|55.97|53.21|47.41|44.57|0|65.85|22.28|23.31|16.2|53.9|21.17|20.6|22.73|17.27|49.39|51.43|17.79|19.34|17.79|36.97|36.97|17.61|17.3|16.52|36.97|17.58|17.27|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|65.85
HOSP OP|0301 - LAB/CHEMISTRY||84206|PROINSULIN|77.24|40.94|57.93|61.79|65.65|69.52|65.65|62.41|55.61|52.28|0|77.24|34.43|36.03|25.04|63.22|32.72|31.84|35.13|29.36|57.93|60.32|27.49|29.89|27.49|56.95|56.95|26.86|26.74|25.44|56.95|29.89|29.36|29.89|0|0|0|18.39|26.69|26.69|27.49|26.69|48.04|26.69|27.49|0|77.24
HOSP OP|0301 - LAB/CHEMISTRY||82607|VITAMIN B12 SERUM|70|37.1|52.5|56|59.5|63|59.5|56.56|50.4|47.38|0|70|21.61|22.61|15.71|57.3|20.54|19.98|22.04|16.59|52.5|54.67|15.53|16.89|15.53|35.97|35.97|18.93|15.11|16.07|35.97|16.89|16.59|16.89|0|0|0|11.54|15.08|15.08|15.53|15.08|27.14|15.08|15.53|0|70
HOSP OP|0301 - LAB/CHEMISTRY||84260|SEROTONIN BLOOD|67.64|35.85|50.73|54.11|57.49|60.88|57.49|54.65|48.7|45.78|0|67.64|44.41|46.48|32.3|55.36|42.21|41.07|45.32|34.08|50.73|52.83|31.91|34.7|31.91|67.64|67.64|38.74|31.04|33.03|67.64|34.69|34.08|34.69|0|0|0|23.72|30.98|30.98|31.91|30.98|55.76|30.98|31.91|0|67.64
HOSP OP|0301 - LAB/CHEMISTRY||84446|VITAMIN E|46|24.38|34.5|36.8|39.1|41.4|39.1|37.17|33.12|31.13|0|46|20.32|21.26|14.77|37.65|19.31|18.79|20.73|15.6|34.5|35.93|14.61|15.88|14.61|33.97|33.97|17.61|14.21|15.18|33.97|15.88|15.6|15.88|0|0|0|10.85|14.18|14.18|14.61|14.18|25.52|14.18|14.61|0|46
HOSP OP|0301 - LAB/CHEMISTRY||83050|METHEMOGLOBIN|58|30.74|43.5|46.4|49.3|52.2|49.3|46.86|41.76|39.25|0|58|10.58|11.07|7.69|47.47|10.05|9.78|10.79|9.02|43.5|45.3|8.45|9.18|8.45|17.98|17.98|9.25|8.22|8.04|17.98|9.18|9.02|9.18|0|0|0|5.64|8.2|8.2|8.45|8.2|14.76|8.2|8.45|0|58
HOSP OP|0302 - LAB/IMMUNOLOGY||86300|CA 15-3 (BREAST)|40.4|21.41|30.3|32.32|34.34|36.36|34.34|32.64|29.09|27.34|0|40.4|29.84|31.23|21.7|33.07|28.36|27.59|30.45|22.89|30.3|31.55|21.43|23.31|21.43|40.4|40.4|25.97|20.85|21.87|40.4|23.3|22.89|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|40.4
HOSP OP|0301 - LAB/CHEMISTRY||82140|AMMONIA PLASMA|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|20.89|21.86|15.19|73.67|19.85|19.31|21.31|16.03|67.5|70.29|15.01|16.32|15.01|34.97|34.97|18.05|14.6|15.62|34.97|16.32|16.03|16.32|0|0|0|11.15|14.57|14.57|15.01|14.57|26.23|14.57|15.01|0|90
HOSP OP|0302 - LAB/IMMUNOLOGY||86638|Q FEVER PHASE 1 IgM|28.66|15.19|21.5|22.93|24.36|25.79|24.36|23.16|20.64|19.4|0|28.66|17.38|18.18|12.63|23.46|16.51|16.07|17.73|13.33|21.5|22.38|12.48|13.57|12.48|28.66|28.66|14.97|12.14|12.95|28.66|13.57|13.33|13.57|0|0|0|9.28|12.12|12.12|12.48|12.12|21.82|12.12|12.48|0|28.66
HOSP OP|0301 - LAB/CHEMISTRY||83605|LACTIC ACID SERUM|83|43.99|62.25|66.4|70.55|74.7|70.55|67.06|59.76|56.17|0|83|15.31|16.02|11.13|67.94|14.55|14.16|15.62|11.57|62.25|64.82|11.92|12.96|11.92|24.98|24.98|13.21|11.59|11.16|24.98|11.78|11.57|11.78|0|0|0|8.17|11.57|11.57|11.92|11.57|20.83|11.57|11.92|0|83
HOSP OP|0302 - LAB/IMMUNOLOGY||86304|CA 125|109|57.77|81.75|87.2|92.65|98.1|92.65|88.07|78.48|73.77|0|109|29.84|31.23|21.7|89.22|28.36|27.59|30.45|22.89|81.75|85.13|21.43|23.31|21.43|48.96|48.96|25.97|20.85|21.87|48.96|23.3|22.89|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|109
HOSP OP|0301 - LAB/CHEMISTRY||82575|CREATININE CLEARANCE URINE|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|13.56|14.19|9.86|49.93|12.89|12.54|13.84|10.41|45.75|47.64|9.74|10.6|9.74|21.98|21.98|11.89|9.48|9.82|21.98|10.6|10.41|10.6|0|0|0|7.24|9.46|9.46|9.74|9.46|17.03|9.46|9.74|0|61
HOSP OP|0301 - LAB/CHEMISTRY||84155|PROTEIN TOTAL|18|9.54|13.5|14.4|15.3|16.2|15.3|14.54|12.96|12.18|0|18|5.25|5.49|3.82|14.73|4.99|4.86|5.35|3.67|13.5|14.06|3.78|4.11|3.78|8.99|8.99|4.4|3.68|4.02|8.99|3.74|3.67|3.74|0|0|0|2.8|3.67|3.67|3.78|3.67|6.61|3.67|3.78|0|18
HOSP OP|0301 - LAB/CHEMISTRY||82951|GLUCOSE GEST. 3 HOUR|258|136.74|193.5|206.4|219.3|232.2|219.3|208.46|185.76|174.61|0|258|18.45|19.31|13.41|211.17|17.53|17.06|18.83|12.87|193.5|201.5|13.26|14.41|13.26|30.97|30.97|15.85|12.9|13.84|30.97|13.1|12.87|13.1|0|0|16.02|9.85|12.87|12.87|13.26|12.87|23.17|12.87|13.26|0|258
HOSP OP|0301 - LAB/CHEMISTRY||82040|ALBUMIN|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.1|7.43|5.16|16.37|6.74|6.56|7.24|4.95|15|15.62|5.1|5.54|5.1|11.99|11.99|6.16|4.96|5.36|11.99|5.04|4.95|5.04|0|0|0|3.79|4.95|4.95|5.1|4.95|8.91|4.95|5.1|0|20
HOSP OP|0301 - LAB/CHEMISTRY||82525|COPPER SERUM|50.55|26.79|37.91|40.44|42.97|45.5|42.97|40.84|36.4|34.21|0|50.55|17.79|18.62|12.94|41.38|16.91|16.45|18.15|13.65|37.91|39.48|12.78|13.9|12.78|28.97|28.97|15.41|12.43|12.95|28.97|13.9|13.65|13.9|0|0|0|9.5|12.41|12.41|12.78|12.41|22.34|12.41|12.78|0|50.55
HOSP OP|0301 - LAB/CHEMISTRY||82139|AMINO ACID QT BLOOD|124.3|65.88|93.23|99.44|105.66|111.87|105.66|100.43|89.5|84.13|0|124.3|24.17|25.3|17.58|101.74|22.98|22.36|24.67|18.56|93.23|97.08|17.38|18.89|17.38|39.96|39.96|21.13|16.9|17.86|39.96|18.89|18.56|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|124.3
HOSP OP|0301 - LAB/CHEMISTRY||84210|PYRUVIC ACID (PYRUVATE)|48.07|25.48|36.05|38.46|40.86|43.26|40.86|38.84|34.61|32.53|0|48.07|18.68|19.55|13.58|39.35|17.75|17.27|19.06|15.93|36.05|37.54|14.91|16.22|14.91|30.97|30.97|14.53|14.51|13.84|30.97|16.22|15.93|16.22|0|0|0|9.98|14.48|14.48|14.91|14.48|26.06|14.48|14.91|0|48.07
HOSP OP|0301 - LAB/CHEMISTRY||84154|FREE PSA|25.38|13.45|19.04|20.3|21.57|22.84|21.57|20.51|18.27|17.18|0|25.38|25.38|25.38|19.17|20.77|25.06|24.38|25.38|20.23|19.04|19.82|18.94|20.6|18.94|25.38|25.38|22.89|18.43|19.64|25.38|20.59|20.23|20.59|0|0|0|14.08|18.39|18.39|18.94|18.39|25.38|18.39|18.94|0|25.38
HOSP OP|0301 - LAB/CHEMISTRY||G0103|PSA SCREEN|74|39.22|55.5|59.2|62.9|66.6|62.9|59.79|53.28|50.08|0|74|26.37|27.59|19.17|60.57|25.06|24.38|26.9|21.24|55.5|57.79|19.89|21.63|19.89|54.95|54.95|26.86|19.35|24.55|54.95|21.62|21.24|21.62|0|0|25.43|14.08|19.31|19.31|19.89|19.31|34.76|19.31|19.89|0|74
HOSP OP|0301 - LAB/CHEMISTRY||84153|PSA-PERCENT FREE|25.38|13.45|19.04|20.3|21.57|22.84|21.57|20.51|18.27|17.18|0|25.38|25.38|25.38|19.17|20.77|25.06|24.38|25.38|20.23|19.04|19.82|18.94|20.6|18.94|25.38|25.38|22.89|18.43|19.64|25.38|20.59|20.23|20.59|0|0|0|14.08|18.39|18.39|18.94|18.39|25.38|18.39|18.94|0|25.38
HOSP OP|0301 - LAB/CHEMISTRY||84153|PSA DIAGNOSTIC|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|26.37|27.59|19.17|65.48|25.06|24.38|26.9|20.23|60|62.48|18.94|20.6|18.94|43.96|43.96|22.89|18.43|19.64|43.96|20.59|20.23|20.59|0|0|0|14.08|18.39|18.39|18.94|18.39|33.1|18.39|18.94|0|80
HOSP OP|0301 - LAB/CHEMISTRY||83498|17-0H-PROGESTERONE|47.04|24.93|35.28|37.63|39.98|42.34|39.98|38.01|33.87|31.84|0|47.04|38.95|40.76|28.32|38.5|37.01|36.02|39.74|29.89|35.28|36.74|27.99|30.43|27.99|47.04|47.04|33.9|27.22|29.02|47.04|30.43|29.89|30.43|0|0|0|20.8|27.17|27.17|27.99|27.17|47.04|27.17|27.99|0|47.04
HOSP OP|0301 - LAB/CHEMISTRY||82175|ARSENIC BLOOD|17.06|9.04|12.8|13.65|14.5|15.35|14.5|13.78|12.28|11.55|0|17.06|17.06|17.06|17.06|13.96|17.06|17.06|17.06|20.87|12.8|13.32|17.06|17.06|17.06|17.06|17.06|17.06|17.06|17.06|17.06|21.25|20.87|21.25|0|0|0|14.52|17.06|17.06|17.06|17.06|17.06|17.06|17.06|0|21.25
HOSP OP|0301 - LAB/CHEMISTRY||82300|CADMIUM BLOOD|19.48|10.32|14.61|15.58|16.56|17.53|16.56|15.74|14.03|13.18|0|19.48|19.48|19.48|19.48|15.94|19.48|19.48|19.48|26|14.61|15.21|19.48|19.48|19.48|19.48|19.48|19.48|19.48|19.48|19.48|26.47|26|26.47|0|0|0|17.72|19.48|19.48|19.48|19.48|19.48|19.48|19.48|0|26.47
HOSP OP|0301 - LAB/CHEMISTRY||80061|LIPID PROFILE|55|29.15|41.25|44|46.75|49.5|46.75|44.44|39.6|37.22|0|55|19.2|20.09|13.96|45.02|18.24|17.75|19.59|13.39|41.25|42.96|13.79|15|13.79|31.97|31.97|16.73|13.42|14.28|31.97|13.63|13.39|13.63|0|0|16.67|10.25|13.39|13.39|13.79|13.39|24.1|13.39|13.79|0|55
HOSP OP|0301 - LAB/CHEMISTRY||80375|Hb Hydroxyzine (vistaril) (atarax)|96.03|50.9|72.02|76.82|81.63|86.43|81.63|77.59|69.14|64.99|0|96.03|31.49|0|22.9|78.6|29.93|29.12|0|23.35|72.02|75|96.03|0|96.03|57.95|57.95|96.03|38.41|25.89|57.95|23.77|23.35|23.77|0|0|0|78.86|96.03|96.03|96.03|96.03|96.03|96.03|96.03|0|96.03
HOSP OP|0301 - LAB/CHEMISTRY||80320|Hb Alcohol (etoh) Blood|71|37.63|53.25|56.8|60.35|63.9|60.35|57.37|51.12|48.05|0|71|31.49|0|22.9|58.11|29.93|29.12|0|16.21|53.25|55.45|71|0|71|56.37|37.97|71|28.4|16.96|37.97|16.5|16.21|16.5|0|0|0|69.58|71|71|71|71|71|71|71|0|71
HOSP OP|0301 - LAB/CHEMISTRY||80185|DILANTIN (PHENYTOIN)|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|19|19.89|13.82|52.38|18.06|17.57|19.39|14.58|48|49.98|13.65|14.84|13.65|31.97|31.97|16.73|13.28|14.28|31.97|14.84|14.58|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|64
HOSP OP|0301 - LAB/CHEMISTRY||82728|FERRITIN SERUM|76|40.28|57|60.8|64.6|68.4|64.6|61.41|54.72|51.44|0|76|19.54|20.45|14.21|62.21|18.57|18.07|19.94|14.99|57|59.36|14.04|15.27|14.04|31.97|31.97|17.17|13.66|14.28|31.97|15.26|14.99|15.26|0|0|0|10.44|13.63|13.63|14.04|13.63|24.53|13.63|14.04|0|76
HOSP OP|0301 - LAB/CHEMISTRY||80375|DIPHENHYDRAMINE (BENADRYL)|70.17|37.19|52.63|56.14|59.64|63.15|59.64|56.7|50.52|47.49|0|70.17|31.49|0|22.9|57.43|29.93|29.12|0|23.35|52.63|54.8|70.17|0|70.17|57.95|57.95|70.17|28.07|25.89|57.95|23.77|23.35|23.77|0|0|0|68.77|70.17|70.17|70.17|70.17|70.17|70.17|70.17|0|70.17
HOSP OP|0301 - LAB/CHEMISTRY||80150|AMIKACIN|53.23|28.21|39.92|42.58|45.25|47.91|45.25|43.01|38.33|36.03|0|53.23|21.61|22.61|15.71|43.57|20.54|19.98|22.04|16.59|39.92|41.57|15.53|16.89|15.53|35.97|35.97|18.93|15.11|16.07|35.97|16.89|16.59|16.89|0|0|0|11.54|15.08|15.08|15.53|15.08|27.14|15.08|15.53|0|53.23
HOSP OP|0301 - LAB/CHEMISTRY||80198|THEOPHYLLINE (AMINOPHYLLINE)|54.9|29.1|41.18|43.92|46.67|49.41|46.67|44.36|39.53|37.16|0|54.9|20.27|21.21|14.74|44.94|19.26|18.74|20.68|15.55|41.18|42.88|14.56|15.84|14.56|33.97|33.97|17.61|14.17|15.18|33.97|15.83|15.55|15.83|0|0|0|10.82|14.14|14.14|14.56|14.14|25.45|14.14|14.56|0|54.9
HOSP OP|0301 - LAB/CHEMISTRY||80188|PRIMIDONE (MYSOLINE)|44.6|23.64|33.45|35.68|37.91|40.14|37.91|36.04|32.11|30.19|0|44.6|23.79|24.89|17.3|36.51|22.61|22|24.27|18.25|33.45|34.83|17.09|18.58|17.09|38.96|38.96|20.69|16.62|17.41|38.96|18.58|18.25|18.58|0|0|0|12.7|16.59|16.59|17.09|16.59|29.86|16.59|17.09|0|44.6
HOSP OP|0301 - LAB/CHEMISTRY||80184|Hb Phenobarbital|42|22.26|31.5|33.6|35.7|37.8|35.7|33.94|30.24|28.43|0|42|19.74|20.66|14.35|34.38|18.76|18.25|20.14|16.83|31.5|32.8|15.76|17.14|15.76|32.97|32.97|15.41|15.33|14.73|32.97|17.13|16.83|17.13|0|0|0|10.54|15.3|15.3|15.76|15.3|27.54|15.3|15.76|0|42
HOSP OP|0301 - LAB/CHEMISTRY||80156|CARBAMAZEPINE (TEGRETOL)|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|20.87|21.84|15.18|54.84|19.84|19.3|21.29|16.03|50.25|52.33|15.01|16.32|15.01|34.97|34.97|18.05|14.6|15.62|34.97|16.32|16.03|16.32|0|0|0|11.14|14.57|14.57|15.01|14.57|26.23|14.57|15.01|0|67
HOSP OP|0301 - LAB/CHEMISTRY||80375|BUSPIRONE/BUSPAR|96.03|50.9|72.02|76.82|81.63|86.43|81.63|77.59|69.14|64.99|0|96.03|31.49|0|22.9|78.6|29.93|29.12|0|23.35|72.02|75|96.03|0|96.03|57.95|57.95|96.03|38.41|25.89|57.95|23.77|23.35|23.77|0|0|0|78.86|96.03|96.03|96.03|96.03|96.03|96.03|96.03|0|96.03
HOSP OP|0301 - LAB/CHEMISTRY||80349|THC CONFIRMATION|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|31.49|0|22.9|40.68|29.93|29.12|0|23.35|37.28|38.82|49.7|0|49.7|39.46|41.08|49.7|19.88|21.75|41.08|23.77|23.35|23.77|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80332|Hb Sertraline (zoloft)|95.04|50.37|71.28|76.03|80.78|85.54|80.78|76.79|68.43|64.32|0|95.04|31.49|0|22.9|77.79|29.93|29.12|0|23.11|71.28|74.23|95.04|0|95.04|48.96|48.96|95.04|38.02|21.87|48.96|23.53|23.11|23.53|0|0|0|78.86|95.04|95.04|95.04|95.04|95.04|95.04|95.04|0|95.04
HOSP OP|0301 - LAB/CHEMISTRY||80162|DIGOXIN (LANOXIN)|69|36.57|51.75|55.2|58.65|62.1|58.65|55.75|49.68|46.7|0|69|19.03|19.91|13.84|56.48|18.08|17.6|19.41|14.61|51.75|53.89|13.68|14.87|13.68|31.97|31.97|16.73|13.31|14.28|31.97|14.87|14.61|14.87|0|0|0|10.16|13.28|13.28|13.68|13.28|23.9|13.28|13.68|0|69
HOSP OP|0301 - LAB/CHEMISTRY||80329|Hb Salicylate|70|37.1|52.5|56|59.5|63|59.5|56.56|50.4|47.38|0|70|31.49|0|22.9|57.3|29.93|29.12|0|34.51|52.5|54.67|70|0|70|55.58|57.86|70|28|30.64|57.86|35.13|34.51|35.13|0|0|0|68.6|70|70|70|70|70|70|70|0|70
HOSP OP|0302 - LAB/IMMUNOLOGY||80299|METHOTREXATE (MEXATE)|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|24.05|25.16|17.48|25.37|22.85|22.24|24.53|20.5|23.25|24.21|19.2|20.88|19.2|31|31|18.93|18.68|17.86|31|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|31|18.64|19.2|0|31
HOSP OP|0301 - LAB/CHEMISTRY||82375|CARBON MONOXIDE(CARBOXY-HGB)|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|17.66|18.48|12.84|55.66|16.78|16.33|18.02|13.55|51|53.11|12.69|13.8|12.69|28.97|28.97|15.41|12.34|12.95|28.97|13.79|13.55|13.79|0|0|0|9.43|12.32|12.32|12.69|12.32|22.18|12.32|12.69|0|68
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen Presumptive|21.9|11.61|16.43|17.52|18.62|19.71|18.62|17.7|15.77|14.82|0|21.9|21.9|21.9|21.9|17.93|21.9|21.9|21.9|68.35|16.43|17.1|21.9|21.9|21.9|21.9|21.9|21.9|21.9|21.9|21.9|69.58|68.35|69.58|0|0|0|21.46|21.9|21.9|21.9|21.9|21.9|21.9|21.9|0|69.58
HOSP OP|0301 - LAB/CHEMISTRY||80202|VANCOMYCIN PEAK|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|19.41|20.32|14.12|59.75|18.45|17.95|19.81|14.89|54.75|57.01|13.95|15.16|13.95|31.97|31.97|16.73|13.57|14.28|31.97|15.16|14.89|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|73
HOSP OP|0301 - LAB/CHEMISTRY||80202|VANCOMYCIN TROUGH|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|19.41|20.32|14.12|65.48|18.45|17.95|19.81|14.89|60|62.48|13.95|15.16|13.95|31.97|31.97|16.73|13.57|14.28|31.97|15.16|14.89|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|80
HOSP OP|0301 - LAB/CHEMISTRY||80338|TRAZODONE (DESYREL)|57.62|30.54|43.22|46.1|48.98|51.86|48.98|46.56|41.49|39|0|57.62|38.09|0|27.77|47.16|36.19|35.21|0|9.63|43.22|45|57.62|0|57.62|29.97|29.97|57.62|23.05|13.39|29.97|9.8|9.63|9.8|0|0|0|56.47|57.62|57.62|57.62|57.62|57.62|57.62|57.62|0|57.62
HOSP OP|0301 - LAB/CHEMISTRY||80299|AMIODARONE & METABOLITE|46.1|24.43|34.58|36.88|39.19|41.49|39.19|37.25|33.19|31.2|0|46.1|24.05|25.16|17.48|37.73|22.85|22.24|24.53|20.5|34.58|36|19.2|20.88|19.2|39.96|39.96|18.93|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|46.1
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Alprazolam/xanax|50.72|26.88|38.04|40.58|43.11|45.65|43.11|40.98|36.52|34.33|0|50.72|31.49|0|22.9|41.51|29.93|29.12|0|33.75|38.04|39.61|50.72|0|50.72|40.27|41.93|50.72|20.29|22.2|41.93|34.36|33.75|34.36|0|0|0|49.71|50.72|50.72|50.72|50.72|50.72|50.72|50.72|0|50.72
HOSP OP|0301 - LAB/CHEMISTRY||80329|Hb Acetaminophen (tylenol)|81|42.93|60.75|64.8|68.85|72.9|68.85|65.45|58.32|54.82|0|81|31.49|0|22.9|66.3|29.93|29.12|0|34.51|60.75|63.26|81|0|81|64.31|66.95|81|32.4|35.45|66.95|35.13|34.51|35.13|0|0|0|78.86|81|81|81|81|81|81|81|0|81
HOSP OP|0301 - LAB/CHEMISTRY||80342|HALDOL (HALOPERIDOL)|81.67|43.29|61.25|65.34|69.42|73.5|69.42|65.99|58.8|55.27|0|81.67|31.49|0|22.9|66.85|29.93|29.12|0|26.56|61.25|63.78|81.67|0|81.67|44.96|44.96|81.67|32.67|20.09|44.96|27.04|26.56|27.04|0|0|0|78.86|81.67|81.67|81.67|81.67|81.67|81.67|81.67|0|81.67
HOSP OP|0301 - LAB/CHEMISTRY||80299|Hb Pentobarbital (nembutal)|75.08|39.79|56.31|60.06|63.82|67.57|63.82|60.66|54.06|50.81|0|75.08|24.05|25.16|17.48|61.45|22.85|22.24|24.53|20.5|56.31|58.64|75.08|20.88|75.08|39.96|39.96|75.08|18.68|17.86|39.96|20.87|20.5|20.87|0|0|0|73.58|75.08|75.08|75.08|75.08|75.08|75.08|75.08|0|75.08
HOSP OP|0301 - LAB/CHEMISTRY||80332|FLUOXETINE (PROZAC)|67.04|35.53|50.28|53.63|56.98|60.34|56.98|54.17|48.27|45.37|0|67.04|31.49|0|22.9|54.87|29.93|29.12|0|23.11|50.28|52.36|67.04|0|67.04|48.96|48.96|67.04|26.82|21.87|48.96|23.53|23.11|23.53|0|0|0|65.7|67.04|67.04|67.04|67.04|67.04|67.04|67.04|0|67.04
HOSP OP|0301 - LAB/CHEMISTRY||80338|BUPROPION|110.48|58.55|82.86|88.38|93.91|99.43|93.91|89.27|79.55|74.77|0|110.48|73.03|0|53.25|90.43|69.38|67.5|0|9.63|82.86|86.28|110.48|0|110.48|29.97|29.97|110.48|44.19|13.39|29.97|9.8|9.63|9.8|0|0|0|78.86|110.48|110.48|110.48|110.48|110.48|110.48|110.48|0|110.48
HOSP OP|0301 - LAB/CHEMISTRY||80186|DILANTIN UNBOUND|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|19.72|20.64|14.34|53.2|18.75|18.24|20.12|15.14|48.75|50.77|14.17|15.41|14.17|32.97|32.97|17.17|13.79|14.73|32.97|15.41|15.14|15.41|0|0|0|10.53|13.76|13.76|14.17|13.76|24.77|13.76|14.17|0|65
HOSP OP|0301 - LAB/CHEMISTRY||80335|CLOMIPRAMINE (ANAFRANIL)|54.8|29.04|41.1|43.84|46.58|49.32|46.58|44.28|39.46|37.09|0|54.8|31.49|0|22.9|44.85|29.93|29.12|0|30.53|41.1|42.8|54.8|0|54.8|48.96|48.96|54.8|21.92|21.87|48.96|31.08|30.53|31.08|0|0|0|53.7|54.8|54.8|54.8|54.8|54.8|54.8|54.8|0|54.8
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen Meconium|84.38|44.72|63.29|67.5|71.72|75.94|71.72|68.18|60.75|57.11|0|84.38|83.4|84.38|60.64|69.07|79.26|77.13|84.38|68.35|63.29|65.9|64|69.6|64|84.38|84.38|72.64|62.26|61.6|84.38|69.58|68.35|69.58|0|0|0|44.55|62.14|62.14|64|62.14|84.38|62.14|64|0|84.38
HOSP OP|0301 - LAB/CHEMISTRY||80176|LIDOCAINE (XYLOCAINE)|58.44|30.97|43.83|46.75|49.67|52.6|49.67|47.22|42.08|39.55|0|58.44|21.05|22.03|15.31|47.83|20.01|19.47|21.48|16.16|43.83|45.64|15.13|16.45|15.13|34.97|34.97|18.49|14.72|15.62|34.97|16.45|16.16|16.45|0|0|0|11.24|14.69|14.69|15.13|14.69|26.44|14.69|15.13|0|58.44
HOSP OP|0301 - LAB/CHEMISTRY||82542|CARBAMAZAPINE 1011 EPOXIDE|54.8|29.04|41.1|43.84|46.58|49.32|46.58|44.28|39.46|37.09|0|54.8|31.08|32.52|22.6|44.85|29.53|28.74|31.71|26.5|41.1|42.8|24.81|26.98|24.81|51.95|51.95|24.21|24.14|23.21|51.95|26.98|26.5|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|54.8
HOSP OP|0301 - LAB/CHEMISTRY||82553|CKMB|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|16.55|17.32|12.03|73.67|15.73|15.31|16.89|12.71|67.5|70.29|11.9|12.94|11.9|26.98|26.98|14.53|11.57|12.05|26.98|12.94|12.71|12.94|0|0|0|8.84|11.55|11.55|11.9|11.55|20.79|11.55|11.9|0|90
HOSP OP|0301 - LAB/CHEMISTRY||82784|IGA|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|13.34|13.96|9.7|59.75|12.68|12.34|13.61|10.23|54.75|57.01|9.58|10.42|9.58|21.98|21.98|11.45|9.32|9.82|21.98|10.41|10.23|10.41|0|0|0|7.12|9.3|9.3|9.58|9.3|16.74|9.3|9.58|0|73
HOSP OP|0301 - LAB/CHEMISTRY||82784|IGM|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|13.34|13.96|9.7|59.75|12.68|12.34|13.61|10.23|54.75|57.01|9.58|10.42|9.58|21.98|21.98|11.45|9.32|9.82|21.98|10.41|10.23|10.41|0|0|0|7.12|9.3|9.3|9.58|9.3|16.74|9.3|9.58|0|73
HOSP OP|0301 - LAB/CHEMISTRY||82784|IGG|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|13.34|13.96|9.7|59.75|12.68|12.34|13.61|10.23|54.75|57.01|9.58|10.42|9.58|21.98|21.98|11.45|9.32|9.82|21.98|10.41|10.23|10.41|0|0|0|7.12|9.3|9.3|9.58|9.3|16.74|9.3|9.58|0|73
HOSP OP|0301 - LAB/CHEMISTRY||82746|FOLATE SERUM|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|21.08|22.06|15.33|52.38|20.03|19.49|21.51|16.17|48|49.98|15.14|16.46|15.14|34.97|34.97|18.49|14.73|15.62|34.97|16.46|16.17|16.46|0|0|0|11.26|14.7|14.7|15.14|14.7|26.46|14.7|15.14|0|64
HOSP OP|0301 - LAB/CHEMISTRY||83020|HEMOGLOBINOPATHY|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|40.28|13.07|13.61|13.26|14.41|13.26|17.42|17.42|17.42|12.9|17.42|17.42|41|40.28|19.12|0|0|0|17.07|12.87|12.87|13.26|12.87|17.42|12.87|13.26|0|41
HOSP OP|0301 - LAB/CHEMISTRY||83498|ADRENAL HYPERPLASIA|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|29.89|13.07|13.61|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|30.43|29.89|30.43|0|0|0|17.07|17.42|17.42|17.42|17.42|17.42|17.42|17.42|0|30.43
HOSP OP|0301 - LAB/CHEMISTRY||83789|AMINO ACIDEMIAS|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|26.52|13.07|13.61|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|27|26.52|27|0|0|0|16.61|17.42|17.42|17.42|17.42|17.42|17.42|17.42|0|27
HOSP OP|0301 - LAB/CHEMISTRY||82776|GALACTOSEMIA|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|15.14|15.85|11.01|14.26|14.39|14.01|15.45|12.91|13.07|13.61|12.09|13.15|12.09|17.42|17.42|11.89|11.76|11.16|17.42|13.14|12.91|13.14|0|0|0|8.08|11.74|11.74|12.09|11.74|17.42|11.74|12.09|0|17.42
HOSP OP|0301 - LAB/CHEMISTRY||84443|HYPOTHYROIDISM|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|16.8|13.07|13.61|17.3|17.42|17.3|17.42|17.42|17.42|16.83|17.42|17.42|17.1|16.8|17.1|0|0|0|12.87|16.8|16.8|17.3|16.8|17.42|16.8|17.3|0|17.42
HOSP OP|0301 - LAB/CHEMISTRY||82248|BILIRUBIN DIRECT NEONATAL|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|7.19|7.52|5.22|25.37|6.83|6.65|7.33|5.52|23.25|24.21|5.17|5.62|5.17|11.99|11.99|6.16|5.03|5.36|11.99|5.62|5.52|5.62|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|31
HOSP OP|0301 - LAB/CHEMISTRY||82247|BILIRUBIN TOTAL|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.19|7.52|5.22|16.37|6.83|6.65|7.33|5.02|15|15.62|5.17|5.62|5.17|11.99|11.99|6.16|5.03|5.36|11.99|5.11|5.02|5.11|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|20
HOSP OP|0302 - LAB/IMMUNOLOGY||86336|Hb Inhibin A Tumor Marker|53.17|28.18|39.88|42.54|45.19|47.85|45.19|42.96|38.28|35.99|0|53.17|22.34|23.38|16.25|43.52|21.23|20.66|22.8|17.15|39.88|41.53|16.06|17.46|16.06|36.97|36.97|19.37|15.62|16.52|36.97|17.46|17.15|17.46|0|0|0|11.94|15.59|15.59|16.06|15.59|28.06|15.59|16.06|0|53.17
HOSP OP|0301 - LAB/CHEMISTRY||84075|ALKALINE PHOSPHATASE TOTAL|22.1|11.71|16.58|17.68|18.79|19.89|18.79|17.86|15.91|14.96|0|22.1|7.42|7.76|5.39|18.09|7.05|6.86|7.57|5.18|16.58|17.26|5.34|5.8|5.34|11.99|11.99|6.6|5.19|5.36|11.99|5.27|5.18|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|22.1
HOSP OP|0301 - LAB/CHEMISTRY||83825|MERCURY  BLOOD|15.48|8.2|11.61|12.38|13.16|13.93|13.16|12.51|11.15|10.48|0|15.48|15.48|15.48|15.48|12.67|15.48|15.48|15.48|17.89|11.61|12.09|15.48|15.48|15.48|15.48|15.48|15.48|15.48|15.48|15.48|18.21|17.89|18.21|0|0|0|12.45|15.48|15.48|15.48|15.48|15.48|15.48|15.48|0|18.21
HOSP OP|0301 - LAB/CHEMISTRY||84105|PHOSPHORUS URINE|17|9.01|12.75|13.6|14.45|15.3|14.45|13.74|12.24|11.51|0|17|7.46|7.8|5.42|13.91|7.09|6.9|7.61|6.36|12.75|13.28|5.95|6.47|5.95|11.99|11.99|6.6|5.79|5.36|11.99|6.47|6.36|6.47|0|0|0|3.98|5.78|5.78|5.95|5.78|10.4|5.78|5.95|0|17
HOSP OP|0301 - LAB/CHEMISTRY||80335|Hb Amitriptyline|48.72|25.82|36.54|38.98|41.41|43.85|41.41|39.37|35.08|32.97|0|48.72|31.49|0|22.9|39.88|29.93|29.12|0|30.53|36.54|38.05|48.72|0|48.72|48.72|48.72|48.72|19.49|21.87|48.72|31.08|30.53|31.08|0|0|0|47.75|48.72|48.72|48.72|48.72|48.72|48.72|48.72|0|48.72
HOSP OP|0301 - LAB/CHEMISTRY||82784|IgG TOTAL|10.71|5.68|8.03|8.57|9.1|9.64|9.1|8.65|7.71|7.25|0|10.71|10.71|10.71|9.7|8.77|10.71|10.71|10.71|10.23|8.03|8.36|9.58|10.42|9.58|10.71|10.71|10.71|9.32|9.82|10.71|10.41|10.23|10.41|0|0|0|7.12|9.3|9.3|9.58|9.3|10.71|9.3|9.58|0|10.71
HOSP OP|0301 - LAB/CHEMISTRY||82247|BILIRUBIN TOTAL NEONATAL|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|7.19|7.52|5.22|17.19|6.83|6.65|7.33|5.02|15.75|16.4|5.17|5.62|5.17|11.99|11.99|6.16|5.03|5.36|11.99|5.11|5.02|5.11|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|21
HOSP OP|0301 - LAB/CHEMISTRY||82787|IgG SUBCLASS 1|9.91|5.25|7.43|7.93|8.42|8.92|8.42|8.01|7.14|6.71|0|9.91|9.91|9.91|8.36|8.11|9.91|9.91|9.91|8.82|7.43|7.74|8.26|8.98|8.26|9.91|9.91|9.91|8.04|8.48|9.91|8.98|8.82|8.98|0|0|0|6.13|8.02|8.02|8.26|8.02|9.91|8.02|8.26|0|9.91
HOSP OP|0301 - LAB/CHEMISTRY||82787|IgG SUBCLASS 2|9.91|5.25|7.43|7.93|8.42|8.92|8.42|8.01|7.14|6.71|0|9.91|9.91|9.91|8.36|8.11|9.91|9.91|9.91|8.82|7.43|7.74|8.26|8.98|8.26|9.91|9.91|9.91|8.04|8.48|9.91|8.98|8.82|8.98|0|0|0|6.13|8.02|8.02|8.26|8.02|9.91|8.02|8.26|0|9.91
HOSP OP|0301 - LAB/CHEMISTRY||82787|IgG SUBCLASS 3|9.9|5.25|7.43|7.92|8.42|8.91|8.42|8|7.13|6.7|0|9.9|9.9|9.9|8.36|8.1|9.9|9.9|9.9|8.82|7.43|7.73|8.26|8.98|8.26|9.9|9.9|9.9|8.04|8.48|9.9|8.98|8.82|8.98|0|0|0|6.13|8.02|8.02|8.26|8.02|9.9|8.02|8.26|0|9.9
HOSP OP|0301 - LAB/CHEMISTRY||82787|IgG SUBCLASS 4|9.9|5.25|7.43|7.92|8.42|8.91|8.42|8|7.13|6.7|0|9.9|9.9|9.9|8.36|8.1|9.9|9.9|9.9|8.82|7.43|7.73|8.26|8.98|8.26|9.9|9.9|9.9|8.04|8.48|9.9|8.98|8.82|8.98|0|0|0|6.13|8.02|8.02|8.26|8.02|9.9|8.02|8.26|0|9.9
HOSP OP|0302 - LAB/IMMUNOLOGY||86860|ELUTION STUDIES|479|253.87|359.25|383.2|407.15|431.1|407.15|387.03|344.88|324.19|0|479|42.78|283.12|31.1|392.06|40.65|39.56|276.04|22.87|359.25|374.1|158.58|172.44|158.58|266.73|272.17|113.88|154.27|115.46|272.17|23.28|22.87|23.28|0|0|191.6|22.85|307.27|273.52|158.58|294.83|277.13|153.96|158.56|0|479
HOSP OP|0300 - LABORATORY||86905|Hb Patient Antigen Test|322|170.66|241.5|257.6|273.7|289.8|273.7|260.18|231.84|217.93|0|322|5.48|322|3.99|263.56|5.21|5.07|322|4.21|241.5|251.48|313.19|340.56|313.19|322|322|224.92|304.68|228.04|322|4.29|4.21|4.29|0|0|4.76|2.93|322|322|313.19|322|322|304.07|313.15|0|340.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86870|ANTIBODY IDENT|462|244.86|346.5|369.6|392.7|415.8|392.7|373.3|332.64|312.68|0|462|58.75|462|42.72|378.15|55.83|54.33|462|37.25|346.5|360.82|313.19|340.56|313.19|462|462|224.92|304.68|228.04|462|37.92|37.25|37.92|0|0|41.71|31.38|462|462|313.19|462|462|304.07|313.15|0|462
HOSP OP|0390 - BLOOD/STOR-PROC||P9012|Mbc Ahg (cryoprecipitate)|151|80.03|113.25|120.8|128.35|135.9|128.35|122.01|108.72|102.2|0|151|98.45|84.56|55.3|123.59|93.47|91.05|82.45|34.7|113.25|117.93|60.4|0|60.4|119.89|124.82|65.04|60.4|66.09|124.82|35.32|34.7|35.32|0|0|38.87|66.91|0|0|60.4|0|75.5|0|60.4|0|151
HOSP OP|0302 - LAB/IMMUNOLOGY||86920|CROSSMATCH-1 UNIT IMMED SPIN|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|47.47|90|34.52|73.67|45.12|43.9|90|18.92|67.5|70.29|90|172.44|90|90|90|90|90|90|90|19.26|18.92|19.26|0|0|21.19|25.36|90|90|158.58|90|90|153.96|90|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||P9017|Mbc Fresh Frozen Plasma - 1 Unit|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|0|210|136.92|139.92|76.9|171.89|129.99|126.63|136.42|111.85|157.5|164.01|86.26|93.8|86.26|155.67|158.85|66.47|83.92|67.39|158.85|113.86|111.85|113.86|0|0|125.28|93.05|179.33|159.64|86.26|172.08|150.75|83.75|86.25|0|210
HOSP OP|0390 - BLOOD/STOR-PROC||P9044|Mbc Cryo Poor Plasma Single|229|121.37|171.75|183.2|194.65|206.1|194.65|185.03|164.88|154.99|0|229|149.31|128.24|83.86|187.44|141.75|138.09|125.03|42.76|171.75|178.85|91.6|0|91.6|181.83|189.29|98.63|91.6|100.23|189.29|43.53|42.76|43.53|0|0|47.9|101.47|0|0|91.6|0|114.5|0|91.6|0|229
HOSP OP|0390 - BLOOD/STOR-PROC||P9016|Mbc Rbc Leukopoor|620|328.6|465|496|527|558|527|500.96|446.4|419.62|0|620|404.24|361.48|227.04|507.47|383.78|373.86|352.43|140.35|465|484.22|194|210.95|194|350.1|357.25|149.48|188.73|151.56|357.25|142.88|140.35|142.88|0|0|157.21|274.72|403.31|359.02|194|387|339.03|188.35|193.98|0|620
HOSP OP|0302 - LAB/IMMUNOLOGY||86886|ANTIBODY TITER|209.06|110.8|156.8|167.25|177.7|188.15|177.7|168.92|150.52|141.49|0|209.06|7.42|209.06|5.39|171.12|7.05|6.86|209.06|5.7|156.8|163.28|158.58|172.44|158.58|209.06|209.06|113.88|154.27|115.46|209.06|5.8|5.7|5.8|0|0|6.43|3.96|209.06|209.06|158.58|209.06|209.06|153.96|158.56|0|209.06
HOSP OP|0390 - BLOOD/STOR-PROC||P9037|Mbc Pheresis Platelet Leukoreduced Irradiated|1728|915.84|1296|1382.4|1468.8|1555.2|1468.8|1396.22|1244.16|1169.51|0|1728|1126.66|1222.51|632.79|1414.37|1069.63|1041.98|1191.93|480.75|1296|1349.57|653.73|710.85|653.73|1179.74|1203.82|503.71|635.96|510.71|1203.82|489.4|480.75|489.4|0|0|538.48|765.68|1359.05|1209.79|653.73|1304.06|1142.44|634.69|653.66|0|1728
HOSP OP|0390 - BLOOD/STOR-PROC||P9035|Mbc Pheresis Platelet Leukoreduced|1626|861.78|1219.5|1300.8|1382.1|1463.4|1382.1|1313.81|1170.72|1100.48|0|1626|1060.15|951.3|595.44|1330.88|1006.49|980.48|927.5|480.75|1219.5|1269.91|514.6|559.56|514.6|928.65|947.6|396.51|500.61|402.01|947.6|489.4|480.75|489.4|0|0|538.48|720.48|1069.8|952.31|514.6|1026.51|899.3|499.61|514.54|0|1626
HOSP OP|0305 - LAB/HEMATOLOGY||85461|FMH SCREEN ROSETTE|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|12.07|12.64|8.78|54.02|11.48|11.17|12.32|10.3|49.5|51.55|9.64|10.48|9.64|19.98|19.98|9.25|9.38|8.93|19.98|10.49|10.3|10.49|0|0|0|6.45|9.36|9.36|9.64|9.36|16.85|9.36|9.64|0|66
HOSP OP|0302 - LAB/IMMUNOLOGY||86870|MBC RBC PANEL|186|98.58|139.5|148.8|158.1|167.4|158.1|150.29|133.92|125.88|0|186|58.75|186|42.72|152.24|55.83|54.33|186|37.25|139.5|145.27|186|340.56|186|186|186|186|186|186|186|37.92|37.25|37.92|0|0|41.71|31.38|186|186|313.19|186|186|304.07|186|0|340.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86900|ABO|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|4.28|68|3.11|55.66|4.07|3.96|68|3.29|51|53.11|68|131.02|68|68|68|68|68|68|68|3.35|3.29|3.35|0|0|3.71|2.28|68|68|120.49|68|68|116.98|68|0|131.02
HOSP OP|0302 - LAB/IMMUNOLOGY||86901|RH|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|4.28|61|3.11|49.93|4.07|3.96|61|3.29|45.75|47.64|36.94|40.17|36.94|61|61|26.53|35.94|26.9|61|3.35|3.29|3.35|0|0|3.71|2.28|61|61|36.94|61|61|35.87|36.94|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86850|ANTIBODY SCREEN|101|53.53|75.75|80.8|85.85|90.9|85.85|81.61|72.72|68.36|0|101|12.6|99.74|9.16|82.67|11.98|11.66|97.24|10.75|75.75|78.88|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|10.94|10.75|10.94|0|0|10.94|6.73|101|94.29|54.67|101|95.54|53.08|54.66|0|101
HOSP OP|0302 - LAB/IMMUNOLOGY||86880|DAT|74|39.22|55.5|59.2|62.9|66.6|62.9|59.79|53.28|50.08|0|74|7.73|62.84|5.62|60.57|7.34|7.15|61.27|5.93|55.5|57.79|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|6.04|5.93|6.04|0|0|6.71|4.12|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|74
HOSP OP|0302 - LAB/IMMUNOLOGY||86694|Hb Hsv Ab Screen Igm By Eia|42.2|22.37|31.65|33.76|35.87|37.98|35.87|34.1|30.38|28.56|0|42.2|20.63|21.59|15|34.54|19.6|19.08|21.05|15.83|31.65|32.96|14.82|16.12|14.82|33.97|33.97|18.05|14.42|15.18|33.97|16.11|15.83|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|42.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86146|Hb Beta-2-glycoprotein 1 Igg|58|30.74|43.5|46.4|49.3|52.2|49.3|46.86|41.76|39.25|0|58|36.48|38.18|26.53|47.47|34.67|33.74|37.23|28|43.5|45.3|26.21|28.5|26.21|58|58|31.7|25.5|26.78|58|28.5|28|28.5|0|0|0|19.49|25.45|25.45|26.21|25.45|45.81|25.45|26.21|0|58
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 1 Base 30  Minutes|2725|1444.25|0|2180|0|2452.5|0|2201.8|1962|1844.28|0|2725|0|0|0|2230.41|0|0|0|0|0|2128.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2725
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 2 Base 30  Minutes|3634|1926.02|0|2907.2|0|3270.6|0|2936.27|2616.48|2459.49|0|3634|0|0|0|2974.43|0|0|0|0|0|2838.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3634
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 3 Base 30  Minutes|4760|2522.8|0|3808|0|4284|0|3846.08|3427.2|3221.57|0|4760|0|0|0|3896.06|0|0|0|0|0|3717.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4760
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 4 Base 30  Minutes|6688|3544.64|0|5350.4|0|6019.2|0|5403.9|4815.36|4526.44|0|6688|0|0|0|5474.13|0|0|0|0|0|5223.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6688
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 1 15 MINUTES|672|356.16|0|537.6|0|604.8|0|542.98|483.84|454.81|0|672|0|0|0|550.03|0|0|0|0|0|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|672
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 2 15 MINUTES|699|370.47|0|559.2|0|629.1|0|564.79|503.28|473.08|0|699|0|0|0|572.13|0|0|0|0|0|545.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|699
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 3 15 MINUTES|785|416.05|0|628|0|706.5|0|634.28|565.2|531.29|0|785|0|0|0|642.52|0|0|0|0|0|613.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|785
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 4 15 MINUTES|928|491.84|0|742.4|0|835.2|0|749.82|668.16|628.07|0|928|0|0|0|759.57|0|0|0|0|0|724.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|928
HOSP OP|0761 - TREATMENT ROOM||62367|Hb Analyze Pump W/o Program|922|488.66|691.5|737.6|783.7|829.8|783.7|744.98|663.84|624.01|0|922|601.14|79.43|337.64|754.66|570.72|555.97|77.44|969.62|691.5|720.08|25.79|28.04|25.79|111.9|111.9|52.39|25.09|50|111.9|987.07|969.62|460.36|0|0|0|408.54|25.04|25.04|25.79|25.04|45.07|25.04|25.79|0|987.07
HOSP OP|0761 - TREATMENT ROOM||62368|Hb Analyze Pump With Program|702|372.06|526.5|561.6|596.7|631.8|596.7|567.22|505.44|475.11|0|702|457.7|108.32|257.07|574.59|434.54|423.31|105.61|969.62|526.5|548.26|36.26|39.42|36.26|153.86|153.86|70.44|35.27|68.75|153.86|987.07|969.62|460.36|0|0|0|311.06|35.2|35.2|36.26|35.2|63.36|35.2|36.26|0|987.07
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9500|TC99 SESTAMIBI DX PSD|90|47.7|67.5|72|76.5|81|0|72.72|64.8|60.91|0|90|90|0|90|73.67|90|90|0|121.7|67.5|70.29|0|0|0|0|0|0|0|0|0|123.89|121.7|123.89|0|0|0|88.2|0|0|36|0|0|0|0|0|123.89
HOSP OP|0352 - CT SCAN/BODY||72130|CT Thoracic Spine w&w/o Contr|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|696.83|605.81|1228.57|1101|1072|679.4|564.65|1125.75|1172.28|176.18|191.58|176.18|760.32|760.32|339.44|171.39|339.71|760.32|574.81|564.65|268.09|0|0|225.96|730.1|171.05|171.05|176.18|171.05|307.89|171.05|176.18|0|1501
HOSP OP|0344 - THERAPEUTIC RADIOPHARMACEUTICL||A9517|Hb I-131 Therapy Per Mci|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|34.27|40|32.74|40|40|33.41|35.7|30|31.24|20.69|20.69|20.69|38.46|38.54|16.1|20.69|16.35|38.54|36.34|35.7|36.34|0|0|39.98|39.2|20.69|20.69|20.69|20.69|20.69|20.69|21.31|0|40
HOSP OP|0610 - MRI||73223|UP EXT JNT W&WO|2251|1193.03|1688.25|1800.8|1913.35|2025.9|1913.35|1818.81|1620.72|1523.48|0|2251|1868|754.87|979.08|1842.44|1775|1728|735.99|957.41|1688.25|1758.03|421.98|458.85|421.98|709.77|724.26|303.05|410.51|307.26|724.26|974.64|957.41|454.56|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2251
HOSP OP|0350 - CT SCAN||76376|CT 3D RECONSTRUCTION|600|318|450|480|510|540|0|484.8|432|406.08|0|600|600|0|600|491.1|600|600|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|588|0|0|13.68|0|0|13.28|0|0|600
HOSP OP|0402 - ULTRASOUND||76815|US OB LIMITED 1 OR > FETUS|445|235.85|333.75|356|378.25|400.5|378.25|359.56|320.4|301.18|0|445|290.14|220.09|162.96|364.23|275.46|268.34|214.59|328.58|333.75|347.55|123.86|134.68|123.86|208.34|212.59|88.95|120.49|90.19|212.59|334.49|328.58|156|0|0|126.02|197.18|240|213.64|123.86|230.29|216.45|120.25|123.85|0|445
HOSP OP|0320 - DX X-RAY||72220|XR SACRUM/COCCYX MIN 2 VWS|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|277|121.88|277|226.72|277|277|118.83|157.34|207.75|216.34|88.2|95.9|88.2|151.37|151.37|63.34|85.8|64.22|151.37|160.17|157.34|74.7|0|0|69.78|271.46|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|277
HOSP OP|0320 - DX X-RAY||76080|ABSCESS/FIST/SIN TRACT RSI|740|392.2|555|592|629|666|629|597.92|532.8|500.83|0|740|694|740|313.38|605.69|660|642|740|689.31|555|577.94|532.19|578.69|532.19|740|740|382.2|517.72|387.51|740|701.72|689.31|327.28|0|0|557.22|583.1|740|740|532.19|740|740|516.69|532.13|0|740
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|IAP SPEECH TREATMENT|868|460.04|651|694.4|737.8|781.2|737.8|701.34|624.96|587.46|0|868|207|0|106.79|710.46|196|191|0|305.9|651|677.91|0|0|0|220.8|220.8|96.86|0|98.65|220.8|311.41|305.9|145.24|0|0|63.08|173.11|80.43|80.43|0|80.43|0|0|0|0|868
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 1|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|57|56.56|57|46.65|57|57|51.54|622.52|42.75|44.52|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|55.86|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 2|59|31.27|44.25|47.2|50.15|53.1|50.15|47.67|42.48|39.93|0|59|59|56.56|59|48.29|59|59|51.54|622.52|44.25|46.08|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|57.82|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 3|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|61|56.56|61|49.93|61|61|51.54|622.52|45.75|47.64|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|59.78|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 4|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|75|56.56|75|61.39|75|75|51.54|622.52|56.25|58.58|19.19|20.87|19.19|50.95|127.5|22.45|19|22.77|127.5|633.73|622.52|295.57|0|0|14.63|73.5|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|633.73
HOSP OP|0306 - LAB/BACT-MICRO||87449|INFECTIOUS AGENT BY EIA|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.98|0|0|0|0|0|0|0|0|0|0|0|12.2|11.98|12.2|0|0|0|0|0|0|0|0|0|0|0|0|12.2
HOSP OP|0306 - LAB/BACT-MICRO||87798|Hb Epstein Barr Virus Pcr|95|50.35|71.25|76|80.75|85.5|80.75|76.76|68.4|64.3|0|95|50.3|52.64|36.57|77.76|47.8|46.52|51.32|38.6|71.25|74.2|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|95
HOSP OP|0306 - LAB/BACT-MICRO||87077|AEROBIC ID|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|11.57|12.11|8.41|45.84|11|10.7|11.81|8.08|42|43.74|8.32|9.05|8.32|18.98|18.98|10.13|8.1|8.48|18.98|8.23|8.08|8.23|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|56
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-GROUP A STREP|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|9.49|9.94|6.9|18.83|9.02|8.78|9.69|7.29|17.25|17.96|6.83|7.43|6.83|15.99|15.99|8.36|6.64|7.14|15.99|7.42|7.29|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|23
HOSP OP|0306 - LAB/BACT-MICRO||87798|MYCOPLASMA HOMINIS PCR|139.45|73.91|104.59|111.56|118.53|125.51|118.53|112.68|100.4|94.38|0|139.45|50.3|52.64|36.57|114.14|47.8|46.52|51.32|38.6|104.59|108.91|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|139.45
HOSP OP|0306 - LAB/BACT-MICRO||87798|UREAPLASMA PCR|69.72|36.95|52.29|55.78|59.26|62.75|59.26|56.33|50.2|47.19|0|69.72|50.3|52.64|36.57|57.07|47.8|46.52|51.32|38.6|52.29|54.45|36.14|39.3|36.14|69.72|69.72|43.59|35.16|37.05|69.72|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|69.72
HOSP OP|0310 - PATHOLOGY LAB||88184|FLOW CYTOMEETRY FIRST MARKER|305.87|162.11|229.4|244.7|259.99|275.28|259.99|247.14|220.23|207.01|0|305.87|135.54|305.87|98.56|250.35|128.82|125.35|305.87|143.82|229.4|238.88|305.87|340.56|305.87|305.87|305.87|224.92|304.68|228.04|305.87|146.41|143.82|68.29|0|0|76.2|72.41|305.87|305.87|313.19|305.87|305.87|304.07|305.87|0|340.56
HOSP OP|0305 - LAB/HEMATOLOGY||85420|PLASMINOGEN ACTIVITY|59.37|31.47|44.53|47.5|50.46|53.43|50.46|47.97|42.75|40.18|0|59.37|9.37|9.8|6.81|48.59|8.9|8.66|9.56|7.18|44.53|46.37|6.73|7.31|6.73|15.99|15.99|7.92|6.54|7.14|15.99|7.31|7.18|7.31|0|0|0|5|6.53|6.53|6.73|6.53|11.75|6.53|6.73|0|59.37
HOSP OP|0301 - LAB/CHEMISTRY||82365|STONE ANALYSIS|39.19|20.77|29.39|31.35|33.31|35.27|33.31|31.67|28.22|26.52|0|39.19|18.49|19.35|13.44|32.08|17.57|17.1|18.87|14.19|29.39|30.61|13.29|14.45|13.29|30.97|30.97|16.29|12.93|13.84|30.97|14.45|14.19|14.45|0|0|0|9.87|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|39.19
HOSP OP|0301 - LAB/CHEMISTRY||84156|PROTEIN URINE 24 HR|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|5.25|5.49|3.82|23.74|4.99|4.86|5.35|4.04|21.75|22.65|3.78|4.11|3.78|8.99|8.99|4.4|3.68|4.02|8.99|4.11|4.04|4.11|0|0|0|2.8|3.67|3.67|3.78|3.67|6.61|3.67|3.78|0|29
HOSP OP|0301 - LAB/CHEMISTRY||84182|PROTEIN 0 ABY|166.7|88.35|125.03|133.36|141.7|150.03|141.7|134.69|120.02|112.82|0|166.7|37.49|39.43|27.26|136.44|35.63|34.67|38.44|56.65|125.03|130.19|30.09|32.72|30.09|61.94|61.94|29.5|29.27|27.68|61.94|57.67|56.65|26.9|0|0|0|20.02|29.21|29.21|30.09|29.21|52.58|29.21|30.09|0|166.7
HOSP OP|0301 - LAB/CHEMISTRY||82164|Hb Angiotensin Converting Enzyme Csf|48.5|25.7|36.38|38.8|41.23|43.65|41.23|39.19|34.92|32.82|0|48.5|20.92|21.9|15.21|39.7|19.89|19.35|21.35|16.06|36.38|37.88|15.04|16.35|15.04|34.97|34.97|18.05|14.63|15.62|34.97|16.35|16.06|16.35|0|0|0|11.17|14.6|14.6|15.04|14.6|26.28|14.6|15.04|0|48.5
HOSP OP|0301 - LAB/CHEMISTRY||80164|Hb Valproic Acid (depakote)|76|40.28|57|60.8|64.6|68.4|64.6|61.41|54.72|51.44|0|76|19.41|20.32|14.12|62.21|18.45|17.95|19.81|14.89|57|59.36|13.95|15.16|13.95|31.97|31.97|16.73|13.57|14.28|31.97|15.16|14.89|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|76
HOSP OP|0301 - LAB/CHEMISTRY||82952|TOLERANCE-ADD'L SPEC|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.62|5.89|4.09|25.37|5.35|5.2|5.74|3.92|23.25|24.21|4.04|4.39|4.04|8.99|8.99|4.84|3.93|4.02|8.99|3.99|3.92|3.99|0|0|0|3|3.92|3.92|4.04|3.92|7.06|3.92|4.04|0|31
HOSP OP|0301 - LAB/CHEMISTRY||82978|Glutathione|228.8|121.26|171.6|183.04|194.48|205.92|194.48|184.87|164.74|154.85|0|228.8|20.43|21.38|14.86|187.27|19.42|18.9|20.85|17|171.6|178.69|15.91|17.3|15.91|33.97|33.97|17.61|15.48|15.18|33.97|17.31|17|17.31|0|0|0|10.92|15.45|15.45|15.91|15.45|27.81|15.45|15.91|0|228.8
HOSP OP|0301 - LAB/CHEMISTRY||84402|TESTOSTERONE FREE ADULT MALE|44.45|23.56|33.34|35.56|37.78|40.01|37.78|35.92|32|30.08|0|44.45|36.51|38.21|26.55|36.38|34.7|33.76|37.25|28.02|33.34|34.72|26.23|28.53|26.23|44.45|44.45|31.7|25.52|27.23|44.45|28.52|28.02|28.52|0|0|0|19.5|25.47|25.47|26.23|25.47|44.45|25.47|26.23|0|44.45
HOSP OP|0301 - LAB/CHEMISTRY||82533|ACTH STIM-PREINFUSION BASELINE|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|23.36|24.45|16.99|61.39|22.2|21.61|23.84|17.93|56.25|58.58|16.79|18.26|16.79|38.96|38.96|20.25|16.33|17.41|38.96|18.25|17.93|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|75
HOSP OP|0301 - LAB/CHEMISTRY||84311|Porphyrin Profile Plasma|88.8|47.06|66.6|71.04|75.48|79.92|75.48|71.75|63.94|60.1|0|88.8|10.45|10.94|7.6|72.68|9.93|9.66|10.67|8.91|66.6|69.35|8.34|9.07|8.34|16.98|16.98|8.81|8.12|7.59|16.98|9.07|8.91|9.07|0|0|0|5.57|8.1|8.1|8.34|8.1|14.58|8.1|8.34|0|88.8
HOSP OP|0301 - LAB/CHEMISTRY||82668|ERYTHROPOIETIN|39.7|21.04|29.78|31.76|33.75|35.73|33.75|32.08|28.58|26.87|0|39.7|26.94|28.19|19.59|32.49|25.6|24.91|27.49|20.67|29.78|31.01|19.35|21.04|19.35|39.7|39.7|23.33|18.83|20.09|39.7|21.04|20.67|21.04|0|0|0|14.39|18.79|18.79|19.35|18.79|33.82|18.79|19.35|0|39.7
HOSP OP|0310 - PATHOLOGY LAB||88365|HB HPV Epstein Barr Virus in situ Hybridization|390.13|206.77|292.6|312.1|331.61|351.12|331.61|315.23|280.89|264.04|0|390.13|176.29|244.03|128.18|319.32|167.54|163.03|237.93|99.19|292.6|304.69|143.59|156.14|143.59|390.13|390.13|225.41|139.69|223.65|390.13|100.98|99.19|47.1|0|0|151.55|94.18|139.41|139.41|143.59|139.41|250.94|139.41|143.59|0|390.13
HOSP OP|0310 - PATHOLOGY LAB||88348|EM COMPLETE HCMC|550|291.5|412.5|440|467.5|495|467.5|444.4|396|372.24|0|550|550|495.92|425.69|450.18|550|541.42|483.52|143.82|412.5|429.55|326.19|354.69|326.19|550|550|434.97|317.32|454.88|550|146.41|143.82|68.29|0|0|83.8|312.78|316.69|316.69|326.19|316.69|550|316.69|326.19|0|550
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88332|FROZEN SECTION ADDITIONAL|135|71.55|101.25|108|114.75|121.5|0|109.08|97.2|91.37|0|135|23.95|0|17.41|110.5|22.76|22.15|0|99.19|101.25|105.44|0|0|0|0|0|0|0|0|0|100.98|99.19|47.1|0|0|0|12.79|0|0|23.83|0|0|23.14|0|0|135
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88333|INTRAOP CYTOLOGIC EXAM INITIA|650|344.5|487.5|520|552.5|585|552.5|525.2|468|439.92|0|650|45.6|122.54|33.16|532.03|43.34|42.17|119.48|99.19|487.5|507.65|27.59|30|27.59|250.77|250.77|111.38|26.84|112.05|250.77|100.98|99.19|47.1|0|0|28.72|24.36|26.79|26.79|27.59|26.79|48.22|26.79|27.59|0|650
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88334|INTRAOP CYTOLOGIC EXAM ADD'L|134|71.02|100.5|107.2|113.9|120.6|0|108.27|96.48|90.69|0|134|33.04|0|24.02|109.68|31.4|30.55|0|99.19|100.5|104.65|0|0|0|0|0|0|0|0|0|100.98|99.19|47.1|0|0|0|17.64|0|0|18.81|0|0|18.26|0|0|134
HOSP OP|0310 - PATHOLOGY LAB||88342|IMMUNO STAIN MAYO|205.4|108.86|154.05|164.32|174.59|184.86|174.59|165.96|147.89|139.01|0|205.4|130.21|205.4|94.68|168.12|123.75|120.42|205.4|99.19|154.05|160.42|158.58|172.44|158.58|205.4|205.4|113.88|154.27|115.46|205.4|100.98|99.19|47.1|0|0|80.54|69.56|205.4|205.4|158.58|205.4|205.4|153.96|158.56|0|205.4
HOSP OP|0310 - PATHOLOGY LAB||88342|IMMUNO STAIN ALLINA|161.43|85.56|121.07|129.14|137.22|145.29|137.22|130.44|116.23|109.26|0|161.43|130.21|161.43|94.68|132.13|123.75|120.42|161.43|99.19|121.07|126.08|158.58|172.44|158.58|161.43|161.43|113.88|154.27|115.46|161.43|100.98|99.19|47.1|0|0|80.54|69.56|161.43|161.43|158.58|161.43|161.43|153.96|158.56|0|172.44
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88331|FROZEN SECTION|208|110.24|156|166.4|176.8|187.2|176.8|168.06|149.76|140.77|0|208|53.53|208|38.93|170.25|50.88|49.51|208|99.19|156|162.45|158.58|172.44|158.58|208|208|113.88|154.27|115.46|208|100.98|99.19|47.1|0|0|37.69|28.59|208|208|158.58|208|208|153.96|158.56|0|208
HOSP OP|0310 - PATHOLOGY LAB||88319|HISTOCHEMICAL STAIN HCMC|36.5|19.34|27.38|29.2|31.03|32.85|31.03|29.49|26.28|24.7|0|36.5|36.5|36.5|36.5|29.88|36.5|36.5|36.5|143.82|27.38|28.51|88.91|96.68|88.91|36.5|36.5|36.5|36.5|36.5|36.5|146.41|143.82|68.29|0|0|36.5|35.77|36.5|36.5|88.91|36.5|36.5|36.5|88.91|0|146.41
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88307|SURGICAL TISSUE V|475|251.75|356.25|380|403.75|427.5|403.75|383.8|342|321.48|0|475|316.96|475|230.47|388.79|301.24|293.13|475|143.82|356.25|370.98|313.19|340.56|313.19|475|475|224.92|304.68|228.04|475|146.41|143.82|68.29|0|0|210.88|169.34|475|475|313.19|475|475|304.07|313.15|0|475
HOSP OP|0310 - PATHOLOGY LAB||88280|CHROM ANALYSIS ADDL KARYOTYPE|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|32|32|31.39|26.19|32|32|32|36.82|24|24.99|32|32|32|32|32|32|32|32|32|37.48|36.82|37.48|0|0|0|23.06|32|32|32|32|32|32|32|0|37.48
HOSP OP|0310 - PATHOLOGY LAB||88239|TISSUE CULTURE SOLID TUMOR|308.1|163.29|231.08|246.48|261.89|277.29|261.89|248.94|221.83|208.52|0|308.1|211.44|221.28|153.75|252.18|200.95|195.54|215.75|162.27|231.08|240.63|151.95|165.22|151.95|308.1|308.1|184.03|147.82|156.69|308.1|165.19|162.27|165.19|0|0|0|112.97|147.52|147.52|151.95|147.52|265.54|147.52|151.95|0|308.1
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88172|FINE NEEDLE ASPIRATE1ST EVALSITE|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|41.53|90|30.2|73.67|39.47|38.4|90|99.19|67.5|70.29|90|172.44|90|90|90|90|90|90|90|100.98|99.19|47.1|0|0|22.19|22.18|90|90|158.58|90|90|153.96|90|0|172.44
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88173|FNA INTERP|270|143.1|202.5|216|229.5|243|229.5|218.16|194.4|182.74|0|270|137.05|99.74|99.65|221|130.25|126.74|97.24|99.19|202.5|210.87|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|100.98|99.19|47.1|0|0|92.12|73.22|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|270
HOSP OP|0310 - PATHOLOGY LAB||88161|Hb Cytologic Touch/crush Tissue Prep Scn & Interp|104|55.12|78|83.2|88.4|93.6|88.4|84.03|74.88|70.39|0|104|68.76|91.08|50|85.12|65.35|63.59|88.8|99.19|78|81.22|44.9|48.82|44.9|104|104|81.89|43.68|83.03|104|100.98|99.19|47.1|0|0|46.26|36.73|43.59|43.59|44.9|43.59|78.46|43.59|44.9|0|104
HOSP OP|0306 - LAB/BACT-MICRO||87341|HEP BsAG CONFIRM|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|14.81|15.5|10.77|61.39|14.07|13.7|15.11|11.36|56.25|58.58|10.64|11.57|10.64|24.98|24.98|12.77|10.35|11.16|24.98|11.56|11.36|11.56|0|0|12.86|7.91|10.33|10.33|10.64|10.33|18.59|10.33|10.64|0|75
HOSP OP|0302 - LAB/IMMUNOLOGY||86157|Hb Cold Agglutinin Titer|68.23|36.16|51.17|54.58|58|61.41|58|55.13|49.13|46.18|0|68.23|11.56|12.1|8.4|55.85|10.98|10.69|11.8|8.87|51.17|53.29|8.3|9.03|8.3|18.98|18.98|10.13|8.08|8.48|18.98|9.03|8.87|9.03|0|0|0|6.17|8.06|8.06|8.3|8.06|14.51|8.06|8.3|0|68.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|LYME ANTIBODY SCREEN CSF|59.6|31.59|44.7|47.68|50.66|53.64|50.66|48.16|42.91|40.34|0|59.6|24.41|25.54|17.75|48.78|23.2|22.57|24.9|17.03|44.7|46.55|17.54|19.07|17.54|39.96|39.96|21.13|17.06|17.86|39.96|17.34|17.03|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|59.6
HOSP OP|0306 - LAB/BACT-MICRO||87529|HERPES 1&2 PCR|31.06|16.46|23.3|24.85|26.4|27.95|26.4|25.1|22.36|21.02|0|31.06|31.06|31.06|31.06|25.42|31.06|31.06|31.06|38.6|23.3|24.26|31.06|31.06|31.06|31.06|31.06|31.06|31.06|31.06|31.06|39.29|38.6|39.29|0|0|0|26.87|31.06|31.06|31.06|31.06|31.06|31.06|31.06|0|39.29
HOSP OP|0306 - LAB/BACT-MICRO||87798|WEST NILE PCR  (BLOOD/CSF)|105.79|56.07|79.34|84.63|89.92|95.21|89.92|85.48|76.17|71.6|0|105.79|50.3|52.64|36.57|86.59|47.8|46.52|51.32|38.6|79.34|82.62|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|105.79
HOSP OP|0306 - LAB/BACT-MICRO||87798|EHRLICHIA/ANAPLASMA PCR|21.3|11.29|15.98|17.04|18.11|19.17|18.11|17.21|15.34|14.42|0|21.3|21.3|21.3|21.3|17.43|21.3|21.3|21.3|38.6|15.98|16.64|21.3|21.3|21.3|21.3|21.3|21.3|21.3|21.3|21.3|39.29|38.6|39.29|0|0|0|20.87|21.3|21.3|21.3|21.3|21.3|21.3|21.3|0|39.29
HOSP OP|0306 - LAB/BACT-MICRO||87798|TOXOPLASMOSIS PCR CSF|128.6|68.16|96.45|102.88|109.31|115.74|109.31|103.91|92.59|87.04|0|128.6|50.3|52.64|36.57|105.26|47.8|46.52|51.32|38.6|96.45|100.44|36.14|39.3|36.14|82.93|82.93|43.59|35.16|37.05|82.93|39.29|38.6|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|128.6
HOSP OP|0310 - PATHOLOGY LAB||88184|FLOW CYTO FIRST MARKER|216|114.48|162|172.8|183.6|194.4|183.6|174.53|155.52|146.19|0|216|135.54|216|98.56|176.8|128.82|125.35|216|143.82|162|168.7|216|340.56|216|216|216|216|216|216|216|146.41|143.82|68.29|0|0|76.2|72.41|216|216|313.19|216|216|304.07|216|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88185|FLOW CYTO EA ADD'L MARKER|27.9|14.79|20.93|22.32|23.72|25.11|0|22.54|20.09|18.88|0|27.9|27.9|0|27.9|22.84|27.9|27.9|0|143.82|20.93|21.79|0|0|0|0|0|0|0|0|0|146.41|143.82|68.29|0|0|0|26.57|0|0|23.32|0|0|22.64|0|0|146.41
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88300|GROSS TISSUE I|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|28.02|33.59|20.37|46.65|26.63|25.91|32.75|99.19|42.75|44.52|25.41|27.63|25.41|42.72|43.6|18.24|24.72|18.5|43.6|100.98|99.19|47.1|0|0|12.8|14.97|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|100.98
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88302|SURG TISSUE  G&M II|88|46.64|66|70.4|74.8|79.2|74.8|71.1|63.36|59.56|0|88|57.58|62.84|41.87|72.03|54.73|53.25|61.27|99.19|66|68.73|25.41|27.63|25.41|42.72|43.6|18.24|24.72|18.5|43.6|100.98|99.19|47.1|0|0|27.08|30.76|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|100.98
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88304|SURGICAL TISSUE III|119|63.07|89.25|95.2|101.15|107.1|101.15|96.15|85.68|80.54|0|119|71.86|99.74|52.25|97.4|68.29|66.45|97.24|99.19|89.25|92.94|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|100.98|99.19|47.1|0|0|32.8|38.39|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|119
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88309|SURGICAL TISSUE VI|801|424.53|600.75|640.8|680.85|720.9|680.85|647.21|576.72|542.12|0|801|472.41|801|343.5|655.62|448.97|436.89|801|143.82|600.75|625.58|694.22|754.88|694.22|801|801|498.56|675.34|505.48|801|146.41|143.82|68.29|0|0|295.9|252.4|801|801|694.22|801|801|674|694.14|0|801
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88311|DECALCIFICATION|73|38.69|54.75|58.4|62.05|65.7|0|58.98|52.56|49.41|0|73|12.75|0|9.27|59.75|12.12|11.79|0|99.19|54.75|57.01|0|0|0|0|0|0|0|0|0|100.98|99.19|47.1|0|0|0|6.81|0|0|9.16|0|0|8.89|0|0|100.98
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88313|SPECIAL STAIN II|218|115.54|163.5|174.4|185.3|196.2|185.3|176.14|156.96|147.54|0|218|113.8|62.84|82.75|178.43|108.16|105.25|61.27|99.19|163.5|170.26|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|100.98|99.19|47.1|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|218
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88313|Hb Special Stains - Group Ii (hcmc)|54.2|28.73|40.65|43.36|46.07|48.78|46.07|43.79|39.02|36.68|0|54.2|54.2|54.2|54.2|44.36|54.2|54.2|54.2|99.19|40.65|42.33|36.94|40.17|36.94|54.2|54.2|26.53|35.94|26.9|54.2|100.98|99.19|47.1|0|0|54.2|53.12|54.2|54.2|36.94|54.2|54.2|35.87|36.94|0|100.98
HOSP OP|0310 - PATHOLOGY LAB||88313|SPECIAL STAINS II MAYO|117.93|62.5|88.45|94.34|100.24|106.14|100.24|95.29|84.91|79.82|0|117.93|113.8|62.84|82.75|96.53|108.16|105.25|61.27|99.19|88.45|92.1|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|100.98|99.19|47.1|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|117.93
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88305|SURGICAL TISSUE IV|192|101.76|144|153.6|163.2|172.8|163.2|155.14|138.24|129.95|0|192|92.19|99.74|67.04|157.15|87.62|85.26|97.24|99.19|144|149.95|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|100.98|99.19|47.1|0|0|34.44|49.25|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|192
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88305|BX TECH FEE|295|156.35|221.25|236|250.75|265.5|250.75|238.36|212.4|199.66|0|295|92.19|99.74|67.04|241.46|87.62|85.26|97.24|99.19|221.25|230.4|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|100.98|99.19|47.1|0|0|34.44|49.25|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|295
HOSP OP|0310 - PATHOLOGY LAB||88305|Hb Renal Biopsy G&m Iv (hcmc)|88|46.64|66|70.4|74.8|79.2|74.8|71.1|63.36|59.56|0|88|88|88|67.04|72.03|87.62|85.26|88|99.19|66|68.73|54.67|59.45|54.67|88|88|39.26|53.18|39.81|88|100.98|99.19|47.1|0|0|34.44|49.25|88|88|54.67|88|88|53.08|54.66|0|100.98
HOSP OP|0390 - BLOOD/STOR-PROC||86977|MBC ABY NEUTRALIZATION|186|98.58|139.5|148.8|158.1|167.4|158.1|150.29|133.92|125.88|0|186|121.27|186|68.11|152.24|115.13|112.16|186|29.41|139.5|145.27|158.58|172.44|158.58|186|186|113.88|154.27|115.46|186|29.94|29.41|29.94|0|0|74.4|82.42|186|186|158.58|186|186|153.96|158.56|0|186
HOSP OP|0302 - LAB/IMMUNOLOGY||86970|MBC TREATED CELL|141|74.73|105.75|112.8|119.85|126.9|119.85|113.93|101.52|95.43|0|141|39.95|62.84|29.05|115.41|37.97|36.95|61.27|22.55|105.75|110.12|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|22.96|22.55|22.96|0|0|56.4|21.34|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|141
HOSP OP|0302 - LAB/IMMUNOLOGY||86978|MBC ABY ABSORPTION|156|82.68|117|124.8|132.6|140.4|132.6|126.05|112.32|105.58|0|156|47.47|62.84|34.52|127.69|45.12|43.9|61.27|30.06|117|121.84|36.94|40.17|36.94|62.14|63.41|26.53|35.94|26.9|63.41|30.6|30.06|30.6|0|0|62.4|25.36|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|156
HOSP OP|0302 - LAB/IMMUNOLOGY||86301|CA 19-9|104|55.12|78|83.2|88.4|93.6|88.4|84.03|74.88|70.39|0|104|29.84|31.23|21.7|85.12|28.36|27.59|30.45|22.89|78|81.22|21.43|23.31|21.43|48.96|48.96|25.97|20.85|21.87|48.96|23.3|22.89|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|104
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88112|URINE CYTOLOGY|158|83.74|118.5|126.4|134.3|142.2|134.3|127.66|113.76|106.93|0|158|64.38|99.74|46.81|129.32|61.19|59.54|97.24|143.82|118.5|123.4|54.67|59.45|54.67|91.95|93.83|39.26|53.18|39.81|93.83|146.41|143.82|68.29|0|0|44.22|34.4|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|158
HOSP OP|0390 - BLOOD/STOR-PROC||86922|COMP CROSSMATCH IAT|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|10.43|16|5.86|13.1|9.9|9.65|16|18.45|12|12.5|16|172.44|16|16|16|16|16|16|16|18.78|18.45|18.78|0|0|16|7.09|16|16|158.58|16|16|153.96|16|0|172.44
HOSP OP|0390 - BLOOD/ST